# Unveiling Symmetry Through Orthodontic-Surgical Management of Unilateral Mandibular Condylar Agenesis: A Rare Case Report

## TL;DR

A rare case of left mandibular condyle absence was treated with orthodontic and surgical interventions to restore facial symmetry and function.

## Contribution

This case report presents a successful interdisciplinary approach for managing unilateral mandibular condylar agenesis.

## Key findings

- The patient's facial asymmetry was corrected through pre-surgical orthodontics and surgical procedures.
- A condylar stock metal implant improved functional outcomes on the left side.
- The integrated approach led to satisfactory aesthetic and functional results for the patient.

## 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.