scholarly journals Perawatan Kamuflase Maloklusi Klas III Dentoskeletal menggunakan Teknik Begg pada Pasien Dewasa

2015 ◽  
Vol 1 (2) ◽  
pp. 116
Author(s):  
Dwi Agustina ◽  
Soekarsono Hardjono ◽  
Sri Suparwitri
Keyword(s):  
Treatment Options ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Fixed Appliance ◽  
Skeletal Class ◽  
Anterior Teeth ◽  
Mandibular Position ◽  
Orthognatic Surgery ◽  
Growth Modification ◽  
Angle Class Iii

Maloklusi kelas III dapat didefinisikan sebagai kelainan wajah skeletal dengan karakteristik posisi mandibula lebih maju terhadap dasar cranium dan atau terhadap maksila. Ada tiga pilihan perawatan untuk maloklusi kelas III dentoskeletal yaitu; modifikasi pertumbuhan, kamuflase dan bedah orthognatik. Artikel ini mempresentasikan kasus seorang pasien dewasa dengan maloklusi kelas III dentoskeletal yang dirawat dengan ortodontik kamuflase menggunakan teknik Begg. Seorang pasien laki-laki, berusia 16 tahun, didiagnosa maloklusi kelas III Angle dengan hubungan skeletal kelas III dan gigi depan maksila dan mandibula berjejal. Perawatan menggunakan alat cekat teknik Begg dengan pencabutan premolar kedua maksila dan premolar pertama mandibula serta elastis intermaxillar kelas III. Kesimpulan hasil perawatan selama 10 bulan menunjukkan bahwa kamuflase ortodontik dapat dianggap sebagai terapi yang efektif untuk koreksi maloklusi kelas III dentoskeletal.   ABSTRACT: A Camouflage Treatment Of Dentoskeletal Class III Malocclusion In Adult Using Begg Technique B. Class III malocclusion can be defined as a skeletal facial deformity characterized by a forward mandibular position with respect  to the cranial base and or the maxilla. There are three main treatment options for dentoskeletal class III malocclusion: growth modification, orthodontic camouflage and orthognatic surgery. The article presented a case of an adult patient with dentoskeletal class III malocclusion treated with orthodontic camouflage treatment with Begg technique. A male patient, 16 years old, diagnosis malocclusion Angle class III, skeletal class III with crowding anterior teeth maxilla and mandibular. Using the fixed appliance, Begg technique, with the extraction of second premolars maxilla and first premolars mandibular. The appliance is completed with intermaxillary class III elastics. The results for 10 months of this treatment indicated that orthodontic camouflage can be considered an effective therapy for corection of dentoskeletal class III malocclusion.

scholarly journals Compensatory Class III malocclusion treatment associated with mandibular canine extractions

2017 ◽  
Vol 22 (6) ◽  
pp. 86-98
Author(s):  
Guilherme Janson ◽  
Olga Benário Vieira Maranhão
Keyword(s):  
Treatment Options ◽  
Surgical Approaches ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Treatment Alternative ◽  
Current Case ◽  
Facial Profile ◽  
Skeletal Class ◽  
Orthognatic Surgery ◽  
Mandibular Canine

ABSTRACT Skeletal Class III malocclusions are ideally treated with orthodontic-surgical approaches. However, if there are no significant soft tissue implications and the patient does not want to undergo orthognatic surgery, other treatment options may be considered. The current case report describes a compensatory alternative for Class III malocclusion treatment, by means of mandibular canine extractions. This treatment alternative provided facial profile and occlusal improvement, which remains stable seven years posttreatment.

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 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.

scholarly journals Management Of Mandibular Lateral Incisor Agenesis With Skeletal Class III Malocclusion by Space Closing Technique

2018 ◽  
Vol 1 (2) ◽  
pp. 93
Author(s):  
Fidiyah Inayati ◽  
I Gusti Aju Wahju Ardani
Keyword(s):  
Lateral Incisor ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Anterior Crowding ◽  
Skeletal Class ◽  
Dental Esthetics ◽  
Skeletal Malocclusion ◽  
Anterior Teeth ◽  
Space Closure ◽  
Closure Method

Background: Patients with congenital absence of a mandibular lateral incisor are often found having difficulty in achieving adequate functional occlusion. It may affect esthetics, mastication, speech, and occlusal balance. Purpose: This paper reported an agenesis treatment of one mandibular lateral incisor case using a space closure method. Case: A twenty-three years old female patient with agenesis of tooth 42, mandibular anterior crowding, multiple diastema on mandibular anterior teeth, and skeletal class III malocclusion. Case Management: Space closure method was chosen to correct the agenesis by considering the class III skeletal malocclusion and multiple diastema condition. Conclusion: Space closure method treatment improved the patient’s facial and dental esthetics, and it provided a good functional occlusion, despite the absence of a mandibular lateral incisor, which generally impairs the adequate incisal guidance.

scholarly journals Maxillary Protraction in an Adolescent Female Patient: A Case Report

2018 ◽  
Vol 6 (02/03) ◽  
pp. 118-121
Author(s):  
Suruchi Jatol-Tekade ◽  
Satyajit Tekade ◽  
Sachin Sarode ◽  
Vishal Patni ◽  
Vihang Naphde
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Treatment Options ◽  
Forward Direction ◽  
Face Mask ◽  
Treatment Modalities ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Growth Modulation ◽  
Skeletal Class

AbstractTandem appliance is preferred over face mask mainly because of compliance reasons. In the given case report, clinicians have used tandem appliance for correcting skeletal class III malocclusion patient in later stage of growth. Operators utilized residual growth. Facial harmony was achieved by gaining positive overjet. Adolescent class III malocclusion is challenging to treat. Occurrence of class III malocclusion is just 5% in India. If patient reports in growing stage, clinicians get many relevant treatment options. Lack of knowledge about growth modulation therapy causes loss of growing stage of patients. This situation reduces available treatment modalities. Here is a case of female patient with class III malocclusion who is near completion of her growth; maxillary growth was stimulated in forward direction taking anchorage from overgrown mandible with the help of tandem appliance.

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)

Comparison of skeletal anchorage and tooth-borne maxillary protraction followed by fixed appliance in Class III malocclusion

2019 ◽  
Vol 42 (2) ◽  
pp. 193-199 ◽  
Author(s):  
Sang-Hoon Lee ◽  
Sang-Duck Koh ◽  
Dong-Hwa Chung ◽  
Jin-Woo Lee ◽  
Sang-Min Lee
Keyword(s):  
Phase Ii ◽  
Class I ◽  
Skeletal Anchorage ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Fixed Appliance ◽  
Skeletal Class ◽  
Maxillary Protraction ◽  
Lateral Cephalograms ◽  
Residual Growth

Summary Objectives The purpose of this study was to compare the results of skeletal anchorage (SAMP) and tooth- borne (TBMP) maxillary protraction followed by fixed appliance in growing skeletal Class III patients. Materials and methods Patients treated with maxillary protraction were selected and classified into two groups (SAMP: n = 19, mean age = 11.19 years; TBMP: n = 27, mean age = 11.21 years). Lateral cephalograms taken before treatment (T0), after the maxillary protraction (T1), and after the fixed appliance treatment (T2) were analysed and all variables were statistically tested to find difference between the two groups. Results Compared to the TBMP, the SAMP showed significant forward growth of maxilla (Co-A point and SN-Orbitale) and improvement in intermaxillary relationship (ANB, AB to mandible plane, and APDI) after the overall treatment (T0–T2), with no significant sagittal changes in maxilla or mandible throughout the fixed appliance treatment (T1–T2). Limitations In maxillary protraction, effects of skeletal anchorage were retrospectively compared with those of dental anchorage, not with Class I or III control. Conclusions and implications After maxillary protraction, skeletal and tooth-borne anchorage did not cause significant differences in the residual growth of maxilla throughout the phase II treatment. Orthopaedic effects with skeletal anchorage showed appropriate stability in maxilla and intermaxillary relationship even after fixed appliance treatment.

scholarly journals Two-phase treatment of patients with crossbite and tendency toward skeletal Class III malocclusion

2014 ◽  
Vol 19 (4) ◽  
pp. 122-135
Author(s):  
Maria de Lourdes Machado Bayerl
Keyword(s):  
Female Patient ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Two Phase ◽  
Skeletal Class ◽  
Skeletal Changes ◽  
Angle Class ◽  
Skeletal Pattern ◽  
Angle Class Iii Malocclusion ◽  
Angle Class Iii

Angle Class III malocclusion is characterized by an inadequate anteroposterior dental relationship which may or may not be accompanied by skeletal changes. In general, patients are distressed by a significantly compromised facial aspect which, when associated with a deficient middle third, encourages patients to seek treatment. This article reports a two-phase treatment carried out in a female patient aged six years and six months with a tendency towards a Class III skeletal pattern. This case was presented to the Brazilian Board of Orthodontics and Facial Orthopedics (BBO). It is representative of the Discrepancy Index (DI) category, and fulfills part of the requirements for obtaining BBO Diploma.

scholarly journals Does Maxillary Retrusion in Skeletal Class III Malocclusion Affect the Perception of Facial Aesthetics? Evaluation of Different Groups

Oral ◽  
2021 ◽  
Vol 1 (3) ◽  
pp. 216-223
Author(s):  
Selene Barone ◽  
Fiorella Averta ◽  
Danila Muraca ◽  
Federica Diodati ◽  
Francesco Bennardo ◽  
...  
Keyword(s):  
Class Iii ◽  
Class Iii Malocclusion ◽  
Facial Aesthetics ◽  
Skeletal Class ◽  
Lay People ◽  
Mandibular Position ◽  
Pre Treatment ◽  
General Dentists

Background: The perception of facial aesthetics is a complex topic due to its subjective nature and it can be influenced by several factors. The purpose of this study was to compare the perception of general dentists, orthodontists, maxillofacial surgeons, and lay people by evaluating facial aesthetics in skeletal class III patients, especially for maxillary sagittal position. Methods: A survey consisting of three sets of pre-treatment photographs of four dysmorphic patients was used. The questionnaire was submitted to a total of 200 participants divided into the following four subgroups: general dentists, orthodontists, maxillofacial surgeons, and lay people. Their opinion on facial disharmony, sagittal position of the jaws, asymmetry of the chin, projection of the cheekbone area, and lip aesthetics was recorded. Results: Significant differences were found between experts and non-experts in the perception of the maxillary position, asymmetry of the chin and zygomatic area (p < 0.01). No statistically significant differences were found among the groups in the perception of mandibular position and lip aesthetics. Conclusion: The respondents with a medical or dental background perceived the presence of maxillary retrusion more than others. Only orthodontists and maxillofacial surgeons have recognized an alteration of the middle facial third as a greater component of skeletal class III malocclusion.

scholarly journals Perubahan Posisi Mandibula pada Perawatan Kamuflase Maloklusi Kelas III Skeletal

2013 ◽  
Vol 20 (2) ◽  
pp. 140
Author(s):  
Sri Hartati ◽  
Heryumani JCP ◽  
Kuswahyuning Kuswahyuning
Keyword(s):  
Orthodontic Treatment ◽  
Angular Position ◽  
T Test ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Clockwise Rotation ◽  
Lateral Cephalogram ◽  
Fixed Appliance ◽  
Mandibular Position ◽  
Paired T Test

Maloklusi kelas III skeletal pada umumnya memiliki hubungan rahang yang prognatik, yaitu mandibula terletak lebih maju dari maksila. Perawatan kamuflase non pembedahan pada pasien dewasa dengan maloklusi kelas III memerlukan pencabutan dua gigi premolar mandibula atau empat gigi premolar untuk memberikan ruang retraksi  gigi incisivus mandibula. Prinsip perawatan teknik Begg adalah mekanisme gaya differensial dengan menggunakan gaya yang ringan dan kontinyu. Penggunaan   elastik intermaksiler kelas III menyebabkan ekstrusi gigi molar atas, retrusi gigi insisivus bawah, rotasi mandibula searah jarum jam dan perubahan posisi kondilus. Penelitian ini bertujuan untuk mengetahui perubahan linier dan anguler posisi mandibula pada perawatan kamuflase  maloklusi kelas III skeletal setelah dilakukan perawatan ortodontik dengan teknik Begg. Penelitian dilakukan pada 20 pasang sefalogram lateral dari subjek laki-laki dan perempuan usia 18-25 tahun yang memenuhi kriteria penelitian. Seluruh subjek yang dirawat dengan teknik Begg disertai pencabutan dua gigi premolar pertama bawah. Perubahan posisi mandibula ditentukan  dengan perubahan   titik Pg dan Pg. terhadap sumbu X dan sumbu Y sedangkan perubahan anguler dengan melihat perubahan sudut Y-axis. Data yang diperoleh dianalisisi dengan paired t test. Hasil penelitian perubahan posisi mandibula setelah perawatan ortodontik kamuflase  dengan alat cekat teknik Begg menunjukkan perubahan  yang bermakna (p<0,05).  Titik  Pg mengalami pergeseran ke arah posterior  dan inferior dan sudut Y-axis  mengalami peningkatan berarti terjadi rotasi searah jarum jam.Skeletal Class III malocclusion generally has prognatic jaw relationship. The mandibular is more forward than the maxilla. Camouflage non-surgical treatment in adult patients with Class III malocclusion required extraction of two mandibular premolars or four premolar teeth to give a space of mandibular incisors teeth retraction. The Begg technique treatment principle is the mechanism of differential force using light and continuous force. The use of inter-maxillary elastic Class III causes the extrusion of upper molars, retrusion of lower incisors, clockwise rotation of the mandible and changing of condyle position. This research aims to determine the linear changing and angular position of the mandible on the camouflage treatment of skeletal Class III malocclusion after orthodontic treatment with Begg technique. The research was conducted on 20 pairs of lateral cephalogram of men and women aged 18-25 years who met the research criteria. All subjects were treated with Begg technique with extraction of two lower first premolars. The changing of mandibular position is determined by changing the point Pg and Pg. to X axis and Y axis, while the angular changing is determined by looking at the changing of Y-axis. The obtained data were analysed with paired t test analysis. The results show that there are significant changes in mandibular position after camouflage orthodontic treatment with fixed appliance of Begg technique (p<0,05). Pg point is shifted towards the posterior and inferior, and Y-axis angle increases. It means that the clockwise rotation has happened.

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