Extreme dentoalveolar compensation in the treatment of Class III malocclusion

2005 ◽  
Vol 128 (6) ◽  
pp. 787-794 ◽  
Author(s):  
Guilherme Janson ◽  
José Eduardo Prado de Souza ◽  
Flávio de Andrade Alves ◽  
Pedro Andrade ◽  
Alexandre Nakamura ◽  
...  
Keyword(s):  
Class Iii ◽  
Class Iii Malocclusion ◽  
Dentoalveolar Compensation

scholarly journals Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion

2020 ◽  
Vol 53 (4) ◽  
pp. 191
Author(s):  
Fransiska Monika ◽  
Retno Widayati
Keyword(s):  
Orthognathic Surgery ◽  
Treatment Plan ◽  
Treatment Options ◽  
Dental Occlusion ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Facial Profile ◽  
Skeletal Class ◽  
Dentoalveolar Compensation ◽  
Teeth Extraction

Background: The treatment options for adults with skeletal Class III malocclusion can be dentoalveolar compensation, also known as orthodontic camouflage, or orthognathic surgery. Camouflage treatment can be carried out with teeth extractions, distalisation of the mandibular dentition, and use of Class III intermaxillary elastics. However, intermaxillary elastics as anchorage has its own risk–benefit. Purpose: To explain that camouflage treatment with teeth extractions can be performed in a mild to moderate skeletal Class III malocclusion using intermaxillary anchorage with elastics, while minimising the deleterious effects and achieving a satisfactory treatment outcome. Case: Our patient was a 25-year-old female who had a skeletal Class III pattern, with normal maxilla and a protruded mandible. She had a straight facial profile with a Class III canine and molar relationship on her right and left sides. Anterior crossbite was also present with crowding on both the maxilla and the mandible. Case Management: The treatment plan was carried out with dentoalveolar compensation by extracting teeth. Extraction of the lower first premolars was conducted to eliminate the crowding and correct the anterior crossbite. The mandibular incisors were retroclined and the maxillary incisors were proclined with dentoalveolar compensation. Passive self-ligating system was used with standard torque prescription, intermaxillary anchorage, and no additional appliances for anchorage control. Class I canine and incisor relationship were both achieved at the end of the treatment, while maintaining the Class III molar relationship. Conclusion: Orthodontic camouflage treatment in an adult patient using a passive self-ligating system and intermaxillary anchorage can improve facial profile and improve dental occlusion.

scholarly journals Two-Step Extraction of the Lower First Molar for Class III Treatment in Adult Patient

2016 ◽  
Vol 2016 ◽  
pp. 1-8
Author(s):  
Kélei Cristina de Mathias Almeida ◽  
Ricardo Fabris Paulin ◽  
Taísa Barnabé Raveli ◽  
Dirceu Barnabé Raveli ◽  
Ary Santos-Pinto
Keyword(s):  
Case Report ◽  
Growth Pattern ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Initial Alignment ◽  
Posterior Crossbite ◽  
Fixed Appliances ◽  
Dentoalveolar Compensation ◽  
Leveling And Alignment ◽  
Class Iii Treatment

The aim of this article is to describe a case report of Class III malocclusion treatment with lower first molar extraction. The 27-year-old Caucasian male patient presented a symmetric face with a straight profile, hyperdivergent growth pattern, molar and cuspid Class III relation, and an anterior crossbite as well as a mild crowding on cuspids area, in both upper and lower arches and a tendency to posterior crossbite. The treatment was performed by the use of Haas expansion appliance followed by an initial alignment and leveling of the upper and lower arches with a fixed edgewise appliance, extraction of lower teeth aiming the correction of the incisors proclination and end the treatment with a Class I molar relationship. It resulted in a significant change in the patient’s profile, dentoalveolar Class III correction, upper arch expansion, leveling and alignment of the upper and lower arches, and improvement of tipping of the upper and lowers incisors. In cases of a dentoalveolar compensation in well positioned bone bases the treatment with fixed appliances is an alternative and extraction of lower teeth is considered.

scholarly journals Facial mask and Meaw technique in a class III patient managing. Case report

2015 ◽  
Vol 23 (1) ◽  
pp. 26-31
Author(s):  
Rubén Quintana ◽  
Luis-Fernando Díaz ◽  
Antonio Bedoya
Keyword(s):  
Case Report ◽  
Effective Action ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Facial Mask ◽  
Skeletal Class ◽  
Occlusal Adjustment ◽  
Therapeutic Decisions ◽  
A Priority ◽  
Dentoalveolar Compensation

The management of Class III malocclusion involves several considerations to be taken at the time of making therapeutic decisions, such as age, sex, the technique used, general conditions of the patient, collaboration and aesthetic requirements. This is a malocclusion that demands quick and effective action to ensure aesthetic and functional conditions as a priority. This report presents a case of a 14 years with a skeletal Class III malocclusion treated initially with facial mask and Mc .Namara breaker, in order to make a posteroanterior protraction of the maxilla and the mandible sagital control, then continue with the technique of MEAW multi-ansas, thus achieves a dentoalveolar compensation and better occlusal adjustment.

scholarly journals Interdisciplinary Orthodontic and Surgical Management of Class III Malocclusion in Adult Patients

2019 ◽  
Vol 2 (3) ◽  
pp. 1-6
Author(s):  
Camelia Szuhanek ◽  
Stefania Dumitrescu ◽  
Eduard Paraschivescu ◽  
Riham Nagib
Keyword(s):  
Orthodontic Treatment ◽  
Adult Patients ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Main Complaint ◽  
Facial Esthetics ◽  
Skeletal Pattern ◽  
Old Adult ◽  
Removable Appliances ◽  
Dentoalveolar Compensation

The treatment of class III malocclusion differs depending on the age of the patient. In adult patients, alternatives include either orthodontic dentoalveolar compensation treatment or a combined ortho-surgical approach. The aim of this paper is to present the orthodontic and surgical treatment of a 24 year old adult patient with increased anterior face height, a class III skeletal pattern and mandibular asymetry. Previous orthodontic treatment with removable appliances obtained a 1 mm overbite and overjet. Intraorally, class III molar relationship was observed, proclined upper incisors, retroclined lower incisors and a deviated lower midline. The main complaint was facial esthetics which required surgical intevention. After pre-surgical orthodontic preparation the maxilla was repositioned by a Le Fort I osteotomy and the mandible was set back using the Obwegeser-Dal Pont method. Final assesment revealed both functional and esthetic dentofacial results. A combination of orthodontic treatment and orthognathic surgery is often required in adult patients with dental malocclusion and skeletal discrepancies.

scholarly journals Nonsurgical Treatment of a Patient with Class III Malocclusion and Missing Maxillary Lateral Incisors: A Combined Orthodontic-Prosthodontic Approach

2012 ◽  
Vol 2 (2) ◽  
pp. 57-63 ◽  
Author(s):  
Amol Mhatre ◽  
Sachin S Doshi ◽  
M Jayarama ◽  
Shashank Gaikwad ◽  
Ravindranath LNU
Keyword(s):  
Orthodontic Treatment ◽  
Root Resorption ◽  
Treatment Options ◽  
Nonsurgical Treatment ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Mandibular Growth ◽  
Skeletal Class ◽  
Growth Modification ◽  
Dentoalveolar Compensation

ABSTRACT Class III treatment is a considerable clinical challenge and commonly includes (a) growth modification involving a chincup to restrain mandibular growth or a facemask to protract the maxilla, (b) dentoalveolar compensation or camouflage involving dental extractions and (c) orthognathic surgery. Surgical treatment is the preferred and most stable treatment for adult patients with severe skeletal class III malocclusion. Patients with borderline dentoalveolar compensation who are not willing to accept the costs, risks and potential complications of surgery can sometimes be treated successfully with camouflage orthodontics. In more extreme cases, however, conservative orthodontic treatment may lead to adverse side effects, such as periodontal disease and root resorption as well as poor long-term stability. It is not clear which mechanics are most appropriate or which patients are most likely to benefit from an orthodontic approach to severe skeletal class III malocclusion. In this list of alternatives, orthodontic treatment is often seen as either a less-desirable alternative to surgery or a treatment reserved for milder skeletal problems. This report questions this hierarchy of treatment options. How to cite this article Doshi SS, Jayarama M, Gaikwad S Mhatre A, Ravindranath. Nonsurgical Treatment of a Patient with Class III Malocclusion and Missing Maxillary Lateral Incisors: A Combined Orthodontic-Prosthodontic Approach. J Contemp Dent 2012;2(2):57-63.

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