Different Non – Surgical Treatment Modalities for Class III Malocclusion

AbstractTandem appliance is preferred over face mask mainly because of compliance reasons. In the given case report, clinicians have used tandem appliance for correcting skeletal class III malocclusion patient in later stage of growth. Operators utilized residual growth. Facial harmony was achieved by gaining positive overjet. Adolescent class III malocclusion is challenging to treat. Occurrence of class III malocclusion is just 5% in India. If patient reports in growing stage, clinicians get many relevant treatment options. Lack of knowledge about growth modulation therapy causes loss of growing stage of patients. This situation reduces available treatment modalities. Here is a case of female patient with class III malocclusion who is near completion of her growth; maxillary growth was stimulated in forward direction taking anchorage from overgrown mandible with the help of tandem appliance.

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Non-Surgical Treatment of Class III with Multiloop Edgewise Arch-Wire (MEAW) Therapy

Emerging Trends in Oral Health Sciences and Dentistry ◽

10.5772/59257 ◽

2015 ◽

Cited By ~ 1

Author(s):

Paulo Beltrão

Keyword(s):

Surgical Treatment ◽

Class Iii ◽

Non Surgical Treatment

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Combined Orthodontic-surgical Treatment for Skeletal Class III Malocclusion with Multiple Impacted Permanent and Supernumerary Teeth: Case Report

The Open Dentistry Journal ◽

10.2174/1874210601408010043 ◽

2014 ◽

Vol 8 (1) ◽

pp. 43-48

Author(s):

Dai Juan and Feng Xue

Keyword(s):

Surgical Treatment ◽

Primary Teeth ◽

Treatment Protocol ◽

Deciduous Teeth ◽

Class Iii ◽

Class Iii Malocclusion ◽

Supernumerary Teeth ◽

Sagittal Split Ramus Osteotomy ◽

Impacted Teeth ◽

Skeletal Class

In this report we describe a combined orthodontic and surgical treatment for a 14-year-old boy with severe skeletal class III deformity and dental problem. His upper posterior primary teeth in the left side were over-retained and 6 maxillary teeth (bilateral central incisors and canines, left first and second premolars) were impacted, together with 5 supernumerary teeth in both arches. The treatment protocol involved extraction of all the supernumerary and deciduous teeth, surgical exposure and orthodontic traction of the impacted teeth, a bimaxillary orthognathic approach including Lefort I osteotomy. Bilateral sagittal split ramus osteotomy (BSSRO) and genioplasty was performed to correct skeletal problem. After treatment, all of the impacted teeth were brought to proper alignment in the maxillary arch. A satisfied profile and good posterior occlusion was achieved. Treatment mechanics and consideration during different stages are discussed.

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The effects of tongue plate and tongue appliance on maxillary deficiency in growing patients

STOMATOLOGY EDU JOURNAL ◽

10.25241/stomaeduj.2020.7(4).art.4 ◽

2020 ◽

Vol 7 (4) ◽

pp. 259-267

Author(s):

Jamilian Abdolreza ◽

◽

Nucci Ludovica ◽

Amini Ehsun ◽

Toliat Mitra ◽

...

Keyword(s):

Randomized Trial ◽

Smooth Surface ◽

Wilcoxon Test ◽

Treatment Modalities ◽

Class Iii ◽

Class Iii Malocclusion ◽

Plate Group ◽

Lateral Cephalograms ◽

The Mean ◽

Maxillary Deficiency

Objectives The purpose of this randomized trial study was to compare the effects of tongue plate and tongue appliance in the treatment of Class III malocclusion with maxillary deficiency in growing patients. Material and Methods 40 patients (19 males, 21 females) with maxillary deficiency were selected. 20 patients (9 boys, 11 girls) with the mean age of 9.3±1.2 were treated with tongue plate. 20 patients (10 boys, 10 girls) with the mean age of 10.1±0.7 were treated by tongue appliance. Lateral cephalograms obtained at the beginning and end of the study were analyzed. Results Paired t-tests and Wilcoxon test showed that SNA and ANB significantly increased in both groups. The Mann-Whitney test showed that there were no statistically significant differences between the two groups except for Jarabak ratio. Jarabak increased by 0.6±3.2° in the tongue appliance group and it decreased 0.4±1.6° in the tongue plate group (p<0.03). Conclusion Both treatment modalities were successful in moving the maxilla forward. The crib of the tongue appliance might bother the tongue and consequently parents are complaining about minor inflammation of the tongue. The smooth surface of the tongue plate might therefore confer some advantages to this system as compared to the tongue plate.

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Evidence-based treatment of osteoporotic vertebral compression fracture

Journal of Korean Medical Association ◽

10.5124/jkma.2021.64.3.200 ◽

2021 ◽

Vol 64 (3) ◽

pp. 200-207

Author(s):

Subum Lee ◽

Dae-Chul Cho ◽

Kyong-Tae Kim ◽

Young-Seok Lee

Keyword(s):

Surgical Treatment ◽

Outcome Measurement ◽

Treatment Guideline ◽

Treatment Modalities ◽

Vertebral Compression Fractures ◽

Controlled Trials ◽

Evidence Based ◽

Evidence Based Treatment ◽

Significant Difference ◽

Non Surgical Treatment

The prevalence and medical costs of osteoporotic vertebral compression fractures (OVCFs) are on the rise. However, a concrete evidence-based treatment guideline has not yet been established. Despite that numerous randomized controlled trials (RCTs) were performed, the study design and outcome measurement were heterogeneous, and the results were not unified. The purpose of this review is to compare the results of high level-evidence studies to provide a background for evidence-based OVCF treatment. Many reports showed that vertebroplasty has better clinical outcomes than non-surgical treatment for OVCF, but the results of three double-blinded RCTs with the highest level of evidence did not show a significant difference between vertebroplasty and sham procedure. Whether undergoing surgical or non-surgical treatment, OVCF patient management should be started by managing osteoporosis first. Meanwhile, in the results of RCTs related to the comparison of conservative treatment modalities, the benefit of braces and a specific analgesic prescription protocol was also unclear. The presented results of each clinical trial were generally inconsistent and may not be appropriate in all situations. Any decision by clinicians to apply this evidence must be made considering individual patients and available resources. At present, controversy remains about the best treatment modality for OVCF. Large, multicenter, placebo/sham-controlled trials are needed to address this gap and establish strong evidence-based guidelines.

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Assessment of Temporary Crown Extensions to Correct Linguoverted Mandibular Canine Teeth in 72 Client-Owned Dogs (2012-2016)

Journal of Veterinary Dentistry ◽

10.1177/0898756418774886 ◽

2018 ◽

Vol 35 (2) ◽

pp. 103-113 ◽

Cited By ~ 1

Author(s):

Sigbjørn H. Storli ◽

Robert A. Menzies ◽

Alexander M. Reiter

Keyword(s):

Original Position ◽

Treatment Modalities ◽

Class Iii ◽

Class Iii Malocclusion ◽

Canine Tooth ◽

Investigation Period ◽

Mandibular Canine ◽

Dental Records ◽

Viable Treatment

A search of the medical and dental records at Evidensia Lørenskog Dyreklinikk, in Lørenskog, Norway, was conducted to identify dogs that received temporary crown extensions (TCEs) to correct linguoverted mandibular canine (LMC) teeth over a 54-month investigation period (2012-2016). Criteria for inclusion into the study were the presence of complete medical and dental records, pre- and postoperative clinical photographs and intraoral radiographs of the affected canine teeth, adequate information pertaining to the procedures performed, and at least 1 follow-up >3 months after appliance removal. Seventy-two dogs with LMC teeth were treated with TCE. Thirty-nine breeds were represented in this study. Mean age at the time of appliance installation was 6.4 (range, 4.7-13.4 months [median, 5.9 months] months). Fifty-three (73.6%) dogs presented with class I malocclusion, 14 (19.5%) dogs with class II malocclusion, and 5 (6.9%) dogs with class III malocclusion. Twenty-five (34.7%) dogs were considered to have mild, 32 (44.4%) dogs to have moderate, and 15 (20.8%) dogs to have severe mandibular canine malocclusion. The TCE was combined with other treatment modalities (active orthodontics, extraction of nonstrategic teeth, gingivectomy, and inclined bite plane and ball therapy) to correct mandibular canine tooth malocclusions in 19 (26.4%) dogs. Fractured or detached crown extensions were seen in 9 (12.5%) dogs. Soft tissue ulceration or inflammation was seen in 7 (9.7%) dogs. The mandibular canine teeth occlusion resolved completely with self-retaining, functional, nontraumatic occlusion in 56 (77.8%) dogs. Fifteen dogs (20.8%) resolved with functional, nontraumatic occlusion, but the mandibular canine teeth were too short to be perfectly self-retained, thus left with 1- to 2-mm crown extensions for permanent retention. In 1 (1.4%) dog, both mandibular canine teeth relapsed almost back to original position. The results show that TCE is a viable treatment option to correct LMC teeth in young dogs.

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