Multidisciplinary management of skeletal class III malocclusion with unilateral condylar hyperplasia and missing mandibular first molar: a case report
Abstract Condylar hyperplasia (CH) is a developmental disorder characterized by excessive and progressive condyle growth, leading to facial asymmetry, malocclusion, and temporomandibular joint dysfunction. The timing and selection of treatment approaches are crucial for optimal outcomes. In this cas...
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| Language: | English |
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BMC
2025-07-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-025-06346-y |
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| author | Wenzhen Gao Lanxin Zhang Yongyao Wu Yiting Ze Chenchen Zhou Qing Zhao |
| author_facet | Wenzhen Gao Lanxin Zhang Yongyao Wu Yiting Ze Chenchen Zhou Qing Zhao |
| author_sort | Wenzhen Gao |
| collection | DOAJ |
| description | Abstract Condylar hyperplasia (CH) is a developmental disorder characterized by excessive and progressive condyle growth, leading to facial asymmetry, malocclusion, and temporomandibular joint dysfunction. The timing and selection of treatment approaches are crucial for optimal outcomes. In this case, we implemented a four-year conservative management strategy, comprising two years of passive observation followed by two years of pre-surgical orthodontics, enabling conservative treatment while avoiding the potential risks. The long-term absence of the mandibular first molar resulted in alveolar ridge atrophy, presenting challenges for orthodontic or implant treatments. Through the integration of periodontally accelerated osteogenic orthodontics (PAOO), we achieved significant posterior tooth mesial movement (5 mm) within three months in the atrophic region, establishing stable and functional occlusal relationships. |
| format | Article |
| id | doaj-art-5bfc9aef75c94d2984976f4af264f2af |
| institution | Kabale University |
| issn | 1472-6831 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj-art-5bfc9aef75c94d2984976f4af264f2af2025-08-20T04:02:45ZengBMCBMC Oral Health1472-68312025-07-0125111110.1186/s12903-025-06346-yMultidisciplinary management of skeletal class III malocclusion with unilateral condylar hyperplasia and missing mandibular first molar: a case reportWenzhen Gao0Lanxin Zhang1Yongyao Wu2Yiting Ze3Chenchen Zhou4Qing Zhao5State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China School of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China School of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China School of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China School of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China School of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China School of Stomatology, Sichuan UniversityAbstract Condylar hyperplasia (CH) is a developmental disorder characterized by excessive and progressive condyle growth, leading to facial asymmetry, malocclusion, and temporomandibular joint dysfunction. The timing and selection of treatment approaches are crucial for optimal outcomes. In this case, we implemented a four-year conservative management strategy, comprising two years of passive observation followed by two years of pre-surgical orthodontics, enabling conservative treatment while avoiding the potential risks. The long-term absence of the mandibular first molar resulted in alveolar ridge atrophy, presenting challenges for orthodontic or implant treatments. Through the integration of periodontally accelerated osteogenic orthodontics (PAOO), we achieved significant posterior tooth mesial movement (5 mm) within three months in the atrophic region, establishing stable and functional occlusal relationships.https://doi.org/10.1186/s12903-025-06346-yMultidisciplinary managementCondylar hyperplasiaAtrophic edentulous sitePeriodontally accelerated osteogenic orthodonticsMolar protraction |
| spellingShingle | Wenzhen Gao Lanxin Zhang Yongyao Wu Yiting Ze Chenchen Zhou Qing Zhao Multidisciplinary management of skeletal class III malocclusion with unilateral condylar hyperplasia and missing mandibular first molar: a case report BMC Oral Health Multidisciplinary management Condylar hyperplasia Atrophic edentulous site Periodontally accelerated osteogenic orthodontics Molar protraction |
| title | Multidisciplinary management of skeletal class III malocclusion with unilateral condylar hyperplasia and missing mandibular first molar: a case report |
| title_full | Multidisciplinary management of skeletal class III malocclusion with unilateral condylar hyperplasia and missing mandibular first molar: a case report |
| title_fullStr | Multidisciplinary management of skeletal class III malocclusion with unilateral condylar hyperplasia and missing mandibular first molar: a case report |
| title_full_unstemmed | Multidisciplinary management of skeletal class III malocclusion with unilateral condylar hyperplasia and missing mandibular first molar: a case report |
| title_short | Multidisciplinary management of skeletal class III malocclusion with unilateral condylar hyperplasia and missing mandibular first molar: a case report |
| title_sort | multidisciplinary management of skeletal class iii malocclusion with unilateral condylar hyperplasia and missing mandibular first molar a case report |
| topic | Multidisciplinary management Condylar hyperplasia Atrophic edentulous site Periodontally accelerated osteogenic orthodontics Molar protraction |
| url | https://doi.org/10.1186/s12903-025-06346-y |
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