Orthopedic Treatment of Skeletal Class III Malocclusions With Maxillary Deficiency

2015 ◽  
Vol 28 (1) ◽  
pp. 19-25
Author(s):  
Erdal Bozkaya ◽  
Sema Yüksel ◽  
Tuba Tortop ◽  
Neslihan Üçüncü ◽  
Emine Kaygısız ◽  
...  
Keyword(s):  
Class Iii ◽  
Orthopedic Treatment ◽  
Skeletal Class ◽  
Maxillary Deficiency

Prediction of long-term success of orthopedic treatment in skeletal Class III malocclusions

2017 ◽  
Vol 152 (2) ◽  
pp. 193-203 ◽  
Author(s):  
Yoon Jeong Choi ◽  
Jeong Eun Chang ◽  
Chooryung J. Chung ◽  
Ji Hyun Tahk ◽  
Kyung-Ho Kim
Keyword(s):  
Class Iii ◽  
Orthopedic Treatment ◽  
Skeletal Class

scholarly journals Considerations before orthodontic camouflage treatment in skeletal class III malocclusion

2008 ◽  
Vol 20 (1) ◽  
Author(s):  
Marcella Budhiawan ◽  
Haru Setyo Anggani
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Decision ◽  
Class Iii ◽  
Facial Profile ◽  
Skeletal Class ◽  
Dentofacial Deformity ◽  
Starting Point ◽  
Skeletal Pattern ◽  
Mandibular Protrusion ◽  
Maxillary Deficiency

Skeletal Class III malocclusions are caused by maxillary deficiency, mandibular protrusion, or a combination of the two. This patient, in this case, may have a sunken in face, strong chin appearance. Most persons with Class III malocclusions, which is a dentofacial deformity, show combinations of skeletal and dentoalveolar components. Orthodontic therapy is usually aimed at compensating for the underlying mild-moderate skeletal Class III discrepancy and patients with severe skeletal Class III discrepancies require a combination of orthodontic treatment and orthognathic surgery to correct the underlying skeletal pattern. By considering many factors, the orthodontic treatment can be done on mild to severe skeletal Class III. These factors are facial profile, dental relationship and skeletal pattern. Those factors should be considered a starting point in making a treatment decision. They give the limitation of orthodontic treatment in terms of whether the occlusion could be corrected, or whether the deformity could be camouflage.

Maxillary sagittal expansion in an adult patient

2021 ◽  
Vol 21 (1) ◽  
pp. 57-59
Author(s):  
D. J. Yakoub ◽  
O. I. Admakin ◽  
I. A. Solop ◽  
I. V. Startceva
Keyword(s):  
Treatment Method ◽  
Post Treatment ◽  
Nonsurgical Treatment ◽  
Effective Length ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Growth Guidance ◽  
Clear Aligner ◽  
Maxillary Deficiency

Relevance. Skeletal Class III malocclusion is known to be one of the most difficult malocclusions to correct. Nonsurgical treatment of Class III in adults is a challenge; however, this patient refused surgery. A treatment method with Fixed Anterior Growth Guidance Appliance (FAGGA) was investigated in the study.Materials and methods. This case report presents a 37-year-old woman with skeletal Class III malocclusion for maxillary deficiency. As the patient didn’t agree to surgery, she was treated by Fixed Anterior Growth Guidance Appliance, followed by 3D SMILE® clear aligners. Fixed Anterior Growth Guidance Appliance was used initially. After 4 months, the appliance was removed and clear aligner treatment was initiated. Post-treatment radiographs showed improvement.Results. Intraorally, in the upper arch, a total of 4.00 mm of space were gained (about 2.00mm distal to each canine). The post-treatment cephalometric analysis showed a skeletal A-P Class I, the Upper incisor inclination to the optic plane was not significantly altered, ANS — antArc was improved by 1.5mm, the Effective Length of the Premaxilla increased by 2.6mm, U1 — ANS’ decreased by 1.7mm, Incisor mandibular plane angle (IMPA) autonomously improved by 11 degrees.Conclusions. Maxillary deficiency was corrected successfully with the Fixed Anterior Growth Guidance Appliance. The treatment is being continued by 3D SMILE® clear aligners. The goal was achieved despite the patient’s age and nonsurgical treatment.

scholarly journals Quick Correction of a Skeletal Class III Maloclussion in Primary Dentition with Face Mask Plus Rapid Maxillary Expansion Therapy

2018 ◽  
Vol 20 (2) ◽  
pp. 31-37
Author(s):  
Hilda Alejandra Bedolla-Gaxiola DDS ◽  
David Garrigós-Esparza DDS ◽  
Juan Carlos Hernández-Cabanillas DDS, MS ◽  
Miguel Ángel Rosales-Berber DDS ◽  
Amaury Pozos-Guillén DDS, PhD ◽  
...  
Keyword(s):  
Clinical Signs ◽  
Face Mask ◽  
Rapid Maxillary Expansion ◽  
Primary Dentition ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Expansion ◽  
Orthopedic Treatment ◽  
Clockwise Rotation ◽  
Skeletal Class

Skeletal Class III is a malocclusion characterized by anterior crossbite as a result of an abnormal skeletal maxillary and mandibular base discrepancy, which involves disharmony of craneofacial skeleton and profile. The preferred management for children having skeletal Class III malocclusion with retruded maxilla and/or prognathic mandible is the use of devices that encourage the growth and anterior movement of the maxilla bone and/or restrict the exessive mandible growth. The orthopedic treatment consisting of a face mask with rapid maxillary expansion (RME) produces the most dramatic results in the shortest period of time. The purpose of this article is to review a quick correction of skeletal class III maloclussion in the primary dentition through a case example with use of a face mask plus rapid maxillary expansion therapy in a 5 year-old male patient due to a combination of retruded maxilla and protruded mandible, in primary dentition, who was treated with a Petit face mask in conjunction with a bonded RME intraoral appliance added with bite blocks. The first evident occlusal outcomes were a clockwise rotation of the mandible, a positive overjet of 3 mm, a correct overbite, a canine Class I relationship, and a bilateral flush terminal plane. After discussing the present clinical case report and the related published literature, we concluded that skeletal class III malocclusions should be treated as soon as the first clinical signs of abnormal craniofacial growth are recognized, during the first years of life.

scholarly journals Quick Correction of a Skeletal Class III Maloclussion in Primary Dentition with Face Mask Plus Rapid Maxillary Expansion Therapy

2018 ◽  
Vol 20 (2) ◽  
pp. 31-37
Author(s):  
Hilda Alejandra Bedolla-Gaxiola DDS ◽  
David Garrigós-Esparza DDS ◽  
Juan Carlos Hernández-Cabanillas DDS, MS ◽  
Miguel Ángel Rosales-Berber DDS ◽  
Amaury Pozos-Guillén DDS, PhD ◽  
...  
Keyword(s):  
Clinical Signs ◽  
Face Mask ◽  
Rapid Maxillary Expansion ◽  
Primary Dentition ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Expansion ◽  
Orthopedic Treatment ◽  
Clockwise Rotation ◽  
Skeletal Class

Skeletal Class III is a malocclusion characterized by anterior crossbite as a result of an abnormal skeletal maxillary and mandibular base discrepancy, which involves disharmony of craneofacial skeleton and profile. The preferred management for children having skeletal Class III malocclusion with retruded maxilla and/or prognathic mandible is the use of devices that encourage the growth and anterior movement of the maxilla bone and/or restrict the exessive mandible growth. The orthopedic treatment consisting of a face mask with rapid maxillary expansion (RME) produces the most dramatic results in the shortest period of time. The purpose of this article is to review a quick correction of skeletal class III maloclussion in the primary dentition through a case example with use of a face mask plus rapid maxillary expansion therapy in a 5 year-old male patient due to a combination of retruded maxilla and protruded mandible, in primary dentition, who was treated with a Petit face mask in conjunction with a bonded RME intraoral appliance added with bite blocks. The first evident occlusal outcomes were a clockwise rotation of the mandible, a positive overjet of 3 mm, a correct overbite, a canine Class I relationship, and a bilateral flush terminal plane. After discussing the present clinical case report and the related published literature, we concluded that skeletal class III malocclusions should be treated as soon as the first clinical signs of abnormal craniofacial growth are recognized, during the first years of life.

scholarly journals Differential Diagnosis of Skeletal Class III

2019 ◽  
Vol 23 (2) ◽  
pp. 55-62
Author(s):  
Olga-Elpis Kolokitha ◽  
Thomas Georgiadis
Keyword(s):  
Differential Diagnosis ◽  
Clinical Examination ◽  
Surgical Approach ◽  
Orthodontic Treatment ◽  
Cephalometric Analysis ◽  
Class Iii ◽  
Basic Principles ◽  
Skeletal Class ◽  
Maxillary Deficiency ◽  
Craniofacial Complex

Summary Skeletal Class III is a relatively rare malocclusion of the craniofacial complex and the accurate differential diagnosis of its aetiology is necessary so that it may be correctly treated. Differential diagnosis of Class III aetiopathogenesis should distinguish between: a) true skeletal Class III as opposed to pseudo Class III; b) three forms of Skeletal Class III, in which there is either maxillary deficiency only or mandibular excess only or combination of both; and c) skeletal Class III that may be treated with orthodontic treatment alone, as opposed to Class III that is difficult to manage with orthodontic treatment alone and requires combine orthodontic and surgical approach. Differential diagnosis is mainly based on clinical examination and cephalometric analysis. The aim of this paper is to present the basic principles and modes of achieving differential diagnosis in skeletal Class III cases.

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