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I CAN PREDICT THIS IS GOING TO BECOME A MAJOR ORTHODONTIC PROBLEM IN COMMING A FEW YEARS IF LEFT UNCHECKED.
1-CHECK & TRY TO REMOVETHE CAUSE IT MAY BE
*PARAFUNCTIONAL HABITS { TONGUE THRUSTING, MACROGLOSSIA, DIGIT SUCKING, MOUTH BREATHER ,ENLARGED ADENOIDS, NASAL BLOCKAGE [DNS, CONCHAL HYPEPLASIA etc]
*GENETICS
*TRAUMA
*JAW ROTATION
*HORMONAL SUPPLIMENTS [ FREQUENTLY CURRENTLY ADDED IN DIETRY POULTRY &DAIRY PRODUCTS]
*PITUTARY GLAND, SIZE [TUMOR OR MALIGNANCY ], GROWTH HORMONE LEVEL etc
2- DIAGNOSE CEPHALOMETIC BASED THE SKELETAL DISCRIPANCY
3-LEVEL OF ASYMMETRY
4-PATIENT's AGE
5-INITALLY REMOVE THE CAUSE
6- START WITH PREVENTIVE TREATMENT [AGAIN CEPH BASED]
CHIN CAP, SERIAL EXTRACTIONS & GUIDED ERUPTIONS , JAW EXPANTIONS etc
7-EVALUATE YOUR ACHIEVEMENTS [AGAIN CEPH ]
8- DEPENDING UPON LEFT SKELETAL DICRIPANCY , 18+ YEARS AGED PATIENT CAN GO FOR ORTHOGNATHIC SURGERY-
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