Protraction facial mask in early treatment of class III malocclusion

Summary: Treatment of mild to moderate maloclussion class III with protraction facial maskcould reduce the need of orthognatic surgery at all or reduce the size of the orthognatic surgicalintervention. Objetive: To evaluate the effect of early treatment with facial mask in angle classIII patients. Methods: Two class III patientes were estudied beinf treated with facial masthe firstpatient used the facial mask 12 hours at day 3 months periods then the patient was switched todental orthopedic treatment controlled by Rx lateral perfilogram . The second patient used facialmask 6 months ,then switched to dental orthopedic treatment 3 years.The patients were controleduntil patients were 14 years old. Discussion: This serie of 2 case reports reveal that the use of aprotactil facial mask is favourable ro treat patients suffering class III maloclussions. Theskeletal facial changes were positively significant in those patients according to the datadetectable changes of maxillar and mandibular bone size and the cefalometric points a and b thatoclussal plane. In follow up studies ,it and determend that even after reach the patients 18 yearsof age, 67% of the patients were in normal oclussion even longer than 8 years after treatment.Thisresuet indicates that only on third of the ortonagte surgeris may be truly needed to the treatmentof ,class III dental. Key words: Class III maloclussion. Facial mask. Early dentaltreatment.

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Myofunctional Treatment of Anterior Crossbite in a Growing Patient

Case Reports in Dentistry ◽

10.1155/2020/8899184 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Marianna Pellegrino ◽

Maria Laura Cuzzocrea ◽

Walter Rao ◽

Gioacchino Pellegrino ◽

Sergio Paduano

Keyword(s):

Growth Pattern ◽

Early Treatment ◽

Mixed Dentition ◽

Class Iii ◽

Class Iii Malocclusion ◽

Night Time ◽

Therapy Strategy ◽

Aesthetic Results ◽

Mandibular Protrusion

The purpose of this case report is to add another means of treatment for the anterior crossbite malocclusion in early mixed dentition. The selected functional device is an eruption guidance appliance (EGA). The analysed patient had a functional anterior crossbite, a mandibular protrusion tendency, and a normodivergent growth pattern. The early treatment was suggested to correct the malocclusion and avoid unfavourable occlusal conditions that could end in a class III malocclusion growth pattern. After 18 months of treatment, with night-time use, the malocclusion was completely resolved. This therapy strategy allowed the correction of the sagittal jaws’ relationship and maximum control of the vertical dimension. After 2 years of follow-up, the results were preserved. The peculiarity of this kind of intraoral orthodontic tools is the use of the erupting forces rather than the active forces. This early treatment of anterior crossbites with EGA may be considered an effective treatment approach for achieving good functional and aesthetic results.

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Orthopedic Treatment Outcomes in Class III Malocclusion

The Angle Orthodontist ◽

10.2319/030207-108.1 ◽

2008 ◽

Vol 78 (3) ◽

pp. 561-573 ◽

Cited By ~ 88

Author(s):

Laura De Toffol ◽

Chiara Pavoni ◽

Tiziano Baccetti ◽

Lorenzo Franchi ◽

Paola Cozza

Keyword(s):

Clinical Trials ◽

Randomized Clinical Trials ◽

Scientific Evidence ◽

Quality Standard ◽

Class Iii ◽

Class Iii Malocclusion ◽

Medical Subject Headings ◽

Orthopedic Treatment ◽

High Quality Research ◽

Facial Mask

Abstract Objective: To assess the scientific evidence on the effectiveness of early orthopedic treatment in Class III subjects. Materials and Methods: A literature survey was performed by applying the Medline database (Entrez PubMed). The survey covered the period from January 1966 to December 2005 and used the Medical Subject Headings (MeSH). The following study types that reported data on the effects of Class III treatment with orthopedic appliances (facial mask, chincup, FR-3) on intermaxillary sagittal and vertical relationships were included: randomized clinical trials (RCTs), and prospective and retrospective longitudinal controlled clinical trials (CCTs) with untreated Class III controls. Results: The search strategy resulted in 536 articles. After selection according to criteria for inclusion and exclusion, 19 articles qualified for the final review analysis. One RCT and 18 CCTs were retrieved. Conclusion: The quality standard of the retrieved investigations ranged from low (four studies) to medium/high (five studies). Data derived from medium/high quality research described over 75% of success of orthopedic treatment of Class III malocclusion (RME and facial mask therapy) at a follow-up observation 5 years after the end of orthopedic treatment.

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Postpubertal Effects of the Rapid Maxillary Expansion and Facial Mask versus the Removable Mandibular Retractor for the Early Treatment of Class III Malocclusion: A Study on Lateral Cephalograms

Applied Sciences ◽

10.3390/app11188393 ◽

2021 ◽

Vol 11 (18) ◽

pp. 8393

Author(s):

Veronica Giuntini ◽

Matteo Camporesi ◽

Valeria Barone ◽

Matilde Marino Merlo ◽

Cosimo Nardi ◽

...

Keyword(s):

Early Treatment ◽

Rapid Maxillary Expansion ◽

Class Iii ◽

Class Iii Malocclusion ◽

Maxillary Expansion ◽

Facial Mask ◽

Skeletal Class ◽

Maxillary Protraction ◽

Time Points ◽

Lateral Cephalograms

The aim of this study was to compare the efficacy of early treatment of Class III malocclusions with rapid maxillary expansion (RME) and facial mask (FM) versus the removable mandibular retractor (RMR) re-evaluated at a postpubertal observation on lateral cephalograms. All prepubertal patients with Class III malocclusion treated consecutively from 1986 to 2013 by means of RME/FM or RMR were analyzed. Twenty-nine patients treated with RME/FM therapy and 23 patients treated with RMR were selected. Lateral cephalograms were available at 3 time points, before treatment (T1), at the end of active treatment (T2), and at a postpubertal observation (T3). Statistical comparisons were performed with independent sample t tests or Mann–Whitney tests. During the T1–T3 interval, a significantly greater maxillary protraction (SNA +1.5 mm, p = 0.031) and significantly greater improvements in ANB and Wits appraisal (+1.9 degrees, p = 0.002, and +2.2 mm, p = 0.012, respectively) were recorded in the RME/FM group. No statistically significant changes could be found in vertical skeletal measurements. In the dentoalveolar region, the RME/FM group showed a significantly greater correction of the molar relationship (−1.5 mm, p = 0.021). Early treatment of Class III malocclusion with RME/FM protocol in comparison with RMR protocol showed a greater maxillary advancement and greater improvements in sagittal skeletal Class III relationships.

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Early treatment of Class III malocclusion by maxillary protraction facial mask: effects on craniofacial structures and upper airway dimensions

l Orthodontie Française ◽

10.1684/orthodfr.2020.25 ◽

2020 ◽

Vol 91 (3) ◽

pp. 239-248

Author(s):

Hassen Dakhlaoui ◽

Rim Ben El Kahla ◽

Hiba Gmati ◽

Mariem Nasfi ◽

Anissa El Yemni Zinelabidine

Keyword(s):

Early Treatment ◽

Upper Airway ◽

Class Iii ◽

Class Iii Malocclusion ◽

Facial Mask ◽

Maxillary Protraction ◽

Airway Dimensions

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Early treatment of Class III malocclusion: 10-year clinical follow-up

Journal of Applied Oral Science ◽

10.1590/s1678-77572011000400022 ◽

2011 ◽

Vol 19 (4) ◽

pp. 431-439 ◽

Cited By ~ 13

Author(s):

Marcio Rodrigues de Almeida ◽

Renato Rodrigues de Almeida ◽

Paula Vanessa Pedron Oltramari-Navarro ◽

Ana Cláudia de Castro Ferreira Conti ◽

Ricardo de Lima Navarro ◽

...

Keyword(s):

Early Treatment ◽

Class Iii ◽

Class Iii Malocclusion

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Skeletal effects of early treatment of Class III malocclusion with maxillary expansion and face-mask therapy

American Journal of Orthodontics and Dentofacial Orthopedics ◽

10.1016/s0889-5406(98)70306-3 ◽

1998 ◽

Vol 113 (3) ◽

pp. 333-343 ◽

Cited By ~ 195

Author(s):

Tiziano Baccetti ◽

Jean S. McGill ◽

Lorenzo Franchi ◽

James A. McNamara ◽

Isabella Tollaro

Keyword(s):

Early Treatment ◽

Face Mask ◽

Class Iii ◽

Class Iii Malocclusion ◽

Maxillary Expansion ◽

Skeletal Effects

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Orthodontic camouflage of skeletal Class III malocclusion with miniplate: a case report

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.21.4.089-098.oar ◽

2016 ◽

Vol 21 (4) ◽

pp. 89-98 ◽

Cited By ~ 4

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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Effects of a pre-fabricated corrector appliance in the early treatment of anterior crossbite in Class III malocclusion

10.11606/d.25.2021.tde-22112021-153505 ◽

2021 ◽

Author(s):

Gonzalo Paúl Velásquez Huilca

Keyword(s):

Early Treatment ◽

Class Iii ◽

Class Iii Malocclusion

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Direct Anterior Tracks: Early and Functional Management of Class III Malocclusions—Case Report and Literature Review

Case Reports in Dentistry ◽

10.1155/2019/9323969 ◽

2019 ◽

Vol 2019 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Echeverry Juan Carlos ◽

Barbosa-Liz Diana

Keyword(s):

Case Report ◽

Literature Review ◽

Early Treatment ◽

Class Iii ◽

Class Iii Malocclusion ◽

Innovative Treatment ◽

Different Populations ◽

Functional Management

The prevalence of class III malocclusion ranged from 0 to 26% in different populations. Many types of treatments have been described in dental literature. The results of early treatment have been positive. The purpose of this report is to describe the case of a four-year-old patient with class III malocclusion who received an innovative treatment using direct anterior tracks. This therapy efficiently obtained immediate improvement of profile and occlusal relationships.

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