From ideal occlusion to dentofacial deformity and back to ideal: an osteochondroma treatment with lingual orthodontics

• Autor(a) principal: Martins, Renato Parsekian [UNESP]
• Data de Publicação: 2017
• Outros Autores: Mesquita, Tatyane Ribeiro [UNESP], Pereira, Ana Patrícia Sousa, Martins, Isabela Parsekian [UNESP], Cassano, Daniel Serra, Gonçalves, João Roberto [UNESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.1080/14653125.2017.1371472; http://hdl.handle.net/11449/175172
• topic: lingual orthodontics; orthognathic surgery; Osteochondroma

This original case report describes the morphologic changes caused by a mandibular condylar osteochondroma (OC) on a female patient and its treatment. The changes were identified by comparing her final records from a previous orthodontic treatment, without the presence of OC, to records taken before a second treatment, with a developed OC. The diagnostics and treatment for the OC and its consequences were described and discussed in this paper. Treatment included orthodontics with a lingual appliance, low condylectomy on the affected side, high condylectomy on the contralateral side, bilateral disc repositioning and orthognathic surgery. It was concluded that the OC caused a Class III subdivision malocclusion, midline deviation and an edge-to-edge bite on the left side, a cant of the occlusal plane on the Z-axis and a deviation of the pogonion to the left. Treatment was successful and stable long term (36 months) with good occlusal, aesthetical and functional results.