Management of facial asymmetries — true skeletal or functional shift


Drs. Jamie Y. Kim, Chung How Kau, and Ahmet A. Celebi show a patient’s progress through treatment

Figure 1: Pretreatment intraoral and extraoral photographs

The presentation of a unilateral posterior crossbite is usually accompanied by a mandibular shift producing a lower midline deviation toward the crossbite side.1,2 Bilateral posterior crossbites often involve true basal skeletal discrepancies in the transverse relationships of the maxilla to the mandible that usually reflect a severe maxillary skeletal constriction rather than mandibular enlargement.