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.

scholarly journals Skeletal Class III malocclusion treated by pre-surgical orthodontics followed by bilateral sagittal split osteotomy

2013 ◽  
Vol 1 (2) ◽  
pp. 9-12
Author(s):  
MZ Hossain ◽  
HM Rizvi ◽  
MSA Mamun ◽  
S Haque
Keyword(s):  
Orthodontic Treatment ◽  
Anterior Segment ◽  
Treatment Phase ◽  
Class Iii ◽  
Facial Profile ◽  
Skeletal Class ◽  
Sagittal Split Osteotomy ◽  
Dentofacial Deformities ◽  
Bilateral Sagittal Split Osteotomy ◽  
Mandibular Protrusion

Surgical correction of Dentofacial Deformities is the work of many surgeons but the orthodontist are very much involved in preparing the patients for surgery. This case report describes treatment for severe skeletal Class III with excessive reverse overjet by pre-surgical orthodontic treatment followed by bilateral sagittal split osteotomy (BSSO). The patient had a concave profile, a long lower facial height, large tongue volume and excessive mandibular protrusion and a high mandibular plane angle. The occlusion was well aligned including root paralleling in both the arches during the presurgical orthodontic treatment phase. After dental correction in both the arches, bilateral sagittal split osteotomy with mandibular push back was performed. The post treatment records showed a good facial profile and occlusion. The mandible was stable, however, there was spacing in the upper anterior segment. These results demonstrate that presurgical orthodontic treatment combined with bilateral sagittal split osteotomy resulted improvement of facial profile, aesthesis and functional need. DOI: http://dx.doi.org/10.3329/bjodfo.v1i2.15984 Ban J Orthod & Dentofac Orthop, April 2011; Vol-1, No.2, 9-12

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.

scholarly journals An original approach of maxillary transversal deficiency with lingual orthodontics

2018 ◽  
Vol 21 (3) ◽  
pp. 302
Author(s):  
C. Bernard-Granger ◽  
R. Filippi ◽  
P Cresseaux
Keyword(s):  
Gold Standard ◽  
Surgical Procedure ◽  
Orthodontic Treatment ◽  
Standard Treatment ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
The Right ◽  
Maxillary Deficiency ◽  
Original Approach

The difficulty of management of a transverse maxillary hypoplasia is to choose the right treatment and the appropriate tools. When transverse maxillary insufficient is associated to sagittal and/or vertical discrepancies in adults, the gold standard treatment is a surgical procedure combined with orthodontic treatment. The surgical procedure can be done in 1 or 2 stages. If the patient chooses a lingual orthodontic technique, the tools for expansion and the stabilization of expansion are not simple to use. The aim of this article is to report the case of a 25-year-old male patient, referred to our cabinet for skeletal Class-III malocclusion associated with laterognathism and transverse maxillary deficiency. The patient underwent one-stage surgery. He choose to be treated by a lingual orthodontic technique, we used the FKS® disjunction device.

scholarly journals Perawatan ortodontik menggunakan protraction arch pada kasus prognati mandibula dengan anterior crossbite dan central diastemaOrthodontic treatment using protraction arch in prognathic mandibular with anterior crossbite and central diastema

2020 ◽  
Vol 32 (1) ◽  
pp. 59
Author(s):  
Dhani Ayu Andini ◽  
Haru Setyo Anggani
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Growth Patterns ◽  
Class Iii ◽  
Facial Growth ◽  
Facial Profile ◽  
Skeletal Class ◽  
Lower Jaw ◽  
Dental Hospital ◽  
Jaw Position

Pendahuluan: Profil wajah cekung dan anterior crossbite merupakan gambaran morfologi wajah khas pada maloklusi kelas III dan diperkuat oleh hasil analisis sefalometri lateral. Terkadang maloklusi kelas III disertai dengan ukuran gigi yang lebih kecil dari normal sehingga menyebabkan terbentuknya gigi bercelah. Gambaran tersebut tentu semakin mengurangi estetika wajah pasien maloklusi kelas III. Tujuan laporan kasus ini adalah menyampaikan perawatan maloklusi kelas III yang memiliki malposisi anterior crossbite dan central diastema. Laporan kasus: Seorang pasien wanita usia 32 tahun, berprofesi sebagai jurnalis datang ke RSKGM FKG UI dengan keluhan gigi atas bercelah, gigi bawah maju serta merasa senyum kurang menarik. Perawatan ortodontik dilakukan menggunakan protraction arch dengan tujuan menghilangkan anterior crossbite serta menutup gigi bercelah. Hasil perawatan selama 18 bulan, anterior crossbite dan celah gigi sudah terkoreksi, tercapai overjet positif, gigi insisif atas memberi dukungan bagi bibir sehingga profil wajah menjadi lurus dan penampilan menjadi lebih baik. Simpulan: Perawatan ortodontik menggunakan protraction arch pada kasus prognati mandibula dengan anterior crossbite dan central diastema memberikan hasil yang cukup baik karena diskrepansi dentoalveolar masih tergolong ringan, tidak terdapat diskrepansi transversal dan didukung oleh pola pertumbuhan wajah dalam rentang normal atau cenderung ke arah horizontal dan dapat memperbaiki fungsi pengunyahan dan estetika.Kata kunci: Anterior crossbite, maloklusi kelas III, central diastema, protraction arch. ABSTRACT Introduction: Concave profile and anterior crossbite are common facial deformity appear in skeletal class III, besides the lateral cephalometric analysis. Frequently, small-sized teeth appear in class III malocclusion cases which causes spacing. Spaced teeth caused unpleasing appearance. This case report described conventional orthodontic treatment for skeletal class III with anterior crossbite and central diastema. Case report: A 32 years-old-female journalist came to the Dental Hospital of the Faculty of Dentistry University of Indonesia complaining about her central diastema in the upper arch, forwardly lower jaw position and unpleasant smile. The orthodontic treatment using protraction arch aimed at correcting anterior crossbite and eliminating spaced teeth. An 18-months treatment successfully fixed the anterior crossbite and spaced teeth. Ideal overjet was achieved, upper teeth camouflaged the mid-face deficiency; therefore, create a balanced facial profile. Conclusion: Orthodontic treatment using arch protraction in the case of mandibular prognosis with anterior crossbite and central diastema gives good results because dentoalveolar discrepancy is still relatively mild. There is no transversal discrepancy and supported by facial growth patterns in the normal range, or tends to be horizontal, and proven to be able to improve the mastication and aesthetical function.Keywords: Anterior crossbite, malocclusion class III, central diastema, protraction arch.

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.

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