title: Correction of a mandibular asymmetry using a custom-made titanium onlay.
abstract: The diagnosis and treatment of facial deformities, including mandibular asymmetries, can pose a significant clinical problem. The limitations, accuracy and predictability of treatment options available and the expectations of the patient can further compound this. In this article we present a case of facial asymmetry secondary to mandibular angle deficiency corrected by the manufacture and placement of a custom-made titanium onlay. Although alternative methods were potentially available to correct this deformity, patient factors including occlusion, dental/skeletal relationship and chin position limited our options. Furthermore, construction of the custom-made titanium onlay involved the development of a computer-generated 3D virtual model and computer-aided design and computer-aided manufacture (CAD-CAM) of the inlay. This report demonstrates that this technique can be used successfully to address certain cases of facial asymmetry.
authors.affiliation: Department of Oral and Maxillofacial Medicine and Surgery, School of Clinical Dentistry, Claremont Crescent, Sheffield S10 2TA, UK. j.m.yates@sheffield.ac.uk
authors.forename: Julian M
authors.initials: JM
authors.lastname: Yates
authors.forename: David G
authors.initials: DG
authors.lastname: Wildgoose
authors.forename: Richard
authors.initials: R
authors.lastname: van Noort
mesh_terms: D000328:Adult; D017267:Dental Prosthesis Design; D005146:Facial Asymmetry / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007284:Inlays; D008297:Male; D008334:Mandible / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D009971:Orthodontics, Corrective; D011859:Radiography; D014025:Titanium; D016896:Treatment Outcome
chemical_list: D014025:Titanium