Objective: The conventional orthodontic treatment of facial asymmetry in non-growing adult patients has many limitations if surgical intervention is not combined. Therefore, for the successful correction of facial asymmetries, it would be evaluated whether the asymmetry is caused by dental or skeletal problems in the process of diagnosis and treatment planning, and an effective treatment strategy is necessary from the beginning of treatment.
Methods: The first and best option for asymmetry correction will be the repositioning of both the maxilla and mandible via surgical correction. However, despite the good possible treatment results, many patients are reluctant to orthognathic surgery because of the associated risks and costs. The alternative conventional option is orthodontic camouflage by the use of asymmetric mechanics or asymmetric extraction, which is not a successful method due to the anchorage problem and difficulty in control of posterior teeth. Using miniscrew implants, these problems caused by orthodontic camouflage treatment of asymmetries can be overcome and the scope of orthodontic treatment will be expanded.
Results & Conclusions: In this poster presentation, the successful and effective non-surgical correction of iatrogenic facial asymmetryies due to the former orthodontic treatment will be introduced. As the maxillary occlusal plane canting was corrected by unilateral intrusion of posterior teeth using miniscrew implants, the deviated mandible was repositioned to the physiologic rest position and the TMD problem was relieved as a result. Moreover, the considerations for successful asymmetry treatment will be discussed.