Las deformidades dentofaciales (DDF) son conocidas y su diagnostico es cada vez mas frecuente; las DDF asimetricas son un grupo de enfermedades de complejo manejo debido a las condicionantes esteticas y funcionales comprometidas. La etiologia es variada, aunque la hiperplasia condilar suele estar asociada en los pacientes adolescentes y adultos; su diagnostico se establece mediante analisis facial, estudio con medicina nuclear, tomografias computadorizadas y otros examenes. La terapeutica mas aceptada hoy dia consiste en la condilectomia parcial y la correccion de la deformidad facial basada en las necesidades esteticas y funcionales del paciente. El objetivo de esta revision es determinar las condicionantes actuales asociadas al diagnostico y tratamiento de las DDF asimetricas y el papel que cumple la hiperplasia condilar en el desarrollo de estas alteraciones faciales.

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Laterognathism, supraclusion, and facial asymmetry from condylar hyperplasia.

Deformidad Facial Asimétrica: Papel de la Hiperplasia Condilar

Background: Orthodontists are frequently called upon to treat conditions in which there is asymmetry, either dentally, skeletally, or dentoskeletally, between the patients' right and left sides. Such asymmetries exist in all degrees of severity. It is well known that correction of dental and functional asymmetries can be accomplished with orthodontic treatment only whereas skeletal asymmetries are considered to present difficult orthodontic treatment problems and require orthopedic treatment and/or surgical intervention. The aim of this study was to assess the extent to which combined orthodontic and surgical treatment are applied to treat patients with mandibular asymmetry. Materials and methods: The sample of this study consisted of 33 patients with different skeletal clinically evident mandibular asymmetry conditions. Comprehensive examination protocol was established for each patient and the deformity of mandibular asymmetry had been classified according to Henderson (1985) and James (1990) into 6 different conditions. Then the treatment has been determined according to each individual case following the policy of each of the operators in the different hospitals from which the sample had been collected. Results: The treatment of mandibular asymmetry conditions was found to be mostly achieved by surgical intervention with or without orthodontic treatment. Conclusion: The importance of the teamwork for the treatment of the candidates for orthognathic surgery was found to be realized by the operators in the different hospitals from which the sample had been collected but it needs to be emphasized and reinforced to be a well-established policy for the treatment of such cases.

Laterognathism, supraclusion, and facial asymmetry from condylar hyperplasia.

Citations

Deformidad Facial Asimétrica: Papel de la Hiperplasia Condilar

Treatment of clinically evident skeletal mandibular asymmetry

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