Pseudo-Class III malocclusion treatment with Balters’ Bionator

Abstract

The aim of this article is to show the use of the Balters' Bionator in pseudo-Class III treatment. The importance of differentiating between true Class III and pseudo-Class III is emphasized. The therapeutic results of a Balters' Bionator appliance are presented in three case reports of subjects in the mixed dentition. In this stage of development it is possible to correct an isolated problem. The use of the Bionator III in this kind of malocclusion enabled the correction of a dental malocclusion in a few months and therapeutic stability of a mesially-positioned mandible encouraging favourable skeletal growth.

Benefits of Fixed Orthodontic Appliances on Growth and Development in Pediatric Patients with Class III Malocclusion

“…Correcting anterior crossbite allows normal dental base and skeletal growth, avoids habits like bruxism, eliminates any kind of traumatic occlusion [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42], reduces treatment time in phase 2 if required [28], can avoid surgery, minimizes the need for comprehensive treatment or even eliminates the need for any further treatment in permanent dentition [32], minimizes psychological issues and increases self-esteem [43], and consequently increases the maxillary arch perimeter and avoids any kind of extraction of permanent teeth in phase 2 treatment [44]. The inclination of the maxillary and mandibular incisors has an important influence on facial harmony and aesthetics and this is achieved by 2 x 4 fixed braces on both arches.…”

Early Treatment of Anterior Crossbite Relating to Functional Class III

“…The reported prevalence of anterior crossbites varies between 2.2% and 12%, depending on children's age and their ethnicity [2,8,9,10].…”

“…There is usually a concave profile, characterized by an inversion of the labial relationship as well as a projection at the front of the mandibule ( Figure 1). Usually, soft tissues tend to camouflage skeletal discrepancy so that the patient's profile appears normal or slightly concave in centric occlusion ( Figure 2) [10].…”

“…The optimum period suggested for treatment is between 6 years and 9 years; intervention at this period permits normal growth [10].…”

Cost Effective Treatment of Pseudo Class III Malocclusion in a Permanent Dentition with a Simple Removable Appliance

“…They believe that early intervention is an advantage in the early mixed dentition as well as in the deciduous dentition. Advantages include correcting anterior crossbite to allow normal dental base development and subsequent favorable skeletal growth, preventing habits such as bruxism, eliminating traumatic occlusion and reducing the length of treatment time with fixed appliance [9]. The optimum period for treatment suggested is between the ages of 6-9 years [6,10,11].…”