Multidisciplinary treatment of a severe facial asymmetry


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Australasian Orthodontic Journal

Australian Society of Orthodontists

Subject: Dentistry, Orthodontics & Medicine


ISSN: 2207-7472
eISSN: 2207-7480





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VOLUME 34 , ISSUE 1 (May 2018) > List of articles

Multidisciplinary treatment of a severe facial asymmetry

Ezgi Atik * / Ersoy Konas / Ilken Kocadereli

Citation Information : Australasian Orthodontic Journal. Volume 34, Issue 1, Pages 70-77, DOI:

License : (CC BY 4.0)

Published Online: 20-July-2021



This case report presents the multidisciplinary treatment of an adult female who presented with a previously repaired right unilateral cleft lip and palate. The patient had been referred with a complaint of facial asymmetry, eating difficulties and a missing right central incisor. A clinical evaluation revealed severe facial asymmetry created by a mandibular deviation to the right side and a compensatory transverse cant of the maxillary occlusal plane. After pre-surgical orthodontic treatment, a Le Fort I osteotomy and a bilateral sagittal split osteotomy were performed. During post-surgical orthodontic treatment and, as a result of the rotational surgery, the maxillary left central incisor became the right central incisor. The left lateral incisor was subsequently moved toward the midline and reshaped with a composite buildup to serve as a new left central incisor. The combination of orthodontic, orthognathic and restorative treatment established a favourable occlusal and aesthetic result.

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