scholarly journals Improved Super-elastic Ti–Ni Alloy Wire Treatment for Skeletal Class III Malocclusion with Anterior Crossbite Dentition

2019 ◽  
pp. 6-8
Author(s):  
Yuan-Chieh Chang ◽  
Ming-Ke Tsai ◽  
Jian-Hong Yu

A 20-year-old man presented at our clinic with a primary complaint of irregular dentition and reverse bite. Clinical examination revealed skeletal Class III malocclusion with an anterior crossbite and a completely blocked #25 in the maxilla. Because he refused to receive orthognathic surgery and experienced only mild functional interference, a nonextraction treatment method was adopted. Space creation on the left upper arch was successfully performed using an open coil spring for molar distalization and the improved super-elastic Ti–Ni alloy wire (ISW) Multi-bends Edgewise Arch Wire (MEAW) technique. Furthermore, #25 was aligned completely. The Class III malocclusion was corrected using the ISW MEAW technique combined with Class III elastics on the lower arch. Treatment was completed in approximately 16 months and a satisfactory occlusion was achieved after active treatment.

2019 ◽  
pp. 6-8
Author(s):  
Yuan-Chieh Chang ◽  
Ming-Ke Tsai ◽  
Jian-Hong Yu

A 20-year-old man presented at our clinic with a primary complaint of irregular dentition and reverse bite. Clinical examination revealed skeletal Class III malocclusion with an anterior crossbite and a completely blocked #25 in the maxilla. Because he refused to receive orthognathic surgery and experienced only mild functional interference, a nonextraction treatment method was adopted. Space creation on the left upper arch was successfully performed using an open coil spring for molar distalization and the improved super-elastic Ti–Ni alloy wire (ISW) Multi-bends Edgewise Arch Wire (MEAW) technique. Furthermore, #25 was aligned completely. The Class III malocclusion was corrected using the ISW MEAW technique combined with Class III elastics on the lower arch. Treatment was completed in approximately 16 months and a satisfactory occlusion was achieved after active treatment.


2019 ◽  
pp. 6-8
Author(s):  
Yuan-Chieh Chang ◽  
Ming-Ke Tsai ◽  
Jian-Hong Yu

A 20-year-old man presented at our clinic with a primary complaint of irregular dentition and reverse bite. Clinical examination revealed skeletal Class III malocclusion with an anterior crossbite and a completely blocked #25 in the maxilla. Because he refused to receive orthognathic surgery and experienced only mild functional interference, a nonextraction treatment method was adopted. Space creation on the left upper arch was successfully performed using an open coil spring for molar distalization and the improved super-elastic Ti–Ni alloy wire (ISW) Multi-bends Edgewise Arch Wire (MEAW) technique. Furthermore, #25 was aligned completely. The Class III malocclusion was corrected using the ISW MEAW technique combined with Class III elastics on the lower arch. Treatment was completed in approximately 16 months and a satisfactory occlusion was achieved after active treatment.


2019 ◽  
pp. 6-8
Author(s):  
Yuan-Chieh Chang ◽  
Ming-Ke Tsai ◽  
Jian-Hong Yu

A 20-year-old man presented at our clinic with a primary complaint of irregular dentition and reverse bite. Clinical examination revealed skeletal Class III malocclusion with an anterior crossbite and a completely blocked #25 in the maxilla. Because he refused to receive orthognathic surgery and experienced only mild functional interference, a nonextraction treatment method was adopted. Space creation on the left upper arch was successfully performed using an open coil spring for molar distalization and the improved super-elastic Ti–Ni alloy wire (ISW) Multi-bends Edgewise Arch Wire (MEAW) technique. Furthermore, #25 was aligned completely. The Class III malocclusion was corrected using the ISW MEAW technique combined with Class III elastics on the lower arch. Treatment was completed in approximately 16 months and a satisfactory occlusion was achieved after active treatment.


2019 ◽  
pp. 6-8
Author(s):  
Yuan-Chieh Chang ◽  
Ming-Ke Tsai ◽  
Jian-Hong Yu

A 20-year-old man presented at our clinic with a primary complaint of irregular dentition and reverse bite. Clinical examination revealed skeletal Class III malocclusion with an anterior crossbite and a completely blocked #25 in the maxilla. Because he refused to receive orthognathic surgery and experienced only mild functional interference, a nonextraction treatment method was adopted. Space creation on the left upper arch was successfully performed using an open coil spring for molar distalization and the improved super-elastic Ti–Ni alloy wire (ISW) Multi-bends Edgewise Arch Wire (MEAW) technique. Furthermore, #25 was aligned completely. The Class III malocclusion was corrected using the ISW MEAW technique combined with Class III elastics on the lower arch. Treatment was completed in approximately 16 months and a satisfactory occlusion was achieved after active treatment.


2019 ◽  
pp. 6-8
Author(s):  
Yuan-Chieh Chang ◽  
Ming-Ke Tsai ◽  
Jian-Hong Yu

A 20-year-old man presented at our clinic with a primary complaint of irregular dentition and reverse bite. Clinical examination revealed skeletal Class III malocclusion with an anterior crossbite and a completely blocked #25 in the maxilla. Because he refused to receive orthognathic surgery and experienced only mild functional interference, a nonextraction treatment method was adopted. Space creation on the left upper arch was successfully performed using an open coil spring for molar distalization and the improved super-elastic Ti–Ni alloy wire (ISW) Multi-bends Edgewise Arch Wire (MEAW) technique. Furthermore, #25 was aligned completely. The Class III malocclusion was corrected using the ISW MEAW technique combined with Class III elastics on the lower arch. Treatment was completed in approximately 16 months and a satisfactory occlusion was achieved after active treatment.


Author(s):  
D. J. Yakoub ◽  
O. I. Admakin ◽  
I. A. Solop ◽  
I. V. Startceva

Relevance. Skeletal Class III malocclusion is known to be one of the most difficult malocclusions to correct. Nonsurgical treatment of Class III in adults is a challenge; however, this patient refused surgery. A treatment method with Fixed Anterior Growth Guidance Appliance (FAGGA) was investigated in the study.Materials and methods. This case report presents a 37-year-old woman with skeletal Class III malocclusion for maxillary deficiency. As the patient didn’t agree to surgery, she was treated by Fixed Anterior Growth Guidance Appliance, followed by 3D SMILE® clear aligners. Fixed Anterior Growth Guidance Appliance was used initially. After 4 months, the appliance was removed and clear aligner treatment was initiated. Post-treatment radiographs showed improvement.Results. Intraorally, in the upper arch, a total of 4.00 mm of space were gained (about 2.00mm distal to each canine). The post-treatment cephalometric analysis showed a skeletal A-P Class I, the Upper incisor inclination to the optic plane was not significantly altered, ANS — antArc was improved by 1.5mm, the Effective Length of the Premaxilla increased by 2.6mm, U1 — ANS’ decreased by 1.7mm, Incisor mandibular plane angle (IMPA) autonomously improved by 11 degrees.Conclusions. Maxillary deficiency was corrected successfully with the Fixed Anterior Growth Guidance Appliance. The treatment is being continued by 3D SMILE® clear aligners. The goal was achieved despite the patient’s age and nonsurgical treatment.


2015 ◽  
Vol 4 (2) ◽  
pp. 137-142
Author(s):  
Jian-hong YU ◽  
Chien-Chih YU ◽  
Chang Yuan-Chieh ◽  
Tsai Ya-Yu ◽  
Pan Po-Wei

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.


2019 ◽  
Vol 24 (5) ◽  
pp. 52-59
Author(s):  
Mehrnaz Fakharian ◽  
Erfan Bardideh ◽  
Mostafa Abtahi

ABSTRACT Introduction: Skeletal Class III malocclusion is one of the most challenging malocclusions to treat. In around 40% of Class III patients, maxillary retrognathia is the main cause of the problem and in most patients, orthopedic/surgical treatments includes some type of maxillary protraction. Objective: The aim of this case report was to describe a treatment method for a patient with maxillary retrognathia and Class III skeletal discrepancy using mandibular and maxillary skeletal anchorage with intermaxillary elastics. Case report: A 13-year-old boy with maxillary retrognathia and mandibular prognathism was treated using bilateral miniplates. Two miniplates were inserted in the mandibular canine area and two other miniplates were placed in the infrazygomatic crests of the maxilla. Class III intermaxillary elastics were used between the miniplates. Results: After eight months of orthopedic therapy, ANB angle increased by 4.1 degrees and ideal overjet and overbite were achieved. Mandibular plane angle was increased by 2.1 degrees and the palatal plane was rotated counterclockwise by 4.8 degrees. Conclusion: This case showed that the skeletal anchorage treatment method may be a viable option for treating patients with Class III skeletal malocclusion.


2019 ◽  
Vol 90 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Masahiro Seiryu ◽  
Hiroto Ida ◽  
Atsushi Mayama ◽  
Satoshi Sasaki ◽  
Shutaro Sasaki ◽  
...  

ABSTRACT Objectives To investigate the hypothesis that there is difference in the treatment outcomes of milder skeletal Class III malocclusion between facemask and facemask in combination with a miniscrew in growing patients. Materials and Methods Patients were randomly divided into two groups. In one group, the patients were treated with facemask therapy (FM group: 12 males, eight females, average age: 10 years, 5 months ± 1 year, 8 months). In the other group, patients were treated with facemask therapy along with a miniscrew (FM+MS group: 12 males, seven females, average age: 11 years, 1 month ± 1 year, 3 months). A lingual arch with hooks was fixed to the maxillary arch in both groups and a protractive force of 500 g was applied from the facemask to the hooks. The patients were instructed to use the facemask for 12 hours per day. In the FM+MS group, a miniscrew was inserted into the palate and fixed to the lingual arch. Results Mobility and loosening of the miniscrew were not observed during treatment. Lateral cephalometric analysis showed that SNA, SN-ANS, and ANB values were significantly increased in the FM+MS group compared with those for the FM group (SNA, 1.1° SN-ANS, 1.3° ANB, 0.8°). Increase in proclination of maxillary incisors was significantly greater in the FM group than in the FM+MS group (U1-SN, 5.0°). Conclusions During treatment of milder skeletal Class III malocclusion, facemask therapy along with a miniscrew exhibits fewer negative side effects and delivers orthopedic forces more efficiently to the maxillary complex than facemask therapy alone.


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