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SM ISO690:2012 MODVAL, Vasile, SCURTU, Maria, TRIFAN, Valentina, AVORNIC-CIUMEICO, Lucia. Facial asymmetry versus dentomaxillary abnormalities. Clinical case. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 530. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 530-530 | ||||||
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Introduction. Asymmetry of the face is an individual characteristic of man, but in the absence of a consensus on what should be considered asymmetry, especially how much one side of the facial skeleton should differ from the other, it is difficult to define the limit, which separates normal facial asymmetry from pathological. In orthodontics, there are two most common types of facial asymmetry: occlusal or skeletal. Objective of the study. Determining the correlation between facial asymmetry and the variety of dento-maxillary anomaly. Materials and methods. Patient D.A., 15 years old, addressed for aesthetic and functional reasons. The evaluation included clinical data (subjective and objective examination) and paraclinical data (model study, photometry, TRG, OPG, CBCT). Diagnosis: malocclusion class III after Angle, gnathic form associated with mandibular laterodeviation to the left, tortoposition of tooth 12, 13, 33, 35. Results: Orthodontic treatment was initiated by the direct method of the fixed bracket system. Using intraoral forces, class III elastics and occlusal elevations for the disocclusion of the upper and lower jaw, the mandible was moved backwards, with the creation of interdental contacts after class I and the disappearance of the laterodeviation. The treatment lasted 2 years. Teeth 18 and 28 were extracted. Observance of the restraint period - 5 years. Conclusions. Facial asymmetries are most commonly associated with transverse malocclusions caused by jaw displacement due to occlusal interference. The clinical and paraclinical examination helps us to determine the type of occlusal or skeletal asymmetry as well as the planning of the orthodontic treatment, the selection of alternative methods and the avoidance of possible errors. |
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Cuvinte-cheie facial asymmetry, dento-maxillary anomalies, asimetrie facială, anomalii dento-maxilare |
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