<abstract xmlns="http://www.w3.org/1999/xhtml"><p>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.</p></abstract>

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.

Multidisciplinary treatment of a severe facial asymmetry

Australasian Orthodontic Journal

This work is licensed under the Creative Commons Attribution 4.0 International License.

{"article-title":"Multidisciplinary treatment of a severe facial asymmetry"}

This case report presents the multidisciplinary treatment of an adult female who presented with a previously repaired right unilateral cleft lip and palate....

Multidisciplinary treatment of a severe facial asymmetry

Published Online: Jul 20, 2021

Page range: 70 - 77

Received: Mar 01, 2017

Accepted: Jul 01, 2017

DOI: https://doi.org/10.21307/aoj-2020-060

© 2018 Ezgi Atik et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.