scholarly journals Surgical-Orthodontic Diagnosis and Treatment Planning in an Asymmetric Skeletal Class III Patient—A Case Report

Symmetry ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 1150
Author(s):  
Francisco Vale ◽  
Catarina Nunes ◽  
Adriana Guimarães ◽  
Anabela Baptista Paula ◽  
Inês Francisco

The skeletal Class III pattern is characterized by a sagittal intermaxillary mesial discrepancy. This discrepancy may have an unfavorable impact on function and aesthetics, which can be aggravated by the presence of facial asymmetries. This case report describes the diagnosis and treatment planning of a 19-year-old male patient with a skeletal Class III, maxillary hypoplasia, anterior crossbite, and mandibular asymmetry. When the patient reached skeletal maturity at the end of puberty, the definitive diagnosis was skeletal Class III with hyperdivergent profile and mandibular asymmetry, and a surgical-orthodontic treatment was proposed. At the end of the treatment, bimaxillary surgical correction allowed a skeletal Class I with mandibular symmetry, improving the function of the stomatognathic system and facial aesthetics.

2017 ◽  
Vol 5 (2) ◽  
pp. 177
Author(s):  
Monika Mahajan

AbstractSkeletal   malocclusion affects dental and facial tissues. A complicating factor for diagnosis  and treatment of skeletal class III malocclusion is its multifactorial etiology. Genetics play an important role in determining the facial morphology of an individual. Prediction of a skeletal class III based on  morphology can play an  important step in orthodontic diagnosis and treatment planning. This case report further supports the significant role of genetics in skeletal class III malocclusion. As seen in our case the skeletal class III if left untreated does not detiorate  but rather shows a decrease in ANB ie  anterioposterior  discrepancy. Hence the need for treatment should be analysed thoroughly in skeletal class III patients. 


2016 ◽  
Vol 6 ◽  
pp. 160-165 ◽  
Author(s):  
Juan Carlos Pérez Varela ◽  
Beatriz Iglesias Sánchez

Class III malocclusions are considered to be one of the most difficult problems to treat. For us, the complex of these cases is the esthetic of the face and the smile because the treatment of the malocclusions without surgery produces a more retrusive face. We present a case report of an adult male patient with skeletal Class III malocclusion with compression in the maxilla and mandibular asymmetry, who has treated the orthosurgical approach. The result is acceptable in terms of occlusion-function, esthetic of the smile, and facial esthetics.


2016 ◽  
Vol 6 (3) ◽  
pp. 181-183
Author(s):  
VK Ravindranath ◽  
Girish Karandikar

ABSTRACT The purpose of this study was to describe and measure the size of sella turcica in subjects with different skeletal types. Lateral cephalometric radiographs of 120 individuals (60 males and 60 females) with an age range of 11 to 26 years were taken and distributed according to skeletal classification: 40 class I (ANB: 20–40), 40 class II (ANB: >40), and 40 class III (ANB: <20). The sella turcica on each radiograph was analyzed and measured to determine the linear dimensions of length, depth, and diameter. Student's t-test was used to calculate differences in linear dimensions, while a one-way analysis of variance was performed to study the relationship between skeletal type and sella size. No significant differences in linear dimensions between genders could be found. When age was evaluated, significant differences were found between the older (15 years or more) and the younger (11–14 years) age groups at the 0.01 and 0.001 levels for length, depth, and diameter. Sella size of the older age group was larger than in the younger age group. When skeletal type was compared with sella size, a significant difference was found in the diameter of sella between the classes II and III subjects (p < 0.01). Larger diameter values were present in the skeletal class III subjects, while smaller diameter sizes were apparent in class II subjects (multiple comparison tests). When gender, age, and skeletal type were all compared with the size of the sella (regression analyses), age was significantly related to a change of length (p < 0.01) and diameter (p < 0.001). How to cite this article Zanke PN, Patni V, Sonawane M, Karandikar G, Ravindranath VK, Maskarenj M. Sella Turcica: An Important Aid in Diagnosis and Treatment Planning. J Contemp Dent 2016;6(3):181-183.


2020 ◽  
Vol 10 (1) ◽  
pp. 1-11
Author(s):  
So-Hyun Kim ◽  
Nam-Ki Lee ◽  
Young-Kyun Kim ◽  
Tae-Hyun Choi

Author(s):  
Vo Truong Nhu Ngoc ◽  
Nguyen Thi Thu Phuong ◽  
Nguyen Viet Anh

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.


1993 ◽  
Vol 20 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Johannes Kirchner ◽  
Stephen Williams

Analysis of sagittal jaw relationship is important in orthodontic diagnosis and treatment planning, and can be investigated by angular or linear parameters. In the present study an analysis was performed using profile cephalograms of 40 children with skeletal Class II malocclusion. A correlation analysis is presented, involving five different methods of expressing sagittal jaw relationships. Whilst some degree of agreement could be noted, it was not possible to suggest a pair of measurements, which in combination, could give a more accurate picture of sagittal jaw relationships.


2010 ◽  
Vol 25 (4) ◽  
pp. 422-426
Author(s):  
Fernanda Paula Yamamoto ◽  
Brunno Santos de Freitas Silva ◽  
Ricardo Wagner Modes ◽  
Felipe Paiva Fonseca ◽  
Flávia Sirotheau Corrêa Pontes ◽  
...  

2021 ◽  
Vol 10 (34) ◽  
pp. 2954-2959
Author(s):  
Shilpa Venkatesh Pharande

The Alt-RAMEC protocol was introduced by Liou in the year 2005. It allows for sutural mobilisation by opening and closing the RME screw for 7-9 weeks. Maxillary protraction after the use of Alt-Ramec (alternate rapid maxillary expansion and contraction) protocol is an efficient method for early treatment of skeletal Class III malocclusion. This case report shows the results of using a hyrax bonded maxillary expander with the Alt-RAMEC protocol to treat a maxillary hypoplasia Class III malocclusion. A 12-year-old patient with skeletal class III malocclusion with anterior as well as the unilateral posterior crossbite was treated using this protocol. CBCT scans were taken before and after expansion. These CBCT scans were used for assessing and analysing the skeletal changes that have occurred after using the AltRamec protocol. The objective of this case report is to assess skeletal changes after using the Alt-RAMEC protocol.


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