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Article: Volume 13 Number 3 Page 134 - July 2020

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  Orth Update 2020; 13: 134-140

Orthodontics:  Combined Hemimandibular Hyperplasia and Elongation: the Orthodontic-Surgical Management

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Abstract: Patients commonly present to orthodontists with complaints of facial and/or mandibular asymmetry. It is important that all asymmetry complaints are taken seriously and further investigated. Orthodontists play an important role in the diagnosis, management and follow-up of these conditions. For condylar hyperactivity, management is generally in a multidisciplinary setting. Clinicians who practice orthodontics in a primary care setting need to be aware of the correct terminology and the appropriate investigations required for diagnosis and the management of this condition. This paper aims to describe the contemporary management of condylar hyperactivity and presents a case of combined orthodontic-surgical treatment.

Clinical relevance: Condylar hyperactivity can lead to severe orofacial deformities and severe malocclusions. The orthodontist must understand the terminology, diagnostic techniques and treatment of this condition in order to offer the most appropriate management. The entire dental team may be involved in cases of condylar hyperactivity from diagnosis through to follow-up. Increased awareness may therefore improve diagnosis and ensure appropriate early referrals are made, thus potentially improving outcomes.

Author notes: Ciarán Devine, BDentSc, Dip PCD RCSI, MFD RCSI, Specialty Registrar in Orthodontics, Royal London Hospital and Whipps Cross Hospital, Anna Sayan, BDS, MJDF RCS (Staff Grade in Oral and Maxillofacial Surgery, Poole Hospital NHS Foundation Trust), Velupillai Ilankovan, BDS, MB BCH, FRCS (Eng & Edinb), FDS RCS (Eng & Edinb), Consultant in Oral and Maxillofacial Surgery, Poole Hospital NHS Foundation Trust, Longfleet Road, Poole, Dorset BH15 2JB, UK.

Objective: To describe the diagnosis and management of condylar hyperactivity and the importance of multidisciplinary management.