scholarly journals Management of skeletal Class III with facial asymmetry using skeletal anchorage: 4-year follow-up

2020 ◽  
Vol 25 (2) ◽  
Author(s):  
Tulika Tripathi ◽  
Shilpa Kalra ◽  
Priyank Rai
Keyword(s):  
Clinical Case ◽  
Facial Asymmetry ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Treatment Results ◽  
Skeletal Class ◽  
Spontaneous Correction ◽  
Functional Shift ◽  
Occlusal Interferences

ABSTRACT Introduction: Skeletal Class III malocclusion with asymmetry is one of the most difficult problems to correct in orthodontics. A functional shift of the mandible in growing patients may occur accompanying a Class III, due to constricted maxillary arch and occlusal interferences. Studies have indicated that posterior unilateral crossbite develops early and has a low rate of spontaneous correction. It may further lead to development of mandibular and facial asymmetry by growth and displacement of mandible if left untreated in growing patients. Objective: This article reports the clinical case of a thirteen-year-old female patient in CVMI transition stage that had maxillary hypoplasia with a developing facial asymmetry. Results: The case was successfully managed with bone-anchored facemask therapy and with elimination of occlusal interferences with guided occlusion. Reverse twin block in the retention phase maintained the results achieved. Conclusion: A four-year follow-up evaluation revealed successful maintenance of the treatment results.

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.

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

Characterization of facial asymmetry in skeletal Class III malocclusion and its implications for treatment

2019 ◽  
Vol 48 (12) ◽  
pp. 1533-1541 ◽  
Author(s):  
Y.-J. Chen ◽  
C.-C. Yao ◽  
Z.-C. Chang ◽  
H.-H. Lai ◽  
K.-J. Yeh ◽  
...  
Keyword(s):  
Facial Asymmetry ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class

scholarly journals Quality of Life and Suitability with Vietnamese Harmonious Face Index in Class III Malocclusion Patients

2019 ◽  
Vol 7 (24) ◽  
pp. 4239-4243
Author(s):  
Nguyen Hoang Minh ◽  
Truong Manh Dung ◽  
Vo Truong Nhu Ngoc ◽  
Pham Hoang Tuan ◽  
Nguyen Hong Ha ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Simulation ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Facial Aesthetics ◽  
Skeletal Class ◽  
Quasi Experimental ◽  
Dental Compensation

BACKGROUND: Maxillary Lefort I osteotomy, mandibular bilateral sagittal split ramus was frequently used in correcting skeletal class III malocclusion. There was a lack of research on class III malocclusion patients’ quality of life (QoL) after bimaxillary osteotomy. AIM: Class I Intermaxillary relationship was achieved, aesthetic was significantly improved. Significant improvement in Class III skeletal patients’ quality of life was acquired. The achievement of harmonious face would be beneficial to the facial aesthetics of patients, thus improving the quality of life. METHODS: Harmonious face index is an effective criterion in assessing the surgery’s outcome. In this study was conducted on 30 patients at Hanoi National Hospital of Odontostomatology, Viet Duc Hospital, and Hong Ngoc Hospital from April 2017 to April 2018, and it was a quasi-experimental study with self-comparison, 12 months follow up. RESULTS: Orthognathic surgery effectively corrected malocclusion crossbite, dental compensation, and helped to improve facial aesthetics. 100% of patients had the quality of life improved, good quality of life consisted of 86.7%. In comparison with a harmonious facial index of Kinh ethnic in Vietnam, 70% of patients achieved skeletal harmony, 63.3% of patients achieved dental harmony, 80% achieved soft tissue harmony. CONCLUSIONS: Vietnamese harmonious facial index should be used in planning and pre-surgical simulation

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