Interdisziplinäre Behandlung einer Klasse-III-Dysgnathie im Erwachsenenalter

2018 ◽  
Vol 50 (03) ◽  
pp. 217-221
Author(s):  
Renato Cocconi ◽  
Mirco Raffaini ◽  
Marco Veneziani
Keyword(s):  
Adult Patient ◽  
Orthognathic Surgery ◽  
Open Bite ◽  
Interdisciplinary Treatment ◽  
Treatment Result ◽  
Interdisziplinäre Behandlung ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Skelettale Klasse

ZusammenfassungDer vorliegende Fallbericht zeigt die Therapie und das Behandlungsergebnis bei einer erwachsenen Patientin mit skelettaler Klasse-III-Dysgnathie. Die 29 Jahre alte Patientin wies eine skelettale Klasse III mit hypoplastischer Maxilla und prognather Mandibula, ein vertikales maxilläres Defizit und einen offenen Biss auf. Aufgrund vorhergehender Behandlungen mit unbefriedigenden Ergebnissen, der skelettalen Diskrepanz und hoher ästhetischer und kaufunktioneller Ansprüche der Patientin wurde eine interdisziplinäre Behandlung durchgeführt, welche Kieferorthopädie, orthognathe Chirurgie und restaurative Arbeiten einschloss.This article shows therapy and treatment result of an adult patient with skeletal Class III malocclusion. The patient of 29 years of age showed a skeletal class III malocclusion due to a hypoplastic maxilla and a prognathic mandible, a vertical maxillary deficit and an open bite. As there had been other treatments before with unsatisfying results and due to the skeletal discrepancy and the high esthetic and functional expectations of the patient, an interdisciplinary treatment involving orthodontics, orthognathic surgery and a restorative rehabilitation was chosen.

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 Periodontally compromised severe skeletal Class III with open bite corrected by orthodontic camouflage using temporary anchorage devices

2020 ◽  
Vol 10 ◽  
pp. 253-258
Author(s):  
Adith Venugopal ◽  
M. Srirengalakshmi ◽  
Anand Marya ◽  
Paolo Manzano
Keyword(s):  
Orthognathic Surgery ◽  
Treatment Options ◽  
Open Bite ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Anterior Open Bite ◽  
Skeletal Class ◽  
Temporary Anchorage Devices ◽  
Anterior Teeth ◽  
Facial Esthetics

A variety of treatment options may be implemented on a Class III malocclusion associated with skeletal discrepancy ranging from functional orthopedics at an early age to orthognathic surgery in adults. In the current scenario, many Class III malocclusion patients are referred for orthognathic surgery without even considering the options of an orthodontic camouflage, as orthodontists do not want to burden themselves with the tedious treatment planning and risks involved with treating such cases. This case report describes a 27-year-old female diagnosed with a skeletal Class III malocclusion, severe open bite, and periodontally compromised dentition. Although orthognathic surgery was proposed as the best treatment modality, it was denied by the patient due to financial and psychological constraints. She was treated with mild upper arch expansion using archwires and upper premolar intrusion using temporary anchorage devices (TADs) alongside retraction of lower anterior teeth using TADs and intermaxillary elastics. At the end of 18 months of active treatment, a decent result was achieved with good occlusion and facial esthetics. Post-treatment results showed an improved profile and Class I canine relationships, with optimal overjet and overbite. The anterior open bite was corrected, and the overall facial balance was greatly improved. Extraoral photographs displayed a relaxed lip closure and an esthetic smile meeting the patient’s expectations. Two-year follow-up records demonstrated a stable occlusion and optimal facial esthetics.

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.

scholarly journals Orthodontic camouflage of skeletal Class III malocclusion with miniplate: a case report

2016 ◽  
Vol 21 (4) ◽  
pp. 89-98 ◽  
Author(s):  
Marcel Marchiori Farret ◽  
Milton M. Benitez Farret ◽  
Alessandro Marchiori Farret
Keyword(s):  
Orthognathic Surgery ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Lower Lip ◽  
Facial Profile ◽  
Skeletal Class ◽  
Mandibular Teeth ◽  
One Year ◽  
Angle Class Iii Malocclusion

ABSTRACT Introduction: Skeletal Class III malocclusion is often referred for orthodontic treatment combined with orthognathic surgery. However, with the aid of miniplates, some moderate discrepancies become feasible to be treated without surgery. Objective: To report the case of a 24-year-old man with severe skeletal Angle Class III malocclusion with anterior crossbite and a consequent concave facial profile. Methods: The patient refused to undergo orthognathic surgery; therefore, orthodontic camouflage treatment with the aid of miniplates placed on the mandibular arch was proposed. Results: After 18 months of treatment, a Class I molar and canine relationship was achieved, while anterior crossbite was corrected by retraction of mandibular teeth. The consequent decrease in lower lip fullness and increased exposure of maxillary incisors at smiling resulted in a remarkable improvement of patient's facial profile, in addition to an esthetically pleasing smile, respectively. One year later, follow-up revealed good stability of results.

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

Orthognathic Surgery for Correction of Skeletal Class III Malocclusion Using Osseointegrated Dental Implants: A Clinical Case Letter

2020 ◽  
Vol 46 (2) ◽  
pp. 146-152
Author(s):  
Peer W. Kämmerer ◽  
Jens M. Wolf ◽  
Michael Dau ◽  
Henning Staedt ◽  
Bilal Al-Nawas ◽  
...  
Keyword(s):  
Dental Implants ◽  
Orthognathic Surgery ◽  
Clinical Case ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class
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