scholarly journals Treatment of class III Malocclusion with maxillary expansion and face-mask therapy: A case report

2014 ◽  
Vol 2 (1) ◽  
pp. 59-63
Author(s):  
M Mansuri ◽  
VP Singh
Keyword(s):  
Treatment Option ◽  
Face Mask ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Expansion ◽  
Mandibular Growth ◽  
Maxillary Protraction ◽  
Medical College ◽  
Skeletal Pattern ◽  
Functional Appliances

The developing class III malocclusion is one of the most challenging problems for the practicing orthodontist to manage clinically. True class III malocclusion is rare in our region as compared to Class II and Class I malocclusion. With adults, orthognathic surgery and dental camouflage is the viable treatment option. A variety of treatment alternatives exists for patients in the developing stages of a Class III malocclusion. In the past much of the therapy has focused on restriction of mandibular growth with chin cups and functional appliances. This is based on the traditional thought that developing Class III malocclusions were the result of  prognathic mandible. Recently, however, there has been a growing awareness that the majority of patients with a developing Class III skeletal pattern exhibit a maxillary deficiency with a normal or only slightly prognathic mandible. Therefore, considerable attention has been given to early treatment using maxillary protraction therapy. Using facemask therapy in conjunction with maxillary expansion has been shown in clinical reports to be a successful and predictable treatment option. Treatment should be carried out as early as possible with the aim to prevent it from becoming severe. A case treated with biphasic therapy – orthopaedic appliance followed by fixed orthodontic treatment is presented here. DOI: http://dx.doi.org/10.3126/jmcjms.v2i1.11539 Janaki Medical College Journal of Medical Sciences (2014) Vol. 2 (1):59-63

scholarly journals Expansion/Facemask Treatment of an Adult Class III Malocclusion

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Gregory W. Jackson ◽  
Neal D. Kravitz
Keyword(s):  
Face Mask ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Older Children ◽  
Maxillary Expansion ◽  
Viable Option ◽  
Maxillary Protraction ◽  
Skeletal Pattern ◽  
Maxillary Deficiency ◽  
The Ideal

The orthodontic treatment of class III malocclusion with a maxillary deficiency is often treated with maxillary protraction with or without expansion. Skeletal and dental changes have been documented which have combined for the protraction of the maxilla and the correction of the class III malocclusion. Concerning the ideal time to treat a developing class III malocclusion, studies have reported that, although early treatment may be the most effective, face mask therapy can provide a viable option for older children as well. But what about young adults? Can the skeletal and dental changes seen in expansion/facemask therapy in children and adolescents be demonstrated in this age group as well, possibly eliminating the need for orthodontic dental camouflage treatment or orthognathic surgery? A case report is presented of an adult class III malocclusion with a Class III skeletal pattern and maxillary retrusion. Treatment was with nonextraction, comprehensive edgewise mechanics with slow maxillary expansion with a bonded expander and protraction facemask.

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

1998 ◽  
Vol 113 (3) ◽  
pp. 333-343 ◽  
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

scholarly journals Early correction of class III malocclusion with rapid maxillary expansion and face mask therapy

2013 ◽  
Vol 5 (6) ◽  
pp. 169 ◽  
Author(s):  
Muthukumar Karthi ◽  
GobichettipalayamJagatheeswaran Anbuselvan ◽  
BhandariPawan Kumar
Keyword(s):  
Face Mask ◽  
Rapid Maxillary Expansion ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Expansion ◽  
Early Correction

scholarly journals INFLUENCE OF GROWTH IN TREATED CLASS III GROWING PATIENTS WITH FACE MASK THERAPY AND UNTREATED PATIENTS

2019 ◽  
Vol 31 (4) ◽  
pp. 883-888
Author(s):  
Sofija Carceva Shalja ◽  
Sandra Atanasova
Keyword(s):  
Negative Impact ◽  
Face Mask ◽  
Treated Group ◽  
Control Group ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Protraction ◽  
Before And After ◽  
Maxillary Deficiency ◽  
Observation Period

Developing Class III Malocclusion in most of the cases affects dentofacial appearance. The goal of this study is to investigate the changes in the facial appearances in treated patients withFace mask orthopedic treatment and untreated Class III patients. The sample consisted 49 patients (boys and girls),with average age of 9 years, who had a Class III Malocclusion with an anterior crossbite and a component of maxillary deficiency. 28 of them were treated with protraction Face mask- Delair mask (petit tipe), and the other 21 were presenting the control group consisted of untreated Class III Patients.In treated group pretreatment and posttreatment cephalometric radiographs from 28 patients(15 males and 13 females) were analyzed and compared with the results of cephalometric analyzes in untreated group(observation period of 1 year). Results from these study showed forward displacement of maxilla(SNA p<0.05),increasing of maxillary length(Co-A p<0.05)correction of maxillary-mandibular relationship(ANB p<0.05) in treated group while in untreated groupvalues for the parameters in the upper jaw and inter jaw relationship before and after the observation period of 1 yearshowed no statistically significant changes pointing to the negative impact of incorrect skeletal terms in Class III growing patients.Based on our findings we can concluded that in Class III patients there is a big motivation for orthodontic treatment because their dentofacial appearance deviates from sociocultural norms.Therefore, an important objective of accepting maxillary protraction treatment in Class III malocclusion is providing nonsurgical alternative in the treatment and improving the physico-social wellbeing and appearance of the patients, especially during their teenage years.

Use of the Face Mask in the Treatment of Maxillary Retrusion—A Case Report

1991 ◽  
Vol 18 (4) ◽  
pp. 333-338 ◽  
Author(s):  
S. Doğan ◽  
N. Ertürk
Keyword(s):  
Case Report ◽  
Active Treatment ◽  
Face Mask ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Pattern ◽  
The Face

A case report is presented of a Class III malocclusion with a Class III skeletal pattern and maxillary retrusion. The patient, an 11-year-old girl, was treated with an orthopaedic face mask in conjunction with standard Edgewise mechanics. Treatment was completed after 14 months, and proved to be stable following the active treatment and at recall 4 years later.

Effects of Combined Bonded Maxillary Expansion and Face Mask on Dental Arch Length in Patients with Skeletal Class III Malocclusions

2017 ◽  
Vol 41 (1) ◽  
pp. 75-81 ◽  
Author(s):  
Fatma Deniz Uzuner ◽  
Duygu Öztürk ◽  
Selin Kale Varlık
Keyword(s):  
Face Mask ◽  
Mixed Dentition ◽  
Dental Arch ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Expansion ◽  
Skeletal Class ◽  
Palatal Rugae ◽  
Dental Arch Length ◽  
Orthodontic Models

Objective: To evaluate the effects of combined rapid maxillary expansion (RME) and face mask (FM) therapy during the mixed dentition period on the dental arch length in patients with skeletal Class III malocclusion. Study Design: We evaluated pre- and post-treatment orthodontic models of 52 patients (25 girls, 27 boys) aged 8–12 years with skeletal Class III malocclusion(ANB&lt;0) accompanied by maxillary transverse deficiency and retrognatism treated by bonded RME-FM therapy for a mean duration of 8 months. Palatal rugae, the cusp tips of permanent first molars, deciduous molars/permanent premolars, deciduous canines and the incisal edges of permanent central incisors were marked on orthodontic models, which were then photocopied. Inter-molar, inter-premolar and inter-canine widths; the arch length; the arch depth and molar and incisor sagittal movements were measured on these photocopies. Statistical comparisons were made using paired t-tests. Results: Inter-molar, inter-premolar and inter-canine widths and the arch length showed significant increases after treatment, while the arch depth showed a significant decrease (p&lt;0.001 for all). Conclusions: With the study limitations, our results suggest that combined RME-FM therapy increases the arch length in the mixed dentition of patients with skeletal Class III malocclusion.

scholarly journals Orthopedic treatment of Class III malocclusion with rapid maxillary expansion combined with a face mask: a cephalometric assessment of craniofacial growth patterns

2012 ◽  
Vol 17 (3) ◽  
pp. 118-124 ◽  
Author(s):  
Daniella Torres Tagawa ◽  
Carolina Loyo Sérvulo da Cunha Bertoni ◽  
Maria Angélica Estrada Mari ◽  
Milton Redivo Junior ◽  
Luís Antônio de Arruda Aidar
Keyword(s):  
Face Mask ◽  
Rapid Maxillary Expansion ◽  
Growth Patterns ◽  
Craniofacial Growth ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Expansion ◽  
Orthopedic Treatment

scholarly journals Quick Correction of a Skeletal Class III Maloclussion in Primary Dentition with Face Mask Plus Rapid Maxillary Expansion Therapy

2018 ◽  
Vol 20 (2) ◽  
pp. 31-37
Author(s):  
Hilda Alejandra Bedolla-Gaxiola DDS ◽  
David Garrigós-Esparza DDS ◽  
Juan Carlos Hernández-Cabanillas DDS, MS ◽  
Miguel Ángel Rosales-Berber DDS ◽  
Amaury Pozos-Guillén DDS, PhD ◽  
...  
Keyword(s):  
Clinical Signs ◽  
Face Mask ◽  
Rapid Maxillary Expansion ◽  
Primary Dentition ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Expansion ◽  
Orthopedic Treatment ◽  
Clockwise Rotation ◽  
Skeletal Class

Skeletal Class III is a malocclusion characterized by anterior crossbite as a result of an abnormal skeletal maxillary and mandibular base discrepancy, which involves disharmony of craneofacial skeleton and profile. The preferred management for children having skeletal Class III malocclusion with retruded maxilla and/or prognathic mandible is the use of devices that encourage the growth and anterior movement of the maxilla bone and/or restrict the exessive mandible growth. The orthopedic treatment consisting of a face mask with rapid maxillary expansion (RME) produces the most dramatic results in the shortest period of time. The purpose of this article is to review a quick correction of skeletal class III maloclussion in the primary dentition through a case example with use of a face mask plus rapid maxillary expansion therapy in a 5 year-old male patient due to a combination of retruded maxilla and protruded mandible, in primary dentition, who was treated with a Petit face mask in conjunction with a bonded RME intraoral appliance added with bite blocks. The first evident occlusal outcomes were a clockwise rotation of the mandible, a positive overjet of 3 mm, a correct overbite, a canine Class I relationship, and a bilateral flush terminal plane. After discussing the present clinical case report and the related published literature, we concluded that skeletal class III malocclusions should be treated as soon as the first clinical signs of abnormal craniofacial growth are recognized, during the first years of life.

scholarly journals Modified hyrax splint for rapid maxillary expansion in esthetically concerned patients

2015 ◽  
Vol 5 ◽  
pp. 118-119
Author(s):  
Sarabjeet Singh Sandhu ◽  
Taruna Puri ◽  
Navreet Sandhu
Keyword(s):  
Orthodontic Treatment ◽  
Rapid Maxillary Expansion ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Expansion ◽  
Routine Procedure ◽  
Maxillary Protraction ◽  
Deciduous Molars ◽  
Maxillary Deficiency

The orthodontic treatment of Class III malocclusion with a maxillary deficiency is often treated with maxillary protraction either with or without maxillary expansion. The routine procedure for rapid maxillary expansion includes banding on first premolars/first deciduous molars and the permanent first molars. However in some patients who are esthetically very conscious, banding of the first premolar would not be a good esthetic option. So for such circumstances we have designed a modified hyrax splint, which does not need the first premolars to be banded.

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