Correction of mandibular deviation and maxillary occlusal canting with mandibular “early” surgery and microscrews: Two case reports

Publication date: Available online 25 April 2019Source: International OrthodonticsAuthor(s): Fernando de la Iglesia, Anna Lopez, Javier Mareque, Javier Gutierrez, André Walter, Andreu PuigdollersSummaryFacial asymmetry is a common complaint in patients with facial concerns. Some patients have mandibular asymmetries that have light maxillary cant compensation due to a reduced gingival exposure. A common treatment in facial asymmetries is bimaxillary surgery treatment. However, there are no cases of non-severe occlusal plane canting (OPC) with mandibular asymmetry treated with mandibular surgery and miniscrews for the extrusion of the maxillary molars. The aim of this article is to show how to correct mandibular asymmetries combined with OPC by making a single mandibular “early surgery” combined with the extrusion of the maxilla with miniscrews to correct the occlusal plane in order to avoid a Le Fort I surgery. This type of treatment provides lower medical costs, shorter surgeries, and less postoperative discomfort and invasion for patients.RésuméL’asymétrie du visage est un motif de consultation fréquent chez les patients ayant des préoccupations faciales. Certains patients présentent des asymétries mandibulaires avec une bascule maxillaire de compensation peu visible en raison d’une faible exposition gingivale. Le traitement courant des asymétries faciales est la chirurgie bi-maxillaire. Il est peu fait état des cas d’asymétrie mandibulaire avec faible b...

Source: International Orthodontics - April 25, 2019 Category: Dentistry Source Type: research