3D diagnosis and orthodontic surgical treatment plan in dentofacial asymmetries

AIM: To show the objectives of pre-and post-surgical orthodontic treatment to correct dentofacial asymmetries and underline the importance of cone beam computed tomography (CBCT), for a more accurate and precise diagnosis. MATERIALS AND METHODS: The cephalometric analysis performs symmetroscophic exam of dental and craniofacial diagnosis. It is useful to evaluate: gradual change in facial appearance, history of facial trauma or syndrome, difficulty biting and chewing, skeletal/dental relationship, facial asymmetry. RESULTS: CBCT permitted to achieve a better and more accurate diagnosis of facial asymmetry and helped in treatment planning. CONCLUSIONS: Craniofacial asymmetries are often associated to severe dento-skeletal deformities. These are corrected by a complex combined surgical orthodontic treatment, programmed in a different way depending on the etiology.