scholarly journals Management of skeletal Class III malocclusion with unilateral crossbite on a growing patient using facemask-bonded rapid palatal expander and fixed appliances

2015 ◽  
Vol 5 ◽  
pp. 215-219
Author(s):  
Tinnie Effendy ◽  
Benny M. Soegiharto
Keyword(s):  
Open Bite ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Facial Profile ◽  
Skeletal Class ◽  
Curve Of Spee ◽  
Orthopaedic Treatment ◽  
Patient Cooperation ◽  
Growth Modification ◽  
Fixed Appliances

Facemask (FM) and bonded rapid palatal expander (RPE) are part of growth modification treatments for correcting skeletal Class III pattern with retrognathic maxilla. This orthopaedic treatment is usually preceded by fixed appliances to achieve aesthetic dental alignment and improve interdigitation. This case report reviews treatment of Class III malocclusion with unilateral crossbite in a 12-year-old boy using FM and bonded RPE, followed by fixed appliances. Choice of FM and bonded RPE was in line with indication which was mild Class III malocclusion with retrognathic maxilla. Execution of treatment was made considering treatment biomechanics and patient cooperation. This orthopaedic treatment was followed by orthodontic treatment specifically aimed to correct unilateral crossbite, canine relationship yet to reach Class I, lower midline shift, as well as unintended dental consequences of using bonded RPE, namely posterior open bite and deepening curve of spee. Posttreatment facial profile and smile are more esthetic. Occlusion is significantly improved both functionally and aesthetically.

Clinical treatment of oral manifestations of Beckwith-Wiedeman syndrome in a child

2003 ◽  
Vol 27 (4) ◽  
pp. 377-380 ◽  
Author(s):  
Aldo Giancotti ◽  
Gaia Romanini ◽  
Raffaella Docimo ◽  
Claudio Arcuri
Keyword(s):  
Multidisciplinary Approach ◽  
Open Bite ◽  
Early Age ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Functional Rehabilitation ◽  
Retention Period ◽  
Skeletal Class ◽  
Fixed Appliances ◽  
Timely Treatment

Orthodontic treatment in a young patient with Beckwith-Wiedeman Syndrome (BWS) is reported and a multidisciplinary approach to the management of this syndrome is reviewed. The patient presented with a tendency to Class III malocclusion, an open-bite and a slight macroglossia, which was treated at an early age by glossotomy. It was decided to monitor growth without treatment and to wait for the best time to begin therapy. It was based only on functional rehabilitation, without any fixed appliances, in which optimum intercuspation of the teeth and the skeletal Class I relationship was achieved and maintained after the retention period of three years. In conclusion the treatment of BWS patients requires a multidisciplinary approach that includes orthodontics, orthopaedics and surgical intervention. It is also necessary to underline the significance of diagnosis at an early age and timely treatment to reduce the development of dento-skeletal alterations.

scholarly journals Skeletal Class III Malocclusion with Lateral Open Bite and Facial Asymmetry Treated with Asymmetric Lower Molar Extraction and Lingual Appliance: A Case Report

2021 ◽  
Vol 18 (10) ◽  
pp. 5381
Author(s):  
Vo Truong Nhu Ngoc ◽  
Nguyen Thi Thu Phuong ◽  
Nguyen Viet Anh
Keyword(s):  
Case Report ◽  
Open Bite ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Facial Esthetics ◽  
Lingual Appliance ◽  
Lower Incisors ◽  
Mandibular Incisors ◽  
Molar Extraction

A skeletal Class III malocclusion with open bite tendency is considered very difficult to treat orthodontically without surgery. This case report describes the lingual orthodontic treatment of an adult skeletal Class III patient with mandibular deviation to the left side, lateral open bite, unilateral posterior crossbite, zero overbite and negative overjet. The lower incisors were already retroclined to compensate with the skeletal discrepancy. The patient was treated by asymmetric molar extraction in the mandibular arch to retract the lower incisors and correct the dental midline, with the help of intermaxillary elastics. Lingual appliance was used with over-torqued lower anterior teeth’s brackets to control the torque of mandibular incisors. After a 30-month treatment, satisfactory smile and facial esthetics and good occlusion was achieved. A 12-month follow-up confirmed that the outcome was stable. Asymmetric molar extraction could be a viable option to retract mandibular incisors in Class III malocclusion with lower dental midline deviation.

scholarly journals Sexual dimorphism in the long-term stability (10 years) of skeletal Class III treatment

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Natalia Tejedor ◽  
Conchita Martín ◽  
José Antonio Alarcón ◽  
María Dolores Oteo-Calatayud ◽  
Juan Carlos Palma-Fernández
Keyword(s):  
Sexual Dimorphism ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Term Stability ◽  
Long Term Stability ◽  
Fixed Appliances ◽  
Males And Females ◽  
Class Iii Treatment

Abstract Background Class III malocclusion is associated with high sexual dimorphism, especially in individuals older than 13 years of age, with significant differences in growth between males and females during the pubertal and postpubertal stages, and in adulthood. The aim of this research was to examine differences between males and females in long-term stability (10 years) of treatment for skeletal Class III malocclusion. Methods Thirty patients (15 males and 15 females) with skeletal Class III malocclusion, who had been treated with rapid maxillary expansion (RME) combined with face mask protraction followed by fixed appliances, were selected sequentially. Thirty patients (15 males and 15 females) with skeletal Class I and mesofacial patterns treated only with fixed appliances for dental problems served as the control group. Differences between groups and sexes were evaluated using lateral cephalograms taken at the start of treatment (T0), immediately after the end of treatment (T1), and after 10 years (T2). The long-term treatment success rate was calculated. Results Ten years after Class III treatment, overjet and overbite relapse occurred similarly in females (− 0.68 ± 0.7 mm; − 0.38 ± 0.75 mm, respectively) and males (− 1.09 ± 1.47 mm; − 0.64 ± 0.9 mm, respectively); the ANB angle and Wits appraisal became significantly more negative in males (− 1.37 ± 1.06°; − 2.7 ± 2.53 mm) than in females (− 0.18 ± 1.26°; − 0.46 ± 1.94 mm). The success rate was 73.3% in males and 80% in females. Conclusions Significant differences in the long-term stability of Class III treatment outcomes have been found between males and females, with a larger skeletal Class III relapse and lower long-term success rates in males.

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.

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)

scholarly journals Compensatory Class III malocclusion treatment associated with mandibular canine extractions

2017 ◽  
Vol 22 (6) ◽  
pp. 86-98
Author(s):  
Guilherme Janson ◽  
Olga Benário Vieira Maranhão
Keyword(s):  
Treatment Options ◽  
Surgical Approaches ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Treatment Alternative ◽  
Current Case ◽  
Facial Profile ◽  
Skeletal Class ◽  
Orthognatic Surgery ◽  
Mandibular Canine

ABSTRACT Skeletal Class III malocclusions are ideally treated with orthodontic-surgical approaches. However, if there are no significant soft tissue implications and the patient does not want to undergo orthognatic surgery, other treatment options may be considered. The current case report describes a compensatory alternative for Class III malocclusion treatment, by means of mandibular canine extractions. This treatment alternative provided facial profile and occlusal improvement, which remains stable seven years posttreatment.

scholarly journals Changes in soft tissue profile during the treatment of Class III malocclusion treated with Class III activator

2013 ◽  
Vol 2 (2) ◽  
pp. 24-29
Author(s):  
MSA Mamun ◽  
MLA Hyder ◽  
MZ Hossain
Keyword(s):  
Soft Tissue ◽  
Treated Patient ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Facial Profile ◽  
Skeletal Class ◽  
Soft Tissue Profile ◽  
Tissue Changes ◽  
Soft Tissue Changes ◽  
Cephalometric Study

Objective: This longitudinal retrospective cephalometric study was undertaken in an attempt to evaluate the effect of Class III activator on the soft tissue structures in subjects with skeletal Class III. Methods: The material consisted of cephalometric films of 26 Class III patients (13females and 13 males, with a mean age of 13.58±4.38 years). Each treated patient was matched before treatment with Class III subject for sex and age. Differences at T1 and T2 were examined using paired t-test. Results: After treatment the patients' soft tissue profile improved significantly compare with before treatment. Conclusion: Soft tissue changes were found in patients treated by Class III activator in skeletal Class III patients. Clinical relevance: Class III activator may be an efficient method to improving soft tissue facial profile in Skeletal Class III malocclusion. DOI: http://dx.doi.org/10.3329/bjodfo.v2i2.16160 Ban J Orthod & Dentofac Orthop, April 2012; Vol-2, No.2, 24-29

scholarly journals Nonsurgical treatment of a hyperdivergent skeletal Class III patient with mini-screw–assisted mandibular dentition distalization and flattening of the occlusal plane

2021 ◽  
Author(s):  
Yiruo He ◽  
Yangyang Wang ◽  
Xinghai Wang ◽  
Jiangyue Wang ◽  
Ding Bai ◽  
...  
Keyword(s):  
Treatment Plan ◽  
Open Bite ◽  
Nonsurgical Treatment ◽  
Occlusal Plane ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Anterior Open Bite ◽  
Skeletal Class ◽  
Posterior Crossbite ◽  
Mandibular Plane

ABSTRACT Treatment of hyperdivergent skeletal Class III malocclusion is challenging for orthodontists, and orthognathic-orthodontic treatment is usually required. This report presents the successful nonsurgical treatment of a 20-year-old man who had a skeletal Class III malocclusion with anterior open bite, anterior and posterior crossbite, hyperdivergent growth pattern, steep occlusal plane, early loss of three first molars, and an uncommon convex profile with a retruded chin. An orthodontic camouflage treatment plan was chosen based on the etiology and the patient's complaints. Tooth #37 was extracted. Miniscrews were used for uprighting and intruding of the lower molars, distalization of the lower dentition, and flattening of the occlusal plane. After 34 months of active treatment, Class I relationships, proper anterior overjet and overbite, flat occlusal plane, and an esthetic facial profile were achieved. The results demonstrated that the biomechanics involved in the nonsurgical treatment assisted with miniscrews to distalize the mandibular dentition and flatten the occlusal plane while keeping the mandibular plane stable was effective for treating this hyperdivergent skeletal Class III patient with a convex profile and anterior open bite.

scholarly journals Multiloop Edgewise Arch-wire Technique for Skeletal Class III Openbite: A Case Report

2018 ◽  
Vol 7 (2) ◽  
pp. 56-59
Author(s):  
Dharma Laxmi Basukala
Keyword(s):  
Case Report ◽  
Morphological Characteristics ◽  
Open Bite ◽  
Occlusal Plane ◽  
Fourth Quadrant ◽  
Third Molars ◽  
Class Iii ◽  
High Angle ◽  
Class Iii Malocclusion ◽  
Skeletal Class

Skeletal Class III with openbite is one of the most difficult malocclusion to treat orthodontically. Generally, the morphological characteristics of this malocclusion are poor antero-posterior growth of the maxilla or excessive growth of the mandible with high angle. An 18-year-old male had Class III malocclusion with retrognathic maxilla and normal mandible with high angle. All third molars except on fourth quadrant were extracted to eliminate the posterior crowding. Multiloop Edgewise Arch-wire (MEAW) technique was used to upright the mesially inclined buccal teeth and to correct occlusal plane. In nine month time,  anterior cross bite and open bite were corrected; normal overjet, overbite and Class I canine relation were achieved.

scholarly journals Camouflage treatment of skeletal Class III malocclusion with multiloop edgewise arch wire and modified Class III elastics by maxillary mini-implant anchorage

2013 ◽  
Vol 83 (4) ◽  
pp. 630-640 ◽  
Author(s):  
Shushu He ◽  
Jinhui Gao ◽  
Peter Wamalwa ◽  
Yunji Wang ◽  
Shujuan Zou ◽  
...  
Keyword(s):  
Principal Component ◽  
Open Bite ◽  
Control Group ◽  
Vertical Position ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Mini Implants ◽  
Experimental Group ◽  
Lower Incisors

ABSTRACT Objective: To evaluate the effect of the multiloop edgewise arch wire (MEAW) technique with maxillary mini-implants in the camouflage treatment of skeletal Class III malocclusion. Materials and Methods: Twenty patients were treated with the MEAW technique and modified Class III elastics from the maxillary mini-implants. Twenty-four patients were treated with MEAW and long Class III elastics from the upper second molars as control. Lateral cephalometric radiographs were obtained and analyzed before and after treatment, and 1 year after retention. Results: Satisfactory occlusion was established in both groups. Through principal component analysis, it could be concluded the anterior-posterior dental position, skeletal sagittal and vertical position, and upper molar vertical position changed within groups and between groups; vertical lower teeth position and Wits distance changed in the experimental group and between groups. In the experimental group, the lower incisors tipped lingually 2.7 mm and extruded 2.4 mm. The lingual inclination of the lower incisors increased 3.5°. The mandibular first molars tipped distally 9.1° and intruded 0.4 mm. Their cusps moved 3.4 mm distally. In the control group, the upper incisors proclined 3°, and the upper first molar extruded 2 mm. SN-MP increased 1.6° and S-Go/N-ME decreased 1. Conclusions: The MEAW technique combined with modified Class III elastics by maxillary mini-implants can effectively tip the mandibular molars distally without any extrusion and tip the lower incisors lingually with extrusion to camouflage skeletal Class III malocclusions. Clockwise rotation of the mandible and further proclination of upper incisors can be avoided. The MEAW technique and modified Class III elastics provided an appropriate treatment strategy especially for patients with high angle and open bite tendency.

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