scholarly journals Non‐surgical interdisciplinary management for an adult patient with a Class III malocclusion

2020 ◽  
Author(s):  
CYS Low ◽  
DC‐V Ong ◽  
E Freer
2014 ◽  
Vol 5 (3) ◽  
pp. 24-27
Author(s):  
Bhavya Trivedi ◽  
Sonali Mahadevia ◽  
Rinkalkumar Shah ◽  
Dipen Thakker

2018 ◽  
Vol 88 (5) ◽  
pp. 649-664 ◽  
Author(s):  
Luca Lombardo ◽  
Antonella Carlucci ◽  
Bortolo Giuliano Maino ◽  
Anna Colonna ◽  
Emanuele Paoletto ◽  
...  

ABSTRACT This case report describes the use of a miniscrew-assisted rapid palatal expander and aligners to correct bilateral cross-bite and crowding in an adult patient with a Class III skeletal pattern. A digitally designed surgical guide was three-dimensionally printed and used to accurately insert four miniscrews into the palate; these were employed to anchor a novel miniscrew-assisted rapid palatal expander appliance without any dental anchorage. Cone-beam computed tomograms before and after miniscrew-assisted rapid palatal expander treatment demonstrated the orthopedic expansion of the maxilla without dental tipping. The patient was then fitted with aligners to correct crowding and malocclusion. This case report demonstrates the successful treatment of an adult patient with a narrow maxilla and bilateral cross-bite using a nonsurgical, conservative treatment.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Yahya A. Alogaibi ◽  
Ahmad A. Al-Fraidi ◽  
Manar K. Alhajrasi ◽  
Ali A. Hassan

A forward functional shift of the mandible is a significant problem that can cause both functional and aesthetic complications for many patients. This shift usually occurs in growing patients, and it is unusual to see in adult patients. This case report shows an adult patient with a forwarding functional shift that caused both anterior and posterior crossbites with a pseudo class III dental and skeletal relationship. The patient also showed severe upper arch crowding with blocked-out canines and mild crowding in the lower arch. The treatment of this patient involved extraction of the upper right and left first premolars and the lower right first premolar, followed by opening of the bite to relieve the neuromuscular reflex of the forward protrusion of the mandible during centric occlusion and to correct both the anterior and posterior crossbites. Extraction spaces were closed using class III elastics and elastomeric chains. At the end of the treatment, good functional and aesthetic results were obtained after the elimination of the forward functional shift.


2017 ◽  
Vol 5 (4) ◽  
pp. e249-e254
Author(s):  
Cecilia Andrea Vallejo Ordóñez ◽  
Hugo Alberto Vásquez Estrada ◽  
José Ramón Hernández Carvallo

2018 ◽  
Vol 23 (2) ◽  
pp. 75-86
Author(s):  
Felipe Augusto M. Barreto ◽  
João Roberto R. da Costa Santos

ABSTRACT The purpose of this paper was to emphasize the importance of the orthodontic setup in treatment planning for skeletal Class III malocclusion correction in an adult patient with moderate lower anterior crowding and anterior crossbite associated with two supernumerary lower incisors.


2018 ◽  
Vol 50 (03) ◽  
pp. 217-221
Author(s):  
Renato Cocconi ◽  
Mirco Raffaini ◽  
Marco Veneziani

ZusammenfassungDer vorliegende Fallbericht zeigt die Therapie und das Behandlungsergebnis bei einer erwachsenen Patientin mit skelettaler Klasse-III-Dysgnathie. Die 29 Jahre alte Patientin wies eine skelettale Klasse III mit hypoplastischer Maxilla und prognather Mandibula, ein vertikales maxilläres Defizit und einen offenen Biss auf. Aufgrund vorhergehender Behandlungen mit unbefriedigenden Ergebnissen, der skelettalen Diskrepanz und hoher ästhetischer und kaufunktioneller Ansprüche der Patientin wurde eine interdisziplinäre Behandlung durchgeführt, welche Kieferorthopädie, orthognathe Chirurgie und restaurative Arbeiten einschloss.This article shows therapy and treatment result of an adult patient with skeletal Class III malocclusion. The patient of 29 years of age showed a skeletal class III malocclusion due to a hypoplastic maxilla and a prognathic mandible, a vertical maxillary deficit and an open bite. As there had been other treatments before with unsatisfying results and due to the skeletal discrepancy and the high esthetic and functional expectations of the patient, an interdisciplinary treatment involving orthodontics, orthognathic surgery and a restorative rehabilitation was chosen.


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