Abstract

The Asymmetric Young Patient

by Michelotti Ambra and Bocchino Tecla

Skeletal asymmetries are frequently encountered in our daily practice; hence, clinicians must be able to diagnose these conditions and predict their prognosis accurately. It is crucial to make a clear distinction between skeletal and functional asymmetries, as the latter are more common and easier to correct when intercepted and treated during growth. Therefore, functional asymmetries might have a favourable prognosis. Alterations in the structure of the lower jaw are frequently responsible for skeletal asymmetry, which can lead to secondary dentoalveolar and maxillary modifications. Growth excesses or deficiencies in the mandibular body, ramus, or condyle are common factors in determining skeletal asymmetries. Additionally, these asymmetries are characterized by onset age, growth direction, aesthetic features, functional features, and imaging evidence. Since skeletal asymmetries are frequently associated with functional and muscular impairments, only a multidisciplinary approach allows for proper diagnosis and treatment selection. Therefore, treatment and prognosis of different types of skeletal asymmetry might vary significantly. For instance, some asymmetries can be treated using functional-orthopaedic appliances, while others may require only orthodontic treatment or a combination of surgical and orthodontic treatment.

Learning Objectives

After this lecture, you will be able to know the diagnostic records necessary for identifying skeletal asymmetry.
After this lecture, you will be able to perform a differential diagnosis between excess and deficient asymmetries.
After this lecture, you will be able to identify patients who require immediate orthodontic treatment.