Multidisciplinary treatment with a customized lingual appliance for an adult patient with severe Class III malocclusion and multiple missing teeth

2019 ◽  
Vol 156 (3) ◽  
pp. 401-411 ◽  
Author(s):  
Mariano Gallone ◽  
Massimo Robiony ◽  
Daniele Bordonali ◽  
Giovanni Bruno ◽  
Alberto De Stefani ◽  
...  
Keyword(s):  
Adult Patient ◽  
Multidisciplinary Treatment ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Missing Teeth ◽  
Lingual Appliance

scholarly journals Skeletal Class III Malocclusion with Lateral Open Bite and Facial Asymmetry Treated with Asymmetric Lower Molar Extraction and Lingual Appliance: A Case Report

2021 ◽  
Vol 18 (10) ◽  
pp. 5381
Author(s):  
Vo Truong Nhu Ngoc ◽  
Nguyen Thi Thu Phuong ◽  
Nguyen Viet Anh
Keyword(s):  
Case Report ◽  
Open Bite ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Facial Esthetics ◽  
Lingual Appliance ◽  
Lower Incisors ◽  
Mandibular Incisors ◽  
Molar Extraction

A skeletal Class III malocclusion with open bite tendency is considered very difficult to treat orthodontically without surgery. This case report describes the lingual orthodontic treatment of an adult skeletal Class III patient with mandibular deviation to the left side, lateral open bite, unilateral posterior crossbite, zero overbite and negative overjet. The lower incisors were already retroclined to compensate with the skeletal discrepancy. The patient was treated by asymmetric molar extraction in the mandibular arch to retract the lower incisors and correct the dental midline, with the help of intermaxillary elastics. Lingual appliance was used with over-torqued lower anterior teeth’s brackets to control the torque of mandibular incisors. After a 30-month treatment, satisfactory smile and facial esthetics and good occlusion was achieved. A 12-month follow-up confirmed that the outcome was stable. Asymmetric molar extraction could be a viable option to retract mandibular incisors in Class III malocclusion with lower dental midline deviation.

Combined Orthodontic and Surgical Approach in an Adult Patient with Skeletal Class III Malocclusion

2014 ◽  
Vol 5 (3) ◽  
pp. 24-27
Author(s):  
Bhavya Trivedi ◽  
Sonali Mahadevia ◽  
Rinkalkumar Shah ◽  
Dipen Thakker
Keyword(s):  
Adult Patient ◽  
Surgical Approach ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class

scholarly journals Class III malocclusion and bilateral cross-bite in an adult patient treated with miniscrew-assisted rapid palatal expander and aligners

2018 ◽  
Vol 88 (5) ◽  
pp. 649-664 ◽  
Author(s):  
Luca Lombardo ◽  
Antonella Carlucci ◽  
Bortolo Giuliano Maino ◽  
Anna Colonna ◽  
Emanuele Paoletto ◽  
...  
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Adult Patient ◽  
Successful Treatment ◽  
Cone Beam ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Surgical Guide ◽  
Before And After ◽  
Skeletal Pattern

ABSTRACT This case report describes the use of a miniscrew-assisted rapid palatal expander and aligners to correct bilateral cross-bite and crowding in an adult patient with a Class III skeletal pattern. A digitally designed surgical guide was three-dimensionally printed and used to accurately insert four miniscrews into the palate; these were employed to anchor a novel miniscrew-assisted rapid palatal expander appliance without any dental anchorage. Cone-beam computed tomograms before and after miniscrew-assisted rapid palatal expander treatment demonstrated the orthopedic expansion of the maxilla without dental tipping. The patient was then fitted with aligners to correct crowding and malocclusion. This case report demonstrates the successful treatment of an adult patient with a narrow maxilla and bilateral cross-bite using a nonsurgical, conservative treatment.

scholarly journals Correction of a Class III Malocclusion with a Functional Shift and Severe Crowding

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Yahya A. Alogaibi ◽  
Ahmad A. Al-Fraidi ◽  
Manar K. Alhajrasi ◽  
Ali A. Hassan
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
Significant Problem ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Aesthetic Results ◽  
Functional Shift ◽  
Elastomeric Chains ◽  
Lower Arch ◽  
Centric Occlusion

A forward functional shift of the mandible is a significant problem that can cause both functional and aesthetic complications for many patients. This shift usually occurs in growing patients, and it is unusual to see in adult patients. This case report shows an adult patient with a forwarding functional shift that caused both anterior and posterior crossbites with a pseudo class III dental and skeletal relationship. The patient also showed severe upper arch crowding with blocked-out canines and mild crowding in the lower arch. The treatment of this patient involved extraction of the upper right and left first premolars and the lower right first premolar, followed by opening of the bite to relieve the neuromuscular reflex of the forward protrusion of the mandible during centric occlusion and to correct both the anterior and posterior crossbites. Extraction spaces were closed using class III elastics and elastomeric chains. At the end of the treatment, good functional and aesthetic results were obtained after the elimination of the forward functional shift.

scholarly journals Interdisciplinary treatment in an adult patient with skeletal class III malocclusion and retained upper canines: case report

2017 ◽  
Vol 5 (4) ◽  
pp. e249-e254
Author(s):  
Cecilia Andrea Vallejo Ordóñez ◽  
Hugo Alberto Vásquez Estrada ◽  
José Ramón Hernández Carvallo
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
Interdisciplinary Treatment ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class

scholarly journals Virtual orthodontic setup in orthodontic camouflage planning for skeletal Class III malocclusion

2018 ◽  
Vol 23 (2) ◽  
pp. 75-86
Author(s):  
Felipe Augusto M. Barreto ◽  
João Roberto R. da Costa Santos
Keyword(s):  
Adult Patient ◽  
Treatment Planning ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Anterior Crowding ◽  
Skeletal Class ◽  
Lower Incisors

ABSTRACT The purpose of this paper was to emphasize the importance of the orthodontic setup in treatment planning for skeletal Class III malocclusion correction in an adult patient with moderate lower anterior crowding and anterior crossbite associated with two supernumerary lower incisors.

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