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User:Globalorthodontist/Causes of Facial Asymmetry

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Causes of Facial Asymmetry

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Dental Causes

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  • Loss of Deciduous Teeth
  • Congenitally missing tooth/teeth

Skeletal Causes

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Muscular Causes

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  • Masseter Hypertrophy
  • Sternocleidomastoid fibrosis (Torticolis)

Functional Causes

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  • Malpositioned tooth
  • Constricted maxillary arch

Traumatic Causes

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Evaluation

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Evaluation of facial asymmetry can be done by diagnostic aids listed below. A radiograph such as panoramic x-ray can allow one to measure the length difference between the two ramus of the mandible. A PA Cephalogram allows one to understand the differences between bony structures on the left and the right side of the face. [1]

  • Extra-oral photographs
  • Lateral Cephalograms
  • Frontal Cephalograms
  • Cone-Beam Computed Tomography
  • Radioisotope imaging
  • Dental Casts
  • Panoramic Radiograph
  • Stereophotogrammetry
  • Laser scans

Characteristics

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Mandibular asymmetry may present itself in 3 planes of space: Vertical, Transverse or Antero-posterior. It is important to note that these features maybe caused by either skeletal, dental or functional causes of asymmetries.[2][3]

  • Lower dental midline deviation
  • Canted occlusal plane
    • Due to increased mandibular ramus or condyle
    • Increased supra-eruption of posterior teeth on the affected side
  • Unilateral Crossbite
  • Chin deviation

References

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  1. ^ Erickson, Gary E.; Waite, Daniel E. (1974-12-01). "Mandibular asymmetry". The Journal of the American Dental Association. 89 (6): 1369–1373. doi:10.14219/jada.archive.1974.0596. ISSN 0002-8177.
  2. ^ Sezgin, Omer Said; Celenk, Peruze; Arici, Selim (2009-08-21). "Mandibular Asymmetry in Different Occlusion Patterns". The Angle Orthodontist. 77 (5): 803–807. doi:10.2319/092506-392.
  3. ^ Vasconcelos, Belmiro Cavalcanti do Egito; Gonçalves, Fabio; Andrade, Aureo; Guillen, Milagros; Landim, Fabricio (August 2012). "Mandibular asymmetry: literature review and case report". Brazilian Journal of Otorhinolaryngology. 78 (4): 137–137. doi:10.1590/S1808-86942012000400028. ISSN 1808-8694.
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