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Surgery First and Clear Aligners on Relapsed Condylar Hyperplasia.
S Meuli1, G Amodeo2,3, S Marrocco1,2,3
1Private Practitioner, Piazza dei Prati degli Strozzi 21.
The Journal of Craniofacial Surgery
|July 14, 2021
Summary
Condylar hyperplasia (CH) is a mandibular malformation. This case study highlights successful surgical and orthodontic treatment using clear aligners for a relapsed unilateral CH case.
Area of Science:
- Dentistry
- Orthodontics
- Oral and Maxillofacial Surgery
Background:
- Condylar hyperplasia (CH) is a unilateral mandibular malformation affecting condylar size and morphology.
- Etiology of CH is debated, with growth occurring in all three spatial planes.
- High condylectomy is a preferred treatment, with technological advancements simplifying procedures and improving outcomes.
Observation:
- A 40-year-old female presented with relapsed unilateral CH, requiring a second surgical intervention.
- Orthodontic treatment was planned using clear aligners due to the patient's history and need for reduced appliance force.
Findings:
- The case demonstrates the successful application of clear aligners in managing a complex, relapsed unilateral CH case post-surgery.
- This approach aimed to minimize patient discomfort and reduce applied forces on teeth.
Implications:
- Clear aligner therapy is a viable and effective orthodontic option for patients with relapsed condylar hyperplasia.
- Innovations in surgical and orthodontic technology enhance treatment efficacy and patient experience for CH management.

