In recent years, facial asymmetric patients are increasing with increasing patient´s desire, development of surgical technique, increased of growth amount.
The etiology of asymmetry includes a) Genetic and congenital malformation e. g hemifacial microsomia and unilateral cleft the lip and palate b) Environmental factor, e. g. habit and trauma c) Functional deviation, e; g. mandibular shift as a result of tooth interference.
For the evaluation of asymmetric patients, skull A-P, submentovertex radiographs are usually needed. With these X-rays, we can assess 3-dimensional location of maxilla and mandible.
Patient´s complain and desire to be addressed since they are vary from unrealistic expections to lack of concern even in the presence of large deviation.
In mild dental, skeletal and soft tissue deviations cases, the advisability of treatment should be carefully considered
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