title: Mandibular distraction osteogenesis using an intraoral device and bite plate for a case of hemifacial microsomia.
abstract: OBJECTIVE
  To present orthodontic treatment combined with mandibular distraction osteogenesis using an intraoral device and a bite plate in a patient with hemifacial microsomia, severe facial asymmetry, and unilateral mandibular hypoplasia.
  
  
  METHODS
  An 8-year-old girl exhibited mandibular deviation resulting from hypoplasia of the mandibular condyle and ramus on the left side. The patient was treated with an intraoral device for mandibular distraction osteogenesis, bite plate, and hybrid-type functional appliance. Facial asymmetry was improved, and the mandibular ramus was elongated in an anterior and primarily posterior direction with slightly posterior and superior displacement of the proximal segment. Postdistraction treatment results have been stable for 1 year. At the 1-year follow-up, the volume of the lateral and medial pterygoid muscles on the left side had increased. The condyle and disc on the right temporomandibular joint moved well and in harmony at open mouth position, and a rotational movement of the left temporomandibular joint was observed.
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Dentistry, Osaka University, Osaka, Japan.
authors.forename: Mariko
authors.initials: M
authors.lastname: Takashima
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Kitai
authors.forename: Yoshihide
authors.initials: Y
authors.lastname: Mori
authors.forename: Shumei
authors.initials: S
authors.lastname: Murakami
authors.forename: Sven
authors.initials: S
authors.lastname: Kreiborg
authors.forename: Kenji
authors.initials: K
authors.lastname: Takada
mesh_terms: D002508:Cephalometry; D002648:Child; D005146:Facial Asymmetry / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D008312:Malocclusion, Angle Class II / Q000150:complications; D019186:Mandibular Advancement / Q000379:methods*; D017090:Occlusal Splints; D017289:Orthodontic Appliances, Functional; D009971:Orthodontics, Corrective / Q000295:instrumentation; D019857:Osteogenesis, Distraction / Q000295:instrumentation*; D013704:Temporomandibular Joint / Q000502:physiology