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44 Orthodontic Update May 2008
Matthew SY Chia Farhad B Naini and Daljit S Gill
The Aetiology, Diagnosis
and Management of
Mandibular Asymmetry
Abstract: An understanding of the aetiology of mandibular asymmetry and a thorough methodical diagnostic approach is essential for
the appropriate management of patients presenting with dentofacial asymmetry.
The aim of this review article is to describe the developmental, pathological, traumatic and functional causes of mandibular
asymmetry, to provide a guide to diagnosis through clinical examination and special investigations and, finally, to outline the management
of patients presenting with a mandibular asymmetry, focusing particularly on the treatment of developmental asymmetries.
Clinical Relevance: This article presents a review of the aetiology, diagnosis and management of mandibular asymmetries with a
particular focus on developmental asymmetries.
Ortho Update 2008; 1: 44-52
he word symmetry is derived from
Causes Examples
the Greek word symmetria which
Tmeans ‘of like measure’. Symmetry
Developmental Hemimandibular elongation
is defined as correspondence in size,
Hemimandibular hyperplasia
shape and relative position of parts on
Hemifacial microsomia
opposite sides of a dividing line or median
Achondroplasia
plane. Asymmetry is described as a lack
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