scholarly journals Class III High Angle Malocclusion Treated with Orthodontic Camouflage (MEAW Therapy)

Author(s):  
Paulo Beltrão
Keyword(s):  
2018 ◽  
Vol 7 (2) ◽  
pp. 56-59
Author(s):  
Dharma Laxmi Basukala

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.


2007 ◽  
Vol 77 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Fengshan Chen ◽  
Kazuto Terada ◽  
Liping Wu ◽  
Isao Saito

Abstract Objective: To analyze the development of the dental arches and skeletal mandibular-maxillary bases in untreated Class III malocclusions with low averages and high mandibular plane angles in subjects aged 10 to 14. Materials and Methods: The records of 50 untreated Japanese girls with Class III malocclusions at age 10 were selected from the files of patients pending orthodontic surgery. The patients included those with low (≤27°), average (27° through 37°) and high (>37°) mandibular plane angles. The maxillary skeletal base width, biantegonial width, and maxillary and mandibular intermolar width were determined on posteroanterior cephalograms obtained at annual intervals when subjects were between 10 and 14 years of age. The difference between the maxillary and mandibular intermolar width was also calculated and reported. Results: All skeletal and dental transverse widths in the high-angle group were significantly smaller than those in the low-angle group (P < .05) from ages 10 to 14. On the other hand, the maxillary to mandibular molar difference was the same for the three groups (P > .05) at each age. The deviations in molar differences did increase from age 10 to age 14 in all three groups. Conclusion: Mandibular plane angles might play a stronger role in the transverse skeletal growth of the maxilla and the mandible than the transverse dental growth of the maxilla and the mandible.


2021 ◽  
pp. 1-9
Author(s):  
Adith Venugopal ◽  
Mona Sayegh Ghoussoub ◽  
Paolo Manzano ◽  
Prateek Mehta ◽  
Anand Marya ◽  
...  

Author(s):  
Hatice Kübra Olkun ◽  
Ali Borzabadi-Farahani ◽  
Sina Uçkan

Objectives: Limited information exists on orthognathic procedures and respective dentofacial deformities in Turkey. This retrospective study assessed the orthognathic surgery procedures in two universities, using the Index of Orthognathic Functional Treatment Need (IOFTN), and compared the IOFTN grades according to gender as well as sagittal and vertical skeletal relationships. Material and Methods: Records of 200 consecutive patients (120 females, 80 males, mean age = 23.4 (SD: 5.4) years) who received orthognathic treatment (2014–2018) were analyzed. Sagittal (ANB angle) and vertical skeletal type (GoGnSN angle), osteotomies, and IOFTN scores were recorded. Results: Class III, II, and I malocclusions formed 69%, 17.5%, and 13.5% of the samples, respectively. Class III skeletal relationships (69%) and high-angle cases (64%) were the most prevalent (p < 0.05). IOFTN scores were unevenly distributed among genders (p < 0.05) and the prevalent scores were 5.3 (40.5%), 4.3 (15.5%), 5.4 (13%), and 5.2 (7.5%), with 94% scoring 4 or 5 (great and very great functional need). Bimaxillary osteotomies were the most prevalent (55%), followed by LeFort I (32%), and 26% had genioplasty. Conclusion: IOFTN is a reliable tool to identify patients in need of orthognathic surgery. Class III malocclusions and Class III sagittal skeletal relationships were more common in this sample. Comparatively, a higher number of patients had genioplasty as a part of their treatment.


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