TAD driven Class III camouflage: Eight point protocol to optimize efficiency, aesthetics and stability

Venugopal, Adith; Manzano, Paolo; Vaid, Nikhilesh R.

doi:10.1053/j.sodo.2022.10.013

Cited by 10 publications

(10 citation statements)

References 51 publications

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“…Also approach of placing extra-alveolar micro-implant into the buccal shelf of mandible with putting nickel-titanium springs from temporary anchorage to the hooks of frontal segment at lower archwire was proposed as variant of camoufl aged treatment for Class III [22]. Venugopal A. et al proposed micro-screw based "eight-point protocol" for achieving effi cient and stable results of Class III malocclusion treatment [24] Generally, TADs increase adaptability level of Class III malocclusion camoufl aged orthodontic treatment, which was approved in number of clinical trials, while also in recent systematic review [25,26,27].…”

Section: Discussionmentioning

confidence: 99%

Advantages of using micro-implant during camouflaged treatment of the non-growing Class III malocclusion: case report with in-detail discussion

Rezaei,

Dovbenko

2023

UDJ

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Background. Camouflaged orthodontic treatment as a possible rehabilitation algorithm may be proposed for the Class III malocclusion patients without remaining growth potential. Objective. To discuss clinically significant aspects of providing camouflaged orthodontic treatment for the non-growing Class III malocclusion with the usage of temporary-anchorage devices based on presented clinical case. Materials and Methods. Primary cohort of the publications related with the camouflaged treatment of the non-growing Class III malocclusion was formed through the literature search within PubMed database using MESH-terms and the analogical keywords within Google Scholar search engine. Results. In present case report it was possible to achieve pleasant facial profile, and Class I occlusion with normal anterior-posterior relationships in patient with initial Class III malocclusion. The mandible arch length deficiency was corrected within the mandibular dentition, and normal alignment was achieved without altering the arch form and width parameter due to the use of Class III elastics and micro-implants as absolute anchorage. Systematized advantages of using skeletal anchorage for Class III orthodontic treatment include following: minimized drawback of dental-based anchorage, possibility for greater maxillary advancement, maximization of skeletal effect and minimization of clockwise mandible rotation, forming conditions for elastics wear during whole day with possibility to employ smaller traction forces, while minimizing risk of unwanted changes in any craniofacial structures. Conclusion. Camouflaged orthodontic correction is a reliable treatment option for Class III malocclusion patients without remaining growth potential. Micro-implants as skeletal anchorage devices represent reliable opportunity for camouflaged orthodontic treatment of Class III malocclusion patients and changes the need in orthognathic surgery.

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Section: Discussionmentioning

confidence: 99%

Advantages of using micro-implant during camouflaged treatment of the non-growing Class III malocclusion: case report with in-detail discussion

Rezaei,

Dovbenko

2023

UDJ

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“…Another option is the use of Class III intermaxillary elastics, utilizing reciprocal anchorage to correct the anterior relationships through lingual tipping of the lower incisors and proclination of the maxillary incisors. However, during treatment employing Class III elastics, the extrusion of maxillary molars and mandibular incisors rotates the dental occlusal plane counterclockwise, decreasing the maxillary incisor exposure and compromising the aesthetic outcomes 4,5 …”

Section: Introductionmentioning

confidence: 99%

“…However, during treatment employing Class III elastics, the extrusion of maxillary molars and mandibular incisors rotates the dental occlusal plane counterclockwise, decreasing the maxillary incisor exposure and compromising the aesthetic outcomes. 4 , 5 …”

Section: Introductionmentioning

confidence: 99%

Activated omega loops for anterior crossbite correction in transitional dentition

Venugopal

Ahmed

Yadav

et al. 2023

Clinical Case Reports

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In pseudo-class III cases, a "two by four" multibracketed appliance has been utilized to put the incisors into a typical overjet during transitional dentition.Compressing a rectangular super elastic archwire creates continuous force, but its length restricts activation and risks cheek impingement. Open-coil springs on rigid archwires advance incisors labially, although a 4-5 mm of wire distal to the molar tube may injure soft tissue. Reciprocally anchored Class III intermaxillary elastics restore anterior overjet through lower incisor lingual tipping and upper incisor proclination. Class III elastics extrude maxillary molars and mandibular incisors, rotating the dental occlusal plane counterclockwise and reducing maxillary incisor exposure and aesthetics. A unique method is reported in this report to tip the lower incisors back into normal overjet without affecting the upper dentition.

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“…Class III malocclusions are the least frequent sagittal malocclusions with greatest prevalence among Asian ethnic groups. 1 Younger and adult patients presented with a combination of skeletal, dentoalveolar and functional issues and most often, management of this malocclusion is complicated by problems in vertical and transverse dimensions. Compromised facial aesthetics and functions are the main reasons why these patients seek orthodontic treatment.…”

Section: Introductionmentioning

confidence: 99%

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

Kumar,

Sundararaj,

Pillai

et al. 2023

JCO

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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.

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TAD driven Class III camouflage: Eight point protocol to optimize efficiency, aesthetics and stability

Cited by 10 publications

References 51 publications

Advantages of using micro-implant during camouflaged treatment of the non-growing Class III malocclusion: case report with in-detail discussion

Advantages of using micro-implant during camouflaged treatment of the non-growing Class III malocclusion: case report with in-detail discussion

Activated omega loops for anterior crossbite correction in transitional dentition

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

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