Orthognathic versus Camouflage Treatment of Class III Malocclusion: A Systematic Review and Meta-Analysis

Alam, Mohammad Khursheed; Nowrin, Shifat A; Shahid, Fazal; AlHarby, Hassan; Abutayyem, Huda; Alswairki, Haytham Jamil; Mohamed, Sally Kamal El-Din

doi:10.3390/app12073314

Cited by 7 publications

(3 citation statements)

References 26 publications

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“…10 In orthodontic camouflage treatment, skeletal problems disguise the dentoalveolar compensation, while the function, aesthetics and occlusion allow for an enhancement. 11 In both cases, camouflage treatment was chosen using a fixed orthodontic appliance, where tooth movement was performed to correct tooth occlusion by correcting anterior crossbite and reducing and preventing more severe skeletal abnormalities. Skeletal abnormalities in both cases were still class III, where the ANB of both patients was still below normal.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Anterior Crossbite with Skeletal Class III Malocclusion during the Growth Period

Utari

2022

IDJ

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Anterior crossbite is the most common problem in Angle class III malocclusion and is aesthetically disturbing. As individuals get older, an anterior crossbite can worsen, impacting the esthetics of the face and the stomatognathic system’s function significantly and requiring immediate treatment. Due to genetics, habitual postures, ethnicity, and environmental variables, the class III malocclusion’s etiology is multifaceted. In terms of treatment, there are three options: growth modification, camouflage, and orthognathic surgical treatment. This case report aims to describe a non-surgical treatment with simple treatment mechanics in two patients who were still in their growth period. Two patients, a sibling aged 14 and 13 years, experienced an anterior crossbite with a deep overbite, diagnosed with Angle class III with skeletal class III relationships. Besides, the profile revealed a concave, with an overjet of -2mm and an overbite of 4mm. The treatments were then performed employing fixed orthodontic appliances with vertical U-loops for protraction of upper anterior teeth and class III intermaxillary elastics to correct molar relationships. The treatment was completed in two years, in which the anterior crossbite was corrected. The molar and canine relationships, which were originally class III, became class I. Loss of tooth 36 was closed, and tooth 38 has fully erupted. Treatment of anterior crossbite needed to be done as soon as possible to prevent more severe abnormalities. In conclusion, a treatment in the growth period with simple techniques resulted in significant improvements in function and aesthetics.

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Section: Discussionmentioning

confidence: 99%

Treatment of Anterior Crossbite with Skeletal Class III Malocclusion during the Growth Period

Utari

2022

IDJ

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“…The level of kappa agreement categorized as poor, fair, moderate, substantial and near perfect agreement. [ 10 ]. Pearson Chi-Square test was used to find the association between the measurements performed radiologically and smoking status and staging and grading periodontitis.…”

Section: Methodsmentioning

confidence: 99%

The Radiographic Assessment of Furcation Area in Maxillary and Mandibular First Molars while Considering the New Classification of Periodontal Disease

2022

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This study aimed to evaluate the radiographic reliability in the diagnosis of furcation involvement in first molars. A total of 52 subjects were included in the current study. Personal history regarding smoking was recorded and a periodontal examination was performed. Pocket depth (PD), clinical attachment level (CAL), gingival recession, and furcation involvement in all first molars were assessed for each patient. Periodontal staging and grading were evaluated using the new classification of periodontal disease. Class II and Class III furcation classification were more frequently observed in radiographs than the Class I furcation; however, no significant differences were observed. Radiographic observation of the furcation was seen more when PD and CAL were >5 mm in all molars. The presence of gingival recession and its relation to the radiographic assessment did not reveal any statistically significant association (p > 0.05) except for tooth #16. The trend of visibility of furcation radiographically was more as the grade of staging was increased. Moreover, the presence of smoking habits and visibility of furcation radiographically did not have any statistical significance. Smoking may not be a factor in the furcation involvement. There is a direct relationship between the staging and grading of the periodontitis and furcation involvement.

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“…Class III Angle anomalies are among the most difficult malocclusions to treat, especially when taking the camouflage approach in most specialists' opinion: Zúñiga (2017), Cigerim (2020), Chang (2006) and Alam (2022). Skeletal class III malocclusion may be observed due to maxillary retrognathia, mandibular prognathia or both.…”

Section: Introductionmentioning

confidence: 99%

Skeletal Class Iii Upper Bilateral Canine Ectopia and Nanic Lateral Incisors – A Camouflage Approach

MOROŞAN¹

2023

AMBS

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Skeletal class III patients, especially adults, are best treated by orthognathic surgery and orthodontic treatment; when adding anunfavorable factor such as upper nanic incisors, the treatment difficulty increases. In this particular case, the patient and both his parentsrejected the orthognathic surgery, their main concern being the crowding of the teeth and not the physical appearance of the facialprofile. Based on the skeletal measurements, the orthodontic treatment goals were: align both arches, retrude lower arch, stabilizationof occlusion. MBT classic brackets were bonded aiming for closure of spaces in the lower arch and retrusion of lower incisors. Afterthe active treatment, 16 months, essix retainers were given to wear 12/24. The patient was instructed to be aware of any change in hisocclusion and call the clinic for any small tooth movement immediately.

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Orthognathic versus Camouflage Treatment of Class III Malocclusion: A Systematic Review and Meta-Analysis

Cited by 7 publications

References 26 publications

Treatment of Anterior Crossbite with Skeletal Class III Malocclusion during the Growth Period

Treatment of Anterior Crossbite with Skeletal Class III Malocclusion during the Growth Period

The Radiographic Assessment of Furcation Area in Maxillary and Mandibular First Molars while Considering the New Classification of Periodontal Disease

Skeletal Class Iii Upper Bilateral Canine Ectopia and Nanic Lateral Incisors – A Camouflage Approach

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