Management of Class III malocclusion by orthodontic clockwise rotation of maxillo-mandibular complex – A case report

Abstract

Severe Skeletal Class III malocclusions in adult patients are managed by surgical orthodontic correction and orthodontic camouflage especially in borderline cases. An orthodontic camouflage is best opted in situations where the patient is either reluctant to have an invasive procedure or mitigate other ways to obtain an ideal interincisal relation, best esthetic outcome and function. There are many ways suggested to treat Class III malocclusions non-surgically like fixed appliance with class III intermaxillary elastics, extraction of mandibular first bicuspids, extraction of mandibular first and maxillary second bicuspids and enmasse distalization of mandibular arch using temporary anchorage devices. Clockwise rotation of maxillo-mandibular occlusal complex gives promising treatment outcome in selected cases with extrusion of upper arch and possible clockwise rotation of the mandible for improving mandibular prognathism. This case report aims to illustrate a Class III non-growing patient treated by clockwise rotation of maxillo-mandibular occlusal complex for achieving optimum facial esthetics and function.