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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Abstract
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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