Má oclusão de Classe I de Angle, com tendência à classe III esquelética, tratada com controle de crescimento

Abstract

ResumoA má oclusão de Classe III de Angle é caracterizada por uma relação dentária anteroposterior inadequada, que pode ou não estar acompanhada de alterações esqueléticas. Em geral, o aspecto facial fica bastante comprometido, principalmente quando associada à deficiência no terço médio da face, sendo esse, na maioria das vezes, o principal fator que motiva o paciente a procurar tratamento. Este caso foi apresentado à Diretoria do Board Brasileiro de Ortodontia e Ortopedia Facial (BBO), representando a categoria livre, como parte dos requisitos para a obtenção do título de Diplomado pelo BBO.Palavras-chave: Má oclusão Classe III de Angle. Tração maxilar. Disjunção maxilar.

Early treatment of patient with Class III skeletal and dental patterns

“… 14 , 15 Younger individuals tend to yield more favorable results, in which case the ideal age ranges between 4 and 10 years old, although patients aged between 10 and 14 years old also yield positive outcomes. 16 , 17 Deguchi et al 18 assessed, during six months, variations in Wits value for children treated with the same treatment modality described herein. The authors found an increase of 2 mm.…”

Two-phase treatment of patients with crossbite and tendency toward skeletal Class III malocclusion

“…Younger individuals tend to achieve more favorable results between four and ten years of age, although patients whose ages range from 10 to 14 years old also present positive results. 3 , 4 …”

Má oclusão Classe III de Angle, subdivisão direita, tratada sem exodontias e com controle de crescimento

“…[1][2][3][4][5][6][7][8][9][10] Moreover, there are several other etiological factors to consider, such as poor individual tooth positions, mandibular overgrowth, inadequate maxillary growth, vertical problems or a combination of several of these factors. 2,3,4,6 Planning should consider all these factors in addition to patient age to try to predict treatment outcome and stability.…”

“…[1][2][3][4][5][6][7][8][9][10] Moreover, there are several other etiological factors to consider, such as poor individual tooth positions, mandibular overgrowth, inadequate maxillary growth, vertical problems or a combination of several of these factors. 2,3,4,6 Planning should consider all these factors in addition to patient age to try to predict treatment outcome and stability. 1,8,9 In this particular case, it is important to remember that cephalometric radiographs, photographs and initial models were performed in CR, which may have diminished mandibular cephalometric measurements in an anteroposterior direction, and augmented them in terms of vertical relations, masking a more severe Class III.…”