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I have a mandibular laterodeviation

Question

Hello,

So I am a 19-year-old young girl and I have a mandibular laterodeviation.

Frankly, I’m telling you that it really bothers me since it is very visible.

So my question is: can this deviation worsen with time and is esthetic surgery the only solution to have a symmetrical face?

Thank you for taking the time to answer me.

Please, I’m waiting for your response as soon as possible. Thanks.

Réponse

Right mandibular laterodeviation and facial asymmetry-Dr Chamberland orthodontist in Quebec City

Right mandibular laterodeviation and facial asymmetry.

Someone recently asked me a similar question (see this link) (in French).

If growth of the faulty condyle has stopped, the situation should not worsen. I explained this concept in the above link.

A facial asymmetry, when it is as visible as you describe, cannot be hidden orthodontically. The best solution would definitely be to consider an orthognathic surgery.

Note that there is most likely an underlying malocclusion with dental compensations associated with your mandibular laterodeviation. I recommend that you consult an orthodontist in order for him to plan a treatment combining orthodontics and a surgery. It is the best way to obtain an optimal result and to have a functional occlusion and symmetrical face.

The following image shows the smile of a 47-year-old woman with a facial asymmetry to the right and a Class III malocclusion. An orthodontic treatment made it possible to correct the dental compensations. The orthognathic surgery consisted in a Le Fort I advancement osteotomy and a genioplasty of laterodeviation to the left. Performing a mandibular osteotomy was not necessary in her case.

Facial asymmetry to the right and mandibular Class III-Dr Chamberland orthodontist in Quebec City

Facial asymmetry to the right and mandibular Class III.



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