Successful orthodontic and surgical treatment of a patient with Class III malocclusion: a clinical case report

Abstract

Introduction: Class III malocclusion affects between 5% and 15% of the entire Brazilian population. Objective: The present study aimed to present a clinical case report of the ortho-surgical treatment of a patient with class III malocclusion, showing the follow-up of the good evolution of the treatment and the improvement of the patient's quality of life. Case Report: The patient EOMO, male and 53 years old, presented class III and on 02/03/2003 the patient submitted the orthodontic documentation. The first phase was the surgical expansion of the maxilla, orthodontic treatment of alignment, and maxillomandibular leveling. The second phase was maxillary advancement and mandible reduction surgery. On 07/31/2003, EOMO decided to undergo orthodontics and the indicated surgeries. Today, after years of treatment and surgeries, EOMO lives well and his appearance has improved 100%, and today he lives with a good quality of life. Final considerations: According to the clinical case presented, the treatment of Class III must be fundamentally based on the diagnosis so that the treatment is installed to correct the compromised structures instead of being compensated in places not affected by this malocclusion, that is, it must The degree of involvement of the maxilla and mandible must be evaluated so that the treatment is directed to that bone base and achieves its objectives and impacts of facial improvement. Redirection of growth in Class III cases is indicated as soon as the anomaly is diagnosed, as the displacement processes that occur in the midface can only be affected with treatment as long as the growth zones can respond to the biomechanical stimulus. Therefore, the younger the Class III patient is treated, the better the facial correction effects will be.