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The management of a mandibular asymmetry requires a combined surgical and orthodontic approach. Orthodontic and orthopedic management in a growing patient can sometimes fully correct an emerging minor mandibular asymmetry. Moderate to severe asymmetries can usually be minimized but not fully corrected with early orthodontic and orthopedic intervention. Sometimes the severity of associated dysfunction...
Distraction osteogenesis is a gradual incremental bone-lengthening techniquethat requires very precise treatment planning and surgical execution. Subtle variation in the position of the corticotomy/osteotomy or in the position of the distraction device will affect the ultimate position of the tooth-bearing (distal) segment. Other functional and/or anatomic factors (that at this time are not well understood)...
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