scholarly journals Accuracy of Two Cephalometric Analyses in the Treatment of Patients with Skeletal Class III Malocclusion

2015 ◽  
Vol 26 (2) ◽  
pp. 186-192 ◽  
Author(s):  
João Frank Carvalho Dantas ◽  
Sergio Henrique Gonçalves de Carvalho ◽  
Luciana Soares de Andrade Freitas Oliveira ◽  
Danilo Batista Martins Barbosa ◽  
Raphael Freitas de Souza ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Surgical Procedures ◽  
Reasonable Agreement ◽  
Treatment Plan ◽  
Deformity Correction ◽  
Clinical Decision ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Dentofacial Deformity

The aim of the present study was to compare the treatment plan outlined from the diagnosis obtained by two different cephalometric analyses with the clinical decision made for surgical treatment of patients with skeletal Class III malocclusion. For this purpose, 82 skeletal Class III patients were evaluated, divided into three groups according to the surgical procedure performed for dentofacial deformity correction. Their preoperative cephalometric radiographs were submitted to McNamara and Steiner cephalometric analyses. The association of variables was evaluated by Kappa correlation (α=5%). The agreement between indication of surgical procedures performed based on clinical decision and surgical treatment indicated based on the evaluation of McNamara and Steiner cephalometric analyses were not significant (p=0.609 and p=0.544, respectively). McNamara and Steiner analyses showed reasonable agreement with each other as to the diagnosis, but did not agree with the clinical decision to treat skeletal CIII patients. Both tests were equally inaccurate in the indication of the surgical treatment.

scholarly journals Surgical-orthodontic retreatment of a severe skeletal Class III malocclusion following an orthodontic camouflage

2021 ◽  
Vol 26 (4) ◽  
Author(s):  
Francisco MARTINO ◽  
Manuel PEÑA ◽  
Rony JOUBERT
Keyword(s):  
Orthognathic Surgery ◽  
Treatment Plan ◽  
Facial Features ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Treatment Alternative ◽  
Skeletal Class ◽  
Recommended Treatment ◽  
Dentofacial Deformity ◽  
Dental Compensation

ABSTRACT Introduction: Class III malocclusions are some of the most difficult occlusal anomalies to be treated. Some patients with this condition may require orthognathic surgery, while others may be treated with dental camouflage. Proper patient assessment and selection remains critical in order to achieve favorable results. Objectives: This report outlines the case of an 18-year-old male who sought retreatment for a severe skeletal Class III dentofacial deformity after undergoing orthodontic camouflage treatment involving mandibular arch extractions. A treatment plan comprising dental decompensation and orthognathic surgery was implemented in order to achieve optimal facial and occlusal results. Results: After 28 months of treatment, skeletal and dental correction was achieved and facial features were significantly improved. The orthognathic surgery required a 20-mm sagittal maxillomandibular skeletal correction, combined with a 4-mm correction of the midlines and a 2-mm impaction of the maxilla. Conclusion: Dental compensation may be a risky treatment alternative for severe dentoskeletal discrepancies. In these patients, orthodontics combined with orthognathic surgery is the recommended treatment option.

scholarly journals Management of an Adult with Spaced Dentition, Class III Malocclusion and Open-bite Tendency

2011 ◽  
Vol 05 (01) ◽  
pp. 121-129 ◽  
Author(s):  
Demet Kaya ◽  
Tulin Ugur Taner
Keyword(s):  
Treatment Plan ◽  
Open Bite ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Anterior Teeth ◽  
Old Adult ◽  
Facial Pattern ◽  
Set Up ◽  
Tongue Thrust

ABSTRACTThe aim of this case report was to present the orthodontic treatment of an adult with spaced dentition, Class III malocclusion, and open-bite tendency. A 28.4-year-old adult woman was concerned about the unesthetic appearance of her spaced dentition localized at both upper and lower arches while smiling. She had a mild tongue thrust, hypertropic upper frenum, and mild speech difficulty while pronouncing “s”. Her profile was straight with prominent lips. Molar relationship was Class III on both sides. Anterior teeth were in an end-to-end relationship. Lower dental midline was deviated to the left side. Cephalometric analysis revealed a skeletal Class III relationship with hyperdivergent facial pattern. The treatment plan included myotherapeutic exercises for the tongue thrust habit and a diagnostic set-up for closure of diastemas. A strict retention protocol was followed combined with gingivoplasty, fiberotomy, and frenectomy procedures. All spaces were closed successfully, adequate overbite and overjet relationships were obtained, and tongue thrust habit and speech difficulty while pronouncing “s” were eliminated. Clinical and cephalometric results indicated the maintenance of the treatment outcome at 6-months post-retention period. (Eur J Dent 2011;5:121-129)

scholarly journals Non-surgical treatment of skeletal class III malocclusion

2014 ◽  
Vol 2014 (apr10 1) ◽  
pp. bcr2013202326-bcr2013202326
Author(s):  
R. M. Kapadia ◽  
A. P. Shah ◽  
S. D. Diyora ◽  
V. J. Rathva
Keyword(s):  
Surgical Treatment ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Non Surgical Treatment

scholarly journals Combined Orthodontic-surgical Treatment for Skeletal Class III Malocclusion with Multiple Impacted Permanent and Supernumerary Teeth: Case Report

2014 ◽  
Vol 8 (1) ◽  
pp. 43-48
Author(s):  
Dai Juan and Feng Xue
Keyword(s):  
Surgical Treatment ◽  
Primary Teeth ◽  
Treatment Protocol ◽  
Deciduous Teeth ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Supernumerary Teeth ◽  
Sagittal Split Ramus Osteotomy ◽  
Impacted Teeth ◽  
Skeletal Class

In this report we describe a combined orthodontic and surgical treatment for a 14-year-old boy with severe skeletal class III deformity and dental problem. His upper posterior primary teeth in the left side were over-retained and 6 maxillary teeth (bilateral central incisors and canines, left first and second premolars) were impacted, together with 5 supernumerary teeth in both arches. The treatment protocol involved extraction of all the supernumerary and deciduous teeth, surgical exposure and orthodontic traction of the impacted teeth, a bimaxillary orthognathic approach including Lefort I osteotomy. Bilateral sagittal split ramus osteotomy (BSSRO) and genioplasty was performed to correct skeletal problem. After treatment, all of the impacted teeth were brought to proper alignment in the maxillary arch. A satisfied profile and good posterior occlusion was achieved. Treatment mechanics and consideration during different stages are discussed.

scholarly journals Combined Orthodontic and Surgical Treatment of Skeletal Class III Malocclusion: A Case Report

2016 ◽  
Vol 53 (3) ◽  
pp. 424-429
Author(s):  
Patrycja Downarowicz ◽  
Beata Kawala ◽  
Rafał Nowak
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class

scholarly journals Nonsurgical treatment of a hyperdivergent skeletal Class III patient with mini-screw–assisted mandibular dentition distalization and flattening of the occlusal plane

2021 ◽  
Author(s):  
Yiruo He ◽  
Yangyang Wang ◽  
Xinghai Wang ◽  
Jiangyue Wang ◽  
Ding Bai ◽  
...  
Keyword(s):  
Treatment Plan ◽  
Open Bite ◽  
Nonsurgical Treatment ◽  
Occlusal Plane ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Anterior Open Bite ◽  
Skeletal Class ◽  
Posterior Crossbite ◽  
Mandibular Plane

ABSTRACT Treatment of hyperdivergent skeletal Class III malocclusion is challenging for orthodontists, and orthognathic-orthodontic treatment is usually required. This report presents the successful nonsurgical treatment of a 20-year-old man who had a skeletal Class III malocclusion with anterior open bite, anterior and posterior crossbite, hyperdivergent growth pattern, steep occlusal plane, early loss of three first molars, and an uncommon convex profile with a retruded chin. An orthodontic camouflage treatment plan was chosen based on the etiology and the patient's complaints. Tooth #37 was extracted. Miniscrews were used for uprighting and intruding of the lower molars, distalization of the lower dentition, and flattening of the occlusal plane. After 34 months of active treatment, Class I relationships, proper anterior overjet and overbite, flat occlusal plane, and an esthetic facial profile were achieved. The results demonstrated that the biomechanics involved in the nonsurgical treatment assisted with miniscrews to distalize the mandibular dentition and flatten the occlusal plane while keeping the mandibular plane stable was effective for treating this hyperdivergent skeletal Class III patient with a convex profile and anterior open bite.

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 Multidisciplinary treatment of complex skeletal class III malocclusion

2018 ◽  
Vol 75 (11) ◽  
pp. 1138-1142
Author(s):  
Tatjana Cutovic ◽  
Julija Radojicic ◽  
Srboljub Stosic ◽  
Irena Mladenovic ◽  
Ruzica Kozomara
Keyword(s):  
Treatment Plan ◽  
Multidisciplinary Treatment ◽  
Vertical Component ◽  
Interdisciplinary Approach ◽  
Open Bite ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Deformity ◽  
Skeletal Class ◽  
Maxillary Osteotomy

Introduction. Skeletal malocclusions, especially those with a prominent vertical component, always present a challenge for the interdisciplinary approach to their treatment planning. The aim of this report is to present a patient with a complex skeletal deformity in all three directions (vertical, sagittal and transverse). Case report. A twenty-four year old female patient with a skeletal Class III malocclusion, open bite and laterognathia, was firstly treated by orthodontic fixed appliances, whereas the dental decompensation of dentoalveolar structures was carried out and adjusted to their bone structures, thus enabling an adequate and sufficient reposition of the jaw. A surgical correction included bi-maxillary osteotomy due to pronounced vertical cephalometric parameters, necessitating a posterior maxillary intrusion and mandibular repositioning. In that manner, the relapse was prevented and a long-term stable result obtained. In the retention period, the patient wore removable bi-maxillary retention devices. Conclusion. The combined orthodontic-surgical treatment provided the Class I occlusion with aesthetic and functionally satisfactory results which were envisioned by the treatment plan.

scholarly journals Surgical treatment of dental and skeletal Class III malocclusion

2013 ◽  
Vol 18 (1) ◽  
pp. 143-149 ◽  
Author(s):  
Ione Helena Vieira Portella Brunharo
Keyword(s):  
Surgical Treatment ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Joint Planning ◽  
Specific Factors ◽  
Oral And Maxillofacial Surgeon ◽  
Surgical Manipulation ◽  
Partial Fulfillment ◽  
Mandibular Incisors

Orthodontic preparation for surgical treatment of skeletal Class III malocclusion involves joint planning with an oral and maxillofacial surgeon to address the functional and esthetic needs of the patient. In order to allow surgical manipulation of the jaws in the preoperative phase, the need to achieve a negative overjet through incisor decompensation often leads the orthodontist to extract the upper first premolars. This report illustrates an orthodontic preparation case where due to specific factors inherent in the patient's psychological makeup retroclination of the upper incisors and proclination of the mandibular incisors was achieved without removing any teeth. This case was presented to the Brazilian Board of Orthodontics and Facial Orthopedics (BBO) in partial fulfillment of the requirements for obtaining the BBO Diploma.

scholarly journals ISW for the Treatment of Facial Asymmetry Crossbite Case with Upper Right Lateral Incisor Missing

2012 ◽  
Vol 1 (2) ◽  
pp. 113-117
Author(s):  
Chia-bin SUN ◽  
Jian-hong YU
Keyword(s):  
Orthodontic Treatment ◽  
Medical Center ◽  
Treatment Plan ◽  
Facial Asymmetry ◽  
Functional Class ◽  
Lateral Incisor ◽  
Tini Alloy ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class

ABSTRACT Class III malocclusion with facial asymmetry is difficult to treat with orthodontic treatment without surgery. Skeletal class III malocclusion can be treated with surgery or orthodontic treatment by camouflage. Functional class III malocclusion can be treated perfectly by orthodontic treatment, using the intermaxillary elastics (IME) to correct the jaw relation. Differentially, diagnosing a class III case is important before deciding the treatment plan. We must understand the type of class III malocclusion and then we can make the best choice for the patient. This article reports the treatment of adult class III malocclusion by the improved superelastic TiNi alloy wire (ISW). Using the ISW crossbite arch, coil springs and IME, adequate overbite and overjet were achieved and better facial symmetry was also improved. How to cite this article SUN Cb, YU Jh. ISW for the Treatment of Facial Asymmetry Crossbite Case with Upper Right Lateral Incisor Missing. Int J Experiment Dent Sci 2012;1(2): 113-117. Source of support This work was supported by China Medical University and Medical Center, Taichung City, Taiwan (Grant number: CMU97-080 (2008) to JH YU).

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