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Abstract：
This is a rare clinical case report of a 19-year-old male patient reported in the Department of Orthodontics and Dentofacial Orthodontics, Sharad Pawar Dental College, Sawangi (Meghe), Wardha, Maharashtra, with chief complaint of asymmetry present on the lower left side of the face and forwardly placed upper front teeth. The asymmetry was due to the congenital complete absence of the left condyle and skeletal cant in the maxilla and functional occlusal plane. The true agenesis of the condyle is an extremely rare condition that requires proper diagnosis and interdisciplinary management. In this case, there was left-sided condylar agenesis with no other skeletal anomaly present, which was treated by pre-surgical orthodontics for decompensation and surgical correction of skeletal cant followed by Ramal distraction osteogenesis and advancement genioplasty. A condylar stock metal implant was placed on the left side for functional rehabilitation. The patient expressed satisfaction with the aesthetic and functional improvements, highlighting the effectiveness of the integrated orthodontic-surgical approach.
摘要：
这是一例罕见的临床病例报告，其中一名19岁的男性患者在正畸和牙颌面正畸科报告，SharadPawar牙科学院,Sawangi(Meghe),瓦尔达,马哈拉施特拉邦,主要主诉不对称存在于面部的左下方，并向前放置上前牙。不对称是由于上颌骨和功能性咬合平面中先天性完全不存在左髁和骨骼倾斜。髁突的真正发育不全是一种极其罕见的疾病，需要适当的诊断和跨学科管理。在这种情况下,左侧髁突发育不全，没有其他骨骼异常，术前正畸治疗失代偿和手术矫正骨骼倾斜，然后进行Ramal牵张成骨和前移基因成形术。在左侧放置髁状突金属植入物以进行功能康复。患者对美学和功能的改善表示满意，强调综合正畸手术方法的有效性。
