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ISSN: 2637-4692

Modern Approaches in Dentistry and Oral Health Care

Case Report(ISSN: 2637-4692)

ISW for the Treatment of Adult Skeletal Class III with Facial Asymmetry: A Case Report Crowding

Volume 1 - Issue 2

Chun Shuo Huang, Jian Hong YU* and Yuan Hou CHEN

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    • 1Department of Orthodontics, China Medical University and Medical Center, Taiwan

    *Corresponding author: Jian Hong YU, Department of Orthodontics, China Medical University and Medical Center, Taiwan

Received: February 5, 2018;   Published: February 12, 2018

DOI: 10.32474/MADOHC.2018.01.000110

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The objective of this case report was to discuss LH wire (Improved Super-elastic Ti-Ni alloy Wire) for the treatment of adult skeletal class III with facial asymmetry. An adult female aged 27 years 10 months who came to our clinic with a chief complaint of uneven occlusal plane and an obvious asymmetrical face. Clinical examination by functional wax bite reveals a possibility of functional interference around the right upper canine. P-A view check finds slight discrepancy between the right and the left ramus heights. Orthognathic surgery was suggested to the patient but was refused. After midline assumption, the patient was pleased with the outcome and thus orthodontic treatment was performed. After one year of active treatment, a stable occlusion was achieved, yet the asymmetrical appearance was not much improved immediately after the treatment. After a retention period of 6 months by a functional appliance to maintain the intermaxillary relationship and to adjust the musculature tension, a new balanced facial appearance was observed.

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