scholarly journals A Rehabilitation of Missing Maxillary Anterior Teeth in a Severe Skeletal Class III Malocclusion Patient Requiring Implants

2021 ◽  
Vol 28 ◽  
pp. 8-14
Author(s):  
Zethy Hanum Mohamed Kassim ◽  
Abdul Latif Abdul Hamid ◽  
Nadhirah Ghazali ◽  
Puvanendran Balasingham
Keyword(s):  
Treatment Option ◽  
Orthodontic Treatment ◽  
Multidisciplinary Treatment ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Treatment Needs ◽  
Skeletal Class ◽  
Fixed Dental Prosthesis ◽  
Anterior Teeth ◽  
Dental Injuries

Management of traumatic dental injuries (TDI) in a young patient may range from simple to complex. In a situation where teeth are lost, a reliable and conservative treatment option is an implant-supported fixed dental prosthesis (i-FDP), as this treatment option negates the need to prepare sound abutment teeth as in the case of conventional fixed bridges. However, the placement of implants is usually prosthetically driven to allow for a 3D functional and aesthetic restoration. In the presence of severe skeletal Class III malocclusion, treatment may incorporate pre-surgical orthodontic treatment, followed by jaw surgery to correct the skeletal discrepancies and finally post-surgical orthodontic treatment before the rehabilitation with implants. A multidisciplinary treatment approach in a stepwise manner is required to address the patient’s overall treatment needs. This case report presents a joint prosthodontics, orthodontics and oral maxillofacial surgical management of a young adult male patient with a Skeletal Class III malocclusion who required rehabilitation of avulsed missing anterior teeth sustained from childhood TDI. The severity of the skeletal relationship required a Le Fort I maxillary advancement and a bilateral sagittal split osteotomy for the setback of the mandible in combination with orthodontics for correction of malocclusion and arch relationship prior to implant placement. Correction of the malocclusion and jaw deformity allowed the functional and aesthetic rehabilitation of the missing teeth using an i-FDP.

scholarly journals Nonsurgical Correction of Skeletal Class III Malocclusion by Multibends Edgewise Archwire Technique in an Adult

2015 ◽  
Vol 4 (2) ◽  
pp. 137-142
Author(s):  
Jian-hong YU ◽  
Chien-Chih YU ◽  
Chang Yuan-Chieh ◽  
Tsai Ya-Yu ◽  
Pan Po-Wei
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Niti Alloy ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Posterior Teeth ◽  
Skeletal Class ◽  
Anterior Teeth ◽  
Nonsurgical Correction ◽  
Lower Arch

ABSTRACT Skeletal class III malocclusion treated with orthognathic surgery usually can achieve a better facial profile and stable occlusion outcome. We describe a 37-year-old patient who sought orthodontic treatment for skeletal class III, but refused recommendations for orthognathic surgery because of personal considerations. After careful analysis of the X-ray images and study models, this patient was subjected to active orthodontic treatment to correct malocclusion using upper and lower arch with improved superelastic NiTi alloy wire (ISW) for efficient leveling of the teeth. In the lower arch, the multibends edgewise archwire (MEAW) technique was used to tip back and intrude the canine and posterior teeth. After the completion of treatment, anterior teeth crossbite was successfully corrected and proper occlusal relationships were reestablished. How to cite this article Chang YC, Jian-Hong YU, Tsai YY, Chien-Chih Y, Pan PW. Nonsurgical Correction of Skeletal Class III Malocclusion by Multibends Edgewise Archwire Technique in an Adult. Int J Experiment Dent Sci 2015;4(2): 137-142.

scholarly journals Management of the Vertical Dimension in the Camouflage Treatment of an Adult Skeletal Class III Malocclusion

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Manuel Gustavo Chávez Sevillano ◽  
Gina Judith Flores Diaz ◽  
Luciane Macedo de Menezes ◽  
Livia Kelly Ferraz Nunes ◽  
José Augusto Mendes Miguel ◽  
...  
Keyword(s):  
Treatment Option ◽  
Orthodontic Treatment ◽  
Vertical Dimension ◽  
Posterior Region ◽  
Occlusal Plane ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Effective Treatment Option ◽  
Skeletal Class ◽  
Dental Compensation

Treating skeletal class III malocclusions is one of the biggest challenges in Orthodontics. Given the complexity of these cases, orthognathic surgery is often the best treatment option. However, many patients refuse this treatment due to its risks, morbidity, and costs involved. Alternatively, dental compensation can be planned for some of these skeletal problems. This case report presents a dentoalveolar compensation in the orthodontic treatment of a 20-year-old female patient with class III malocclusion, concave profile, anterior crossbite, mandibular prognathism, maxillary retrusion, and a vertical deficiency in the posterior region. Treatment planning involved a multiloop edgewise archwire (MEAW) associated with intermaxillary elastics with counterclockwise rotation of the occlusal plane in the posterior region of the maxilla aiming at obtaining an increased posterior vertical dimension. After 24 months of treatment, the severe anterior crossbite was corrected, and the skeletal class III relationship was camouflaged. At the end of the orthodontic treatment, it was possible to observe an improved facial profile, a nice smile, and a functional occlusion. The results remained stable at a three-year follow-up. The MEAW, associated with the use of elastics, seems to be an effective treatment option for class III camouflage with reduced posterior vertical dimension with no need for additional anchoring devices but requiring adequate bending of wires and patient compliance.

scholarly journals Perawatan ortodonti kamuflase pada maloklusi kelas III skeletal dengan gigitan terbuka anteriorOrthodontic camouflage of skeletal class III malocclusion with an anterior open-bite

2021 ◽  
Vol 32 (3) ◽  
pp. 120
Author(s):  
William Suryajaya ◽  
Haru Setyo Anggani
Keyword(s):  
Case Report ◽  
Treatment Modality ◽  
Orthodontic Treatment ◽  
Open Bite ◽  
Anterior Region ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Anterior Open Bite ◽  
Skeletal Class ◽  
Anterior Teeth

Pendahuluan: Perawatan ortodonti kamuflase adalah perawatan untuk menyamarkan diskrepansi skeletal dengan mengubah posisi dan angulasi gigi-gigi pada lengkung rahang. Perawatan tersebut merupakan perawatan yang dapat dipilih selain bedah ortognatik bagi kasus maloklusi skeletal kelas III pada pasien dewasa. Maloklusi skeletal kelas III sering pula disertai dengan keadaan lain seperti gigitan terbuka anterior yang menambah kompleksitas modalitas perawatan. Tujuan laporan kasus ini untuk menjelaskan pilihan modalitas perawatan pasien maloklusi skeletal kelas III secara kamuflase ortodonti. Laporan kasus: Pasien wanita usia 19 tahun 2 bulan datang ke klinik Ortodonti RSGM FKG UI dengan keluhan gigi atas depan tidak teratur dan gigi depan atas dan bawah tidak bertemu. Diagnosis menunjukkan pola skeletal kelas III dengan posisi maksila dan mandibula terhadap basis cranii retrognati (SNA 73°, SNB 74°, ANB -1°)  disertai dengan crowding sedang dan gigitan terbuka anterior. Tipe wajah pasien dolikofasial, simetris dan seimbang. Profil jaringan lunak dan skeletal cekung. Kasus ini dirawat dengan pendekatan ortodonti kamuflase tanpa pencabutan menggunakan piranti cekat standar Edgewise untuk mengoreksi crowding pada lengkung gigi atas dan bawah serta gigitan terbuka pada regio anterior. Perawatan ortodonti selesai dalam waktu 13 bulan dan crowding pada lengkung gigi atas dan bawah serta gigitan terbuka pada regio anterior telah terkoreksi. Simpulan: Perawatan ortodonti kamuflase pada maloklusi kelas III skeletal dengan gigitan terbuka anterior ringan merupakan pilihan perawatan yang cukup baik karena dapat mengoreksi maloklusi dengan kompensasi dentoalveolar sehingga diperoleh oklusi yang baik dan stabil. Hasil perawatan menunjukan hasil yang cukup baik dan dapat diterima oleh pasien.Kata kunci: Maloklusi skeletal kelas III, crowding, open-bite anterior, standar edgewise, ortodonti kamuflase. ABSTRACTIntroduction: Orthodontic camouflage is a treatment to disguise skeletal discrepancies by changing the teeth position and angulation in the jaw arch. This treatment is an option other than orthognathic surgery for skeletal class III malocclusion in adult patients. Skeletal class III malocclusion is often accompanied by other conditions such as an anterior open-bite which adds the complexity of the treatment modality. This case report was aimed to describe the choice of treatment modality for skeletal class III malocclusion patients by orthodontic camouflage. Case report: A female patient aged 19 years and two months came to the Orthodontic Clinics at the Faculty of Dentistry of University of Indonesia Dental Hospital (RSGM FKG UI) with complaints of irregular maxillary anterior teeth, and the maxillary and mandibular anterior teeth did not overlap. The diagnosis showed a skeletal class III pattern with the maxillary and mandibular position against the retrognathic cranii base (SNA 73°, SNB 74°, ANB -1°) accompanied by moderate crowding and anterior open-bite. The patient’s face type is dolichofacial, symmetrical and balanced, with the concave soft and skeletal tissue profiles. This case was treated with a non-extraction camouflage orthodontic approach using the standard edgewise fixed appliance to correct crowding in the maxillary and mandibular dental arches and open-bite in the anterior region. The orthodontic treatment was completed within 13 months, and crowding in the maxillary and mandibular dental arches and open-bite in the anterior region were corrected. Conclusion: Camouflage orthodontic treatment is a good treatment option for skeletal class III malocclusion with a mild anterior open-bite because it can correct malocclusion with dentoalveolar compensation to obtain a good and stable occlusion. The treatment results show good results and can be accepted well by the patient.Keywords: Skeletal class III malocclusion, crowding, anterior open-bite, standard edgewise, orthodontic camouflage.

scholarly journals Prevalence of Malocclusion and Orthodontic Treatment Needs in Down Syndrome Sudanese Individuals

2014 ◽  
Vol 4 (2) ◽  
pp. 32-36
Author(s):  
Hiba A. Ibrahim ◽  
Amal H. Abuaffan
Keyword(s):  
Down Syndrome ◽  
Orthodontic Treatment ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Treatment Needs ◽  
Angle Class ◽  
Alpha Level ◽  
History Of ◽  
Angle Class Iii Malocclusion ◽  
Angle Class Iii

Objective: To determine prevalence of malocclusion and orthodontic treatment needs in Down syndrome individuals among Sudanese population in Khartoum area.Materials & Method: A total of 75 (37 males and 38 females) Down syndrome individuals age ranging from 6-28 years were clinically examined after obtaining their guardian’s consent, malocclusion was determined based on Angle and Incisor classification. Exclusion criteria were included individuals who had history of extraction and orthodontic treatment.Data was analysed by using SPSS Version 17, at an alpha level 0.05 and 95% confidence limits.Result: Angle Class III and Incisor III malocclusion represents the most prevalent type of malocclusions (58.7%) Angle classification, (53.3%) Incisors classification. Angle Class III malocclusion was more frequent among females (60.5%) than in males (56.8%). Themajority of individuals with Down syndrome are in need of orthodontic treatment (85.3%).Conclusion: The prevalence of malocclusion and orthodontic treatment need among Sudanese Down syndrome individuals was high. Angle and Incisor Class III malocclusion representing commonest trait of malocclusion with more frequency in femalesthan males.Key word: down syndrome, Class III malocclusion, orthodontic treatment

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 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)

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