Orthodontic braces with a blooming flower representing transformation

From Crooked Smile to Confident Beam: One Woman's Jaw Journey

Kai Mendoza in Health & Wellness August 2025 • 4 min read.

"Discover how a combined orthodontic and surgical approach corrected a rare jaw condition, transforming both appearance and quality of life."

Imagine waking up one day and noticing your jaw is shifting, your smile becoming increasingly uneven. That was the reality for a young woman who sought treatment for a progressively worsening facial asymmetry. This wasn't just about aesthetics; it was a sign of a deeper issue—a mandibular condylar osteochondroma (OC), a rare benign tumor affecting her jaw joint.

Osteochondromas, while typically non-cancerous, can cause significant problems when they occur in the temporomandibular joint (TMJ). Because these tumors grow slowly, the changes they cause are not as noticeable. However, this can lead to noticeable facial asymmetry, misaligned bites, and functional difficulties as the tumor gradually alters the structure of the jaw.

This article delves into a fascinating case study that showcases the journey of a patient with OC, highlighting the complex diagnosis, treatment planning, and the innovative combination of lingual orthodontics and surgical intervention required to restore her smile and facial harmony. By understanding her experience, it provides an insight into how to treat this rare and complex condition to get the best outcome.

Decoding the Deformity: How is Osteochondroma Diagnosed?

Orthodontic braces with a blooming flower representing transformation

The first step in addressing any medical condition is an accurate diagnosis. In this patient's case, her history of previous orthodontic treatment was vital. Comparing her old records to her current condition helped doctors see exactly how the osteochondroma had changed her jaw over time. These changes included:

Facial asymmetry with her jaw shifted to the left. A developing Class III malocclusion, where the lower jaw protruded forward compared to the upper jaw. An edge-to-edge bite on the left side of her mouth, where the upper and lower teeth met without overlapping.

Radiographic Imaging: Panoramic radiographs showed an unusual radiopaque area with mixed density in the right condylar region. Bone Scintigraphy: A bone scan revealed increased metabolic activity in the right TMJ, confirming the presence of the OC.
Histological Examination: After surgical removal, a microscopic examination of the tissue confirmed the diagnosis of osteochondroma.

Collectively, this data allowed doctors to distinguish the OC from condylar hyperplasia. The results supported an osteochondroma diagnosis. They planned a course of action that adressed both the tumor and the resultant skeletal abnormalities.

A Winning Smile and a Balanced Profile: The Takeaway

This case study provides a valuable insight into the diagnosis and comprehensive treatment of mandibular condylar osteochondroma. Combining a meticulous diagnostic approach with advanced surgical and orthodontic techniques improved a Class III malocclusion, a deviated midline, and facial asymmetry. The successful result of this case is a testament to the power of collaborative, carefully planned treatment in managing rare and complex craniofacial conditions.

About this Article -

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Everything You Need To Know

What is a mandibular condylar osteochondroma (OC), and how does it impact the jaw?

A mandibular condylar osteochondroma (OC) is a rare, benign tumor that forms on the temporomandibular joint (TMJ). Because these tumors grow slowly, it can lead to facial asymmetry, misaligned bites, and difficulties. The slow growth of the OC gradually alters the structure of the jaw, leading to noticeable changes in facial appearance and function. It affects the alignment of the teeth and the overall symmetry of the face.

How is a mandibular condylar osteochondroma (OC) diagnosed?

Diagnosing a mandibular condylar osteochondroma (OC) involves a multi-faceted approach. Initially, the patient's history of previous orthodontic treatment is assessed by comparing old records to the current condition. Radiographic imaging, such as panoramic radiographs, helps visualize the bone structure and identify any unusual areas. Bone scintigraphy (bone scan) is used to detect increased metabolic activity in the TMJ, which supports the presence of the OC. Finally, a histological examination of the tissue after surgical removal confirms the diagnosis.

What are the noticeable changes caused by a mandibular condylar osteochondroma (OC)?

The changes caused by a mandibular condylar osteochondroma (OC) are gradual. These include facial asymmetry, often with the jaw shifting to one side. The bite can become misaligned, sometimes leading to a Class III malocclusion, where the lower jaw protrudes forward, or an edge-to-edge bite. These changes affect both the appearance and functionality of the jaw, impacting how a person eats and speaks.

What is the significance of combining lingual orthodontics and surgical intervention in treating a mandibular condylar osteochondroma (OC)?

Combining lingual orthodontics with surgical intervention provides a comprehensive treatment approach for a mandibular condylar osteochondroma (OC). Surgery is required to remove the OC and correct any structural abnormalities. Lingual orthodontics, where braces are placed on the inside of the teeth, is then used to refine the alignment of the teeth and bite. This combined approach addresses both the tumor and the resulting skeletal issues, ultimately restoring facial harmony, improving the bite, and enhancing the patient's quality of life.

What specific dental issues were addressed in the case study involving the patient with a mandibular condylar osteochondroma (OC)?

In the case study, several dental issues were addressed. These included a Class III malocclusion, where the lower jaw protruded forward, a deviated midline, and facial asymmetry. The treatment aimed to correct the bite, align the teeth, and restore the symmetry of the face, thus improving both the functional and aesthetic aspects of the patient's smile and overall facial appearance.