Orthodontic and orthognathic management of a complex mandibular asymmetry

2013 ◽  
Vol 14 (1) ◽  
pp. e126-e139 ◽  
Author(s):  
Ashwin Mathew George ◽  
Jayakumar Ganesan ◽  
Shobbana Devi ◽  
Biju Tom Varghese ◽  
Nathamuni Rengarajan Krishnaswamy
Keyword(s):  
Mandibular Asymmetry

Investigations on skeletal growth zones via bone scans as base of determination of optimal time for surgery in mandibular asymmetry

2000 ◽  
Vol 39 (05) ◽  
pp. 121-126 ◽  
Author(s):  
R. Werz ◽  
P. Reuland
Keyword(s):  
Bone Growth ◽  
Region Of Interest ◽  
Tracer Uptake ◽  
Optimal Time ◽  
Mandibular Bone ◽  
The Third ◽  
Mandibular Asymmetry ◽  
Bone Scans ◽  
Epiphyseal Plates

Summary Aim of the study was to find out wether there is a common stop of growth of mandibular bone, so that no individual determination of the optimal time for surgery in patients with asymmetric mandibular bone growth is needed. As there are no epiphyseal plates in the mandibular bone, stop of growth cannot be determined on X-ray films. Methods: Bone scans of 731 patients [687 patients (324 male, 363 female) under 39 y for exact determination of end of growth and 44 (21 male, 23 female) patients over 40 y for evaluation of nongrowth dependant differences in tracer uptake] were reviewed for the study. All the patients were examined 3 hours after injection of 99mTc-DPD. Tracer uptake was measured by region of interest technique in different points of the mandibular bone and in several epiphyseal plates of extremities. Results: Tracer uptake in different epiphyseal plates of the extremities shows strong variation with age and good correlation with reported data of bone growth and closure of the epiphyseal plates. The relative maximum of bone activity is smaller in mandibular bone than in epiphyseal plates, which show well defined peaks, ending at 15-18 years in females and at 18-21 years in males. In contrast, mandibular bone shows no well defined end of growing but a gradually reduction of bone activity which remains higher than bone activity in epiphyseal plates over several years. Conclusion: No well defined end of growth of mandibular bone exists. The optimal age for surgery of asymmetric mandibular bone growth is not before the middle of the third decade of life, bone scans performed earlier for determination of bone growth can be omitted. Bone scans performed at the middle of the third decade of life help to optimize the time of surgical intervention.

scholarly journals Three-dimensional assessment of the anterior and inferior loop of the inferior alveolar nerve using computed tomography images in patients with and without mandibular asymmetry

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jae-Young Kim ◽  
Michael D. Han ◽  
Kug Jin Jeon ◽  
Jong-Ki Huh ◽  
Kwang-Ho Park
Keyword(s):  
Computed Tomography ◽  
Symmetry Group ◽  
Three Dimensional ◽  
Inferior Alveolar Nerve ◽  
Mental Foramen ◽  
3D Analysis ◽  
Mandibular Asymmetry ◽  
Computed Tomography Images ◽  
Significant Difference ◽  
Mandibular Body

Abstract Background The purpose of this study was to investigate the differences in configuration and dimensions of the anterior loop of the inferior alveolar nerve (ALIAN) in patients with and without mandibular asymmetry. Method Preoperative computed tomography images of patients who had undergone orthognathic surgery from January 2016 to December 2018 at a single institution were analyzed. Subjects were classified into two groups as “Asymmetry group” and “Symmetry group”. The distance from the most anterior and most inferior points of the ALIAN (IANant and IANinf) to the vertical and horizontal reference planes were measured (dAnt and dInf). The distance from IANant and IANinf to the mental foramen were also calculated (dAnt_MF and dInf_MF). The length of the mandibular body and symphysis area were measured. All measurements were analyzed using 3D analysis software. Results There were 57 total eligible subjects. In the Asymmetry group, dAnt and dAnt_MF on the non-deviated side were significantly longer than the deviated side (p < 0.001). dInf_MF on the non-deviated side was also significantly longer than the deviated side (p = 0.001). Mandibular body length was significantly longer on the non-deviated side (p < 0.001). There was no significant difference in length in the symphysis area (p = 0.623). In the Symmetry group, there was no difference between the left and right sides for all variables. Conclusion In asymmetric patients, there is a difference tendency in the ALIAN between the deviated and non-deviated sides. In patients with mandibular asymmetry, this should be considered during surgery in the anterior mandible.

The aetiology, diagnosis and management of mandibular asymmetry

2008 ◽  
Vol 1 (2) ◽  
pp. 44-52 ◽  
Author(s):  
Matthew SY Chia ◽  
Farhad B Naini ◽  
Daljit S Gill
Keyword(s):  
Diagnosis And Management ◽  
Mandibular Asymmetry

Surgical treatment of mandibular asymmetry

1969 ◽  
Vol 22 (3-4) ◽  
pp. 370-377 ◽  
Author(s):  
Marian Gorski ◽  
Irena Halina Tarczynska
Keyword(s):  
Surgical Treatment ◽  
Mandibular Asymmetry

scholarly journals Mandibular Asymmetry in Different Occlusion Patterns

2007 ◽  
Vol 77 (5) ◽  
pp. 803-807 ◽  
Author(s):  
Omer Said Sezgin ◽  
Peruze Celenk ◽  
Selim Arici
Keyword(s):  
Class Ii ◽  
Asymmetry Index ◽  
Control Group ◽  
Class Iii ◽  
Mandibular Asymmetry ◽  
Normal Occlusion ◽  
Division 1 ◽  
Index Value ◽  
Age Range ◽  
Division 2

Abstract Objective: To investigate the effects of different occlusion types on the mandibular asymmetry in young individuals. Materials and Methods: Mandibular asymmetry measurements were performed on the panoramic radiographs of 189 subjects (104 females and 85 males; age range, 11–15 years), with different occlusion patterns. The subjects were divided into five groups according to the occlusion types, namely, Angle Class I (Cl I), Class II division 1 (Cl II/1), Class II division 2 (Cl II/2), Class III (Cl III), and normal occlusions. The Kruskal-Wallis test was used to determine the possible statistically significant differences between the groups for condyle, ramus, and condyle-plus-ramus asymmetry index measurements. Identified differences between groups were further analyzed using the Mann-Whitney U-test at the 95% confidence interval (P &lt; .05). Results: There were no statistically significant differences between male and female subjects. The Kruskal-Wallis test showed that the occlusion type had a significant effect on the condylar asymmetry. In Cl II/1 cases, condylar asymmetry values were significantly different from the values of Cl II/2 and Cl III malocclusion and normal occlusion types. The normal occlusion control group was significantly different from those of Cl II/1 and the Cl I malocclusion groups. Conclusion: Cl II/1 malocclusion has a significant effect on the condylar asymmetry index when compared to Cl II/2 and Cl III malocclusion and normal occlusion types. However, the mean condylar asymmetry index value in Cl II/1 malocclusion was not different from Cl I malocclusion.

scholarly journals Is there an association between skeletal asymmetry and tooth absence?

2016 ◽  
Vol 21 (4) ◽  
pp. 73-79 ◽  
Author(s):  
Guilherme Thiesen ◽  
Bruno Frazão Gribel ◽  
Keila Cristina Rausch Pereira ◽  
Maria Perpetua Mota Freitas
Keyword(s):  
Cross Sectional Study ◽  
Midsagittal Plane ◽  
Chi Square ◽  
Cross Sectional ◽  
Posterior Teeth ◽  
Significance Level ◽  
Posterior Tooth ◽  
Mandibular Asymmetry ◽  
Significant Difference ◽  
Skeletal Asymmetry

ABSTRACT Introduction: Facial skeletal asymmetry is commonly found in humans and its main characteristic is menton deviation. The literature suggests that occlusal and masticatory problems arising from tooth absence could be related to the development of such asymmetries. Objective: The aim of this cross-sectional study was to estimate the prevalence of mandibular skeletal asymmetries and to investigate its association with posterior tooth absences. Methods: Tomographic images of 952 individuals aged from 18 to 75 years old were used. Asymmetry was the analyzed outcome, and it was categorized into three groups according to gnathion displacement in relation to the midsagittal plane (relative symmetry, moderate asymmetry, and severe asymmetry). Patients were sorted by the presence of all posterior teeth, unilateral posterior tooth absence, or bilateral posterior tooth absence. Chi-square test with a significance level of 5% was used to verify the association between posterior tooth absence and asymmetry. Results: Results show relative symmetry present in 55.3% of the sample, as well as the prevalence of 27.3% for moderate mandibular asymmetry and 17.4% for severe asymmetry. Moderate and severe mandibular asymmetries occurred in a higher proportion in patients with unilateral posterior tooth absence. However, there was no statistically significant difference between the analyzed groups (p = 0.691). Conclusions: In this study, mandibular asymmetries did not present any association with the absence of teeth on the posterior area of the arch.

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