Consecutive condylectomy and molar intrusion using temporary anchorage devices as an alternative for correcting facial asymmetry with condylar hyperplasia

• Facial asymmetry with condylar hyperplasia was successfully treated.
• A high condylectomy was performed to shorten the elongated condyle.
• Molar intrusion on the affected side improved occlusal cant and facial appearance.
• The surgical-orthodontic treatment provided a satisfactory and stable outcome.
• It also removed the necessity of additional orthognathic surgery.

This case report demonstrates the successful treatment of facial asymmetry with condylar hyperplasia with limited surgical and orthodontic treatment. A high condylectomy was performed to shorten the elongated condyle and to remove its active growth site. The maxillary molars on the affected side were then orthodontically intruded using temporary anchorage devices to improve the occlusal cant and posterior open bite of the unaffected side. This combined surgical-orthodontic treatment provided a satisfactory outcome without additional orthognathic surgery.