Patient Oriented Treatment Plan for Asymmetry

  • Dr Passiri Nisalak, Thailand

In treating patients with asymmetry, the different etiologic factors, as well as the severity of the condition must be considered. By taking these factors into account, treatment plans may include no treatment, Orthodontic treatment or Orthognathic Surgery. Orthodontists tend to plan accordingly to the needs of their patients in seeking the ideal treatment; however, their patients may not recognize their needs and hence they may have different goals for their treatment in mind.

Careful orthodontic consultation is essential for patients with asymmetry. An appropriate treatment plan can best be achieved through close communication between orthodontists, oral surgeons and patients. These consultations can help patients better understand their options for treatment and attune their expected goals of treatment to reflect those of their orthodontists' and oral surgeons'. At the same time, it is important to keep in mind that ideal outcomes may neither be possible nor meet patients' demands. In this regard, advantages, disadvantages and limitations of every alternative treatment plan should be discussed with patients.

For patients with mild asymmetry, Orthognathic surgery may be performed, while patients with severe skeletal asymmetry may be treated by orthodontics only. In all cases, patient oriented treatment tends to be the most suitable plan to achieve patient satisfaction.