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Year : 2020  |  Volume : 9  |  Issue : 3  |  Page : 181-189

Surgery-first approach in a case of mandibular asymmetry

1 Department of Orthodontics, School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil
2 Southwest Bahia State University - UESB, Jequié, Bahia, Brazil

Correspondence Address:
Dr. Orlando Motohiro Tanaka
School of Life Sciences, Pontifícia Universidade Católica do Paraná, R. Imaculada Conceição 1155, Curitiba, PR
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ejgd.ejgd_133_20

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This case report describes the orthodontic and surgical treatment of an adult patient aged 25 years 10 months, who had a skeletal Class I and Angle Class III subdivision malocclusion, with mild mandibular crowding and facial asymmetry. The chief complaint was a deviated chin to the left. Treatment was performed using a surgery- first approach that included maxillo-mandibular advancement, followed by orthodontic fixed appliances. After 12 months, the treatment has addressed the chief complaint of facial asymmetry and resulted in an attractive smile, functional occlusion, passive lip seal, balanced facial profile, and esthetic improvement. After 2 years 5 months of follow-up, the patient showed a stable surgical-orthodontic outcome with increased airway space.

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