scholarly journals Periodontally compromised severe skeletal Class III with open bite corrected by orthodontic camouflage using temporary anchorage devices

2020 ◽  
Vol 10 ◽  
pp. 253-258
Author(s):  
Adith Venugopal ◽  
M. Srirengalakshmi ◽  
Anand Marya ◽  
Paolo Manzano
Keyword(s):  
Orthognathic Surgery ◽  
Treatment Options ◽  
Open Bite ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Anterior Open Bite ◽  
Skeletal Class ◽  
Temporary Anchorage Devices ◽  
Anterior Teeth ◽  
Facial Esthetics

A variety of treatment options may be implemented on a Class III malocclusion associated with skeletal discrepancy ranging from functional orthopedics at an early age to orthognathic surgery in adults. In the current scenario, many Class III malocclusion patients are referred for orthognathic surgery without even considering the options of an orthodontic camouflage, as orthodontists do not want to burden themselves with the tedious treatment planning and risks involved with treating such cases. This case report describes a 27-year-old female diagnosed with a skeletal Class III malocclusion, severe open bite, and periodontally compromised dentition. Although orthognathic surgery was proposed as the best treatment modality, it was denied by the patient due to financial and psychological constraints. She was treated with mild upper arch expansion using archwires and upper premolar intrusion using temporary anchorage devices (TADs) alongside retraction of lower anterior teeth using TADs and intermaxillary elastics. At the end of 18 months of active treatment, a decent result was achieved with good occlusion and facial esthetics. Post-treatment results showed an improved profile and Class I canine relationships, with optimal overjet and overbite. The anterior open bite was corrected, and the overall facial balance was greatly improved. Extraoral photographs displayed a relaxed lip closure and an esthetic smile meeting the patient’s expectations. Two-year follow-up records demonstrated a stable occlusion and optimal facial esthetics.

scholarly journals Perawatan ortodonti kamuflase pada maloklusi kelas III skeletal dengan gigitan terbuka anteriorOrthodontic camouflage of skeletal class III malocclusion with an anterior open-bite

2021 ◽  
Vol 32 (3) ◽  
pp. 120
Author(s):  
William Suryajaya ◽  
Haru Setyo Anggani
Keyword(s):  
Case Report ◽  
Treatment Modality ◽  
Orthodontic Treatment ◽  
Open Bite ◽  
Anterior Region ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Anterior Open Bite ◽  
Skeletal Class ◽  
Anterior Teeth

Pendahuluan: Perawatan ortodonti kamuflase adalah perawatan untuk menyamarkan diskrepansi skeletal dengan mengubah posisi dan angulasi gigi-gigi pada lengkung rahang. Perawatan tersebut merupakan perawatan yang dapat dipilih selain bedah ortognatik bagi kasus maloklusi skeletal kelas III pada pasien dewasa. Maloklusi skeletal kelas III sering pula disertai dengan keadaan lain seperti gigitan terbuka anterior yang menambah kompleksitas modalitas perawatan. Tujuan laporan kasus ini untuk menjelaskan pilihan modalitas perawatan pasien maloklusi skeletal kelas III secara kamuflase ortodonti. Laporan kasus: Pasien wanita usia 19 tahun 2 bulan datang ke klinik Ortodonti RSGM FKG UI dengan keluhan gigi atas depan tidak teratur dan gigi depan atas dan bawah tidak bertemu. Diagnosis menunjukkan pola skeletal kelas III dengan posisi maksila dan mandibula terhadap basis cranii retrognati (SNA 73°, SNB 74°, ANB -1°)  disertai dengan crowding sedang dan gigitan terbuka anterior. Tipe wajah pasien dolikofasial, simetris dan seimbang. Profil jaringan lunak dan skeletal cekung. Kasus ini dirawat dengan pendekatan ortodonti kamuflase tanpa pencabutan menggunakan piranti cekat standar Edgewise untuk mengoreksi crowding pada lengkung gigi atas dan bawah serta gigitan terbuka pada regio anterior. Perawatan ortodonti selesai dalam waktu 13 bulan dan crowding pada lengkung gigi atas dan bawah serta gigitan terbuka pada regio anterior telah terkoreksi. Simpulan: Perawatan ortodonti kamuflase pada maloklusi kelas III skeletal dengan gigitan terbuka anterior ringan merupakan pilihan perawatan yang cukup baik karena dapat mengoreksi maloklusi dengan kompensasi dentoalveolar sehingga diperoleh oklusi yang baik dan stabil. Hasil perawatan menunjukan hasil yang cukup baik dan dapat diterima oleh pasien.Kata kunci: Maloklusi skeletal kelas III, crowding, open-bite anterior, standar edgewise, ortodonti kamuflase. ABSTRACTIntroduction: Orthodontic camouflage is a treatment to disguise skeletal discrepancies by changing the teeth position and angulation in the jaw arch. This treatment is an option other than orthognathic surgery for skeletal class III malocclusion in adult patients. Skeletal class III malocclusion is often accompanied by other conditions such as an anterior open-bite which adds the complexity of the treatment modality. This case report was aimed to describe the choice of treatment modality for skeletal class III malocclusion patients by orthodontic camouflage. Case report: A female patient aged 19 years and two months came to the Orthodontic Clinics at the Faculty of Dentistry of University of Indonesia Dental Hospital (RSGM FKG UI) with complaints of irregular maxillary anterior teeth, and the maxillary and mandibular anterior teeth did not overlap. The diagnosis showed a skeletal class III pattern with the maxillary and mandibular position against the retrognathic cranii base (SNA 73°, SNB 74°, ANB -1°) accompanied by moderate crowding and anterior open-bite. The patient’s face type is dolichofacial, symmetrical and balanced, with the concave soft and skeletal tissue profiles. This case was treated with a non-extraction camouflage orthodontic approach using the standard edgewise fixed appliance to correct crowding in the maxillary and mandibular dental arches and open-bite in the anterior region. The orthodontic treatment was completed within 13 months, and crowding in the maxillary and mandibular dental arches and open-bite in the anterior region were corrected. Conclusion: Camouflage orthodontic treatment is a good treatment option for skeletal class III malocclusion with a mild anterior open-bite because it can correct malocclusion with dentoalveolar compensation to obtain a good and stable occlusion. The treatment results show good results and can be accepted well by the patient.Keywords: Skeletal class III malocclusion, crowding, anterior open-bite, standard edgewise, orthodontic camouflage.

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 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 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 Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion

2020 ◽  
Vol 53 (4) ◽  
pp. 191
Author(s):  
Fransiska Monika ◽  
Retno Widayati
Keyword(s):  
Orthognathic Surgery ◽  
Treatment Plan ◽  
Treatment Options ◽  
Dental Occlusion ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Facial Profile ◽  
Skeletal Class ◽  
Dentoalveolar Compensation ◽  
Teeth Extraction

Background: The treatment options for adults with skeletal Class III malocclusion can be dentoalveolar compensation, also known as orthodontic camouflage, or orthognathic surgery. Camouflage treatment can be carried out with teeth extractions, distalisation of the mandibular dentition, and use of Class III intermaxillary elastics. However, intermaxillary elastics as anchorage has its own risk–benefit. Purpose: To explain that camouflage treatment with teeth extractions can be performed in a mild to moderate skeletal Class III malocclusion using intermaxillary anchorage with elastics, while minimising the deleterious effects and achieving a satisfactory treatment outcome. Case: Our patient was a 25-year-old female who had a skeletal Class III pattern, with normal maxilla and a protruded mandible. She had a straight facial profile with a Class III canine and molar relationship on her right and left sides. Anterior crossbite was also present with crowding on both the maxilla and the mandible. Case Management: The treatment plan was carried out with dentoalveolar compensation by extracting teeth. Extraction of the lower first premolars was conducted to eliminate the crowding and correct the anterior crossbite. The mandibular incisors were retroclined and the maxillary incisors were proclined with dentoalveolar compensation. Passive self-ligating system was used with standard torque prescription, intermaxillary anchorage, and no additional appliances for anchorage control. Class I canine and incisor relationship were both achieved at the end of the treatment, while maintaining the Class III molar relationship. Conclusion: Orthodontic camouflage treatment in an adult patient using a passive self-ligating system and intermaxillary anchorage can improve facial profile and improve dental occlusion.

scholarly journals The Use of High Frequency Vibration and Clear Aligners in Management of an Adult Patient with Class III Skeletal Malocclusion with Open Bite and Severe Bimaxillary Protrusion: Case Report

2020 ◽  
Vol 8 (3) ◽  
pp. 75 ◽  
Author(s):  
Tarek El-Bialy
Keyword(s):  
Case Report ◽  
High Frequency ◽  
Open Bite ◽  
Team Approach ◽  
Class Iii ◽  
Anterior Open Bite ◽  
High Frequency Vibration ◽  
Skeletal Class ◽  
Canine Retraction ◽  
Anterior Teeth

Adult orthodontic patients with skeletal Class III malocclusion, open bite and bimaxillary dentoalveolar protrusion are complex problems that normally require surgical intervention to correct. This is a report of an adult female with a skeletal Class III jaw relationship; in addition, the patient had anterior open bite and bimaxillary dentoalveolar protrusion. The patient also had three premolars in the lower left quadrant. Treatment involved extracting the extra premolar distal to lower left canine, retraction of lower anterior teeth, closing extraction space and anterior open bite utilizing Invisalign clear aligners. The patient initially changed aligners every week before this was changed to 3–5 days after starting to use a high frequency vibration (HFV = 120 Hz) device. Satisfactory results were achieved in a relatively shorter period. Comparing before and after treatment cone beam computed tomography revealed that new bone has been formed labial to the lower incisors after their retraction/correction of their initial proclined position and the use of HFV and myofunctional therapy without gingival graft. The present case report shows the comprehensive multidisciplinary team approach in treatment for such cases and the advantage of using HFV to improve bone formation.

scholarly journals Nonsurgical Correction of Skeletal Class III Malocclusion by Multibends Edgewise Archwire Technique in an Adult

2015 ◽  
Vol 4 (2) ◽  
pp. 137-142
Author(s):  
Jian-hong YU ◽  
Chien-Chih YU ◽  
Chang Yuan-Chieh ◽  
Tsai Ya-Yu ◽  
Pan Po-Wei
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Niti Alloy ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Posterior Teeth ◽  
Skeletal Class ◽  
Anterior Teeth ◽  
Nonsurgical Correction ◽  
Lower Arch

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.

scholarly journals Perawatan Kamuflase Maloklusi Klas III Dentoskeletal menggunakan Teknik Begg pada Pasien Dewasa

2015 ◽  
Vol 1 (2) ◽  
pp. 116
Author(s):  
Dwi Agustina ◽  
Soekarsono Hardjono ◽  
Sri Suparwitri
Keyword(s):  
Treatment Options ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Fixed Appliance ◽  
Skeletal Class ◽  
Anterior Teeth ◽  
Mandibular Position ◽  
Orthognatic Surgery ◽  
Growth Modification ◽  
Angle Class Iii

Maloklusi kelas III dapat didefinisikan sebagai kelainan wajah skeletal dengan karakteristik posisi mandibula lebih maju terhadap dasar cranium dan atau terhadap maksila. Ada tiga pilihan perawatan untuk maloklusi kelas III dentoskeletal yaitu; modifikasi pertumbuhan, kamuflase dan bedah orthognatik. Artikel ini mempresentasikan kasus seorang pasien dewasa dengan maloklusi kelas III dentoskeletal yang dirawat dengan ortodontik kamuflase menggunakan teknik Begg. Seorang pasien laki-laki, berusia 16 tahun, didiagnosa maloklusi kelas III Angle dengan hubungan skeletal kelas III dan gigi depan maksila dan mandibula berjejal. Perawatan menggunakan alat cekat teknik Begg dengan pencabutan premolar kedua maksila dan premolar pertama mandibula serta elastis intermaxillar kelas III. Kesimpulan hasil perawatan selama 10 bulan menunjukkan bahwa kamuflase ortodontik dapat dianggap sebagai terapi yang efektif untuk koreksi maloklusi kelas III dentoskeletal.   ABSTRACT: A Camouflage Treatment Of Dentoskeletal Class III Malocclusion In Adult Using Begg Technique B. Class III malocclusion can be defined as a skeletal facial deformity characterized by a forward mandibular position with respect  to the cranial base and or the maxilla. There are three main treatment options for dentoskeletal class III malocclusion: growth modification, orthodontic camouflage and orthognatic surgery. The article presented a case of an adult patient with dentoskeletal class III malocclusion treated with orthodontic camouflage treatment with Begg technique. A male patient, 16 years old, diagnosis malocclusion Angle class III, skeletal class III with crowding anterior teeth maxilla and mandibular. Using the fixed appliance, Begg technique, with the extraction of second premolars maxilla and first premolars mandibular. The appliance is completed with intermaxillary class III elastics. The results for 10 months of this treatment indicated that orthodontic camouflage can be considered an effective therapy for corection of dentoskeletal class III malocclusion.

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