Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 6, 2021; 9(34): 10671-10680
Published online Dec 6, 2021. doi: 10.12998/wjcc.v9.i34.10671
Comprehensive management of malocclusion in maxillary fibrous dysplasia: A case report
Harneet Kaur, Sujata Mohanty, Gulsheen Kaur Kochhar, Shahid Iqbal, Anjali Verma, Ritasha Bhasin, Anuraj Singh Kochhar
Harneet Kaur, Department of Orthodontics and Dentofacial Orthopaedics, Faculty of Dentistry, Jamia Millia Islamia, Delhi 110025, Delhi, India
Sujata Mohanty, Anjali Verma, Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, Delhi 110002, Delhi, India
Gulsheen Kaur Kochhar, Department of Pediatric and Preventive Dentistry, National Dental College and Hospital, Derabassi 140507, Punjab, India
Shahid Iqbal, Faculty of Dentistry, Jamia Millia Islamia, Delhi 110025, Delhi, India
Ritasha Bhasin, Faculty of Dentistry, University of Toronto, Toronto M5G1G6, Ontario, Canada
Anuraj Singh Kochhar, Department of Orthodontics and Dentofacial Orthopaedics, Faculty of Dentistry, University of Toronto, Toronto M5G0C1, Ontario, Canada
Author contributions: Kaur H and Mohanty S contributed equally to this work; Kaur H, Kochhar GK and Iqbal S were involved in the writing of the manuscript; Kaur H and Verma A were involved in providing photographs and case followups; Bhasin R and Kochhar AS in proofreading and copyediting; all authors have read and approve the final manuscript.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors deny any conflict of interest related to this study.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Anuraj Singh Kochhar, MDS, DSATP Resident, Department of Orthodontics and Dentofacial Orthopaedics, Faculty of Dentistry, University of Toronto, 124 Edward st, Toronto M5G0C1, Ontario, Canada. anuraj_kochhar@yahoo.co.in
Received: April 6, 2021
Peer-review started: April 6, 2021
First decision: July 6, 2021
Revised: July 14, 2021
Accepted: October 20, 2021
Article in press: October 20, 2021
Published online: December 6, 2021
Core Tip

Core Tip: This article discusses comprehensive management of severe malocclusion in a surgically treated case of maxillary fibrous dysplasia. Adequate healing of the fibro-dysplastic bone post-surgery must be allowed before initiating orthodontic tooth movement. Orthodontic treatment in such patients should mainly focus on improving function and esthetics. Special precautions must be taken to prevent reactivation/relapse of the quiescent/healed lesion, including sequential orthodontic tooth movement, lighter forces, and avoidance of direct orthodontic forces to the latent bone. Periodic follow-ups are necessary to monitor long-term stability of occlusion and any progression of the lesion.