scholarly journals Treatment Options for Class III Malocclusion in Growing Patients with Emphasis on Maxillary Protraction

Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Zeinab Azamian ◽  
Farinaz Shirban
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Options ◽  
Cochrane Collaboration ◽  
Good Choice ◽  
Mixed Dentition ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Protraction ◽  
Health Group ◽  
The Cochrane Collaboration

It is very difficult to diagnose and treat Class III malocclusion. This type of malocclusion involves a number of cranial base and maxillary and mandibular skeletal and dental compensation components. In Class III malocclusion originating from mandibular prognathism, orthodontic treatment in growing patients is not a good choice and in most cases orthognathic surgery is recommended after the end of growth. Approximately 30–40% of Class III patients exhibit some degree of maxillary deficiency; therefore, devices can be used for maxillary protraction for orthodontic treatment in early mixed dentition. In cases in which dental components are primarily responsible for Class III malocclusion, early therapeutic intervention is recommended. An electronic search was conducted using the Medline database (Entrez PubMed), the Cochrane Collaboration Oral Health Group Database of Clinical Trials, Science Direct, and Scopus. In this review article, we described the treatment options for Class III malocclusion in growing patient with an emphasis on maxillary protraction. It seems that the most important factor for treatment of Class III malocclusion in growing patient is case selection.

scholarly journals Interceptive Orthodontics with Resin Turbos for Pseudo-Class III Malocclusions

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Neal D. Kravitz
Keyword(s):  
Orthodontic Treatment ◽  
Gingival Recession ◽  
Mixed Dentition ◽  
Gingival Tissue ◽  
Common Finding ◽  
Orthodontic Appliances ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Practical Implications ◽  
Mandibular Incisors

Background and Overview. Lingual eruption of the permanent maxillary central incisors in the early mixed dentition can result in a traumatic anterior crossbite, causing mobility and gingival recession to the opposing mandibular incisors.Case Description. This case report presents a common finding of a 7-year-old boy with a dental crossbite and pseudo-Class III malocclusion caused by lingual eruption of the maxillary central incisors. An interceptive phase of orthodontic treatment was provided by bonding a beveled resin turbo on the mandibular incisors. The crossbite was corrected in 3 months without any orthodontic appliances. In the absence of the traumatic occlusion, the mandibular incisors stabilized and the gingival tissue was expected to regenerate.Conclusions and Practical Implications. Dentists and orthodontists can place beveled resin turbos on the mandibular incisors to jump an anterior dental crossbite conservatively, without the use of orthodontic brackets and wires.

Traumatically Induced Maxillary Retrusion—A Case Report of Orthodontic Management with the Protraction Headgear

1988 ◽  
Vol 15 (1) ◽  
pp. 11-16
Author(s):  
P. A. Banks ◽  
W. H. P. Bogues
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Orthodontic Appliances ◽  
Full Time ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Protraction ◽  
Surgical Reduction ◽  
Traumatic Episode ◽  
Removable Orthodontic Appliances

A 46-year-old male Caucasian with traumatically induced maxillary retrusion was referred for orthodontic treatment, eight weeks after the original fracture had occurred. Initial surgical reduction and fixation had been successful, when a second traumatic episode was encountered. This resulted in a further degree of posterior maxillary displacement, which was resistant to further surgical reduction. The resulting Class III malocclusion was treated using maxillary protraction headgear, in conjunction with removable orthodontic appliances and intermaxillary traction. Appliances were worn full time and inter-arch correction was achieved in six months. The resulting occlusion proved to be stable following the cessation of active treatment.

scholarly journals Modified hyrax splint for rapid maxillary expansion in esthetically concerned patients

2015 ◽  
Vol 5 ◽  
pp. 118-119
Author(s):  
Sarabjeet Singh Sandhu ◽  
Taruna Puri ◽  
Navreet Sandhu
Keyword(s):  
Orthodontic Treatment ◽  
Rapid Maxillary Expansion ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Expansion ◽  
Routine Procedure ◽  
Maxillary Protraction ◽  
Deciduous Molars ◽  
Maxillary Deficiency

The orthodontic treatment of Class III malocclusion with a maxillary deficiency is often treated with maxillary protraction either with or without maxillary expansion. The routine procedure for rapid maxillary expansion includes banding on first premolars/first deciduous molars and the permanent first molars. However in some patients who are esthetically very conscious, banding of the first premolar would not be a good esthetic option. So for such circumstances we have designed a modified hyrax splint, which does not need the first premolars to be banded.

scholarly journals Early treatment of Class III malocclusion with a tandem traction bow appliance

2016 ◽  
Vol 6 ◽  
pp. 228-231
Author(s):  
Sneha Basaveshwar Valgadde ◽  
Kishor Chougule
Keyword(s):  
Mixed Dentition ◽  
Growth Spurt ◽  
Oral Appliances ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Facial Growth ◽  
Orthopedic Treatment ◽  
Maxillary Protraction ◽  
The Stability ◽  
Relationship Of

Since Class III malocclusion is progressive in nature, the facial growth of Class III malocclusion worsens with age. Class III malocclusion is associated with a deviation in the sagittal relationship of the maxilla and the mandible, characterized by a deficient maxilla, retrognathic mandible, or a combination of both. The early orthopedic treatment of Class III malocclusions, at the end of primary dentition or the beginning of mixed dentition, prior to growth spurt, allows the accomplishment of successful results, providing facial balance, modifying the maxillofacial growth and development, and in many instances, preventing a future surgical treatment by increasing the stability. Many treatment approaches can be found in the literature regarding orthopedic and orthodontic treatment of Class III malocclusion, including intra- and extra-oral appliances. The major problem with extraoral anchorage has been of patient compliance due to its physical appearance. The case report presents an intraoral modified tandem appliance for maxillary protraction that has been used clinically to achieve successful results without relying much on patient co-operation.

scholarly journals Treatment of Class III with Facemask Therapy

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Snigdha Pattanaik ◽  
Sumita Mishra
Keyword(s):  
Young Patient ◽  
Early Treatment ◽  
Permanent Dentition ◽  
Mixed Dentition ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Protraction ◽  
Skeletal Effects ◽  
Environmental Causes ◽  
Maxilla And Mandible

Class III malocclusion is one of the most difficult problems to treat in the mixed dentition. It has a multifactorial etiology involving both genetic and environmental causes. The dental and skeletal effects of maxillary protraction with a facemask are well documented in several studies. Although treatment in the late mixed or early permanent dentition can be successful, results are generally better in the deciduous or early mixed dentition. The following case shows early treatment of a young patient with severe sagittal and transverse discrepancy of the maxilla and mandible, using a facemask.

scholarly journals Management of maxillary deficiency in a growing child with facemask therapy and RME- A case report

2021 ◽  
Vol 7 (2) ◽  
pp. 167-170
Author(s):  
Pooja U ◽  
Naveen Aravind ◽  
Rajkumar S Alle ◽  
Lokesh NK ◽  
Mayank Trivedi
Keyword(s):  
Case Report ◽  
Early Treatment ◽  
Orthodontic Treatment ◽  
Class I ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Protraction ◽  
Skeletal Effects ◽  
Environmental Causes ◽  
Maxillary Deficiency

Class III malocclusion is one of the most difficult problems to treat. It has a multifactorial etiology involving both genetic and environmental causes. The dental and skeletal effects of maxillary protraction with a facemask are well documented in several studies. Although incorporation of expansion appliance along with facemask therapy can improve correcting both sagittal and transverse discrepancy of maxilla. The following case shows early treatment of a 9 year old boy with maxillary deficiency using an expansion screw along with facemask. Facemask therapy was followed by fixed orthodontic treatment to settle the occlusion. Treatment was completed after 14 months with positive overjet, class I molar and canine relationship on right and left side.

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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