Orthognathic surgery and orthodontic therapy are desired by patients for a number of reasons, including facial asymmetry. The maxillary occlusal cant is commonly associated with asymmetry. Orthognathic surgery combined with orthodontic treatment has been the treatment of choice for correcting an occlusal cant. However, not all patients with facial asymmetry are surgical candidates, patient assessment and selection remain critical components of diagnosis and treatment planning. In this case report, the patient declined any invasive treatment; hence, we opted to treat this facially asymmetrical patient with orthodontic therapy using straightforward mechanics via TADs, which resulted in an exceptional success.
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