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Published on: October 16, 2014
Early Orthopaedic Treatment of Hemifacial Microsomia
Diana Cassi1, Marisabel Magnifico1, Mauro Gandolfinini1
1Section of Orthodontics, Centro Universitario di Odontoiatria, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Abstract:
The aim of this paper is to report treatment effects of functional therapy in a growing patient affected by hemifacial microsomia (HM). According to Kaban's classification, the patient was classified as grade IIa as she presented all mandibular and temporomandibular joint components and a normal shaped, hypoplastic mandible. The therapeutic approach included the use of an asymmetrical functional activator (AFA) to stimulate the growth of the affected side and consequently to improve symmetry of the mandible and maxillary deficiency. Further effects were the lengthening of the mandibular ramus, restoration of occlusion, and expansion of soft tissues.
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