Therapeutic Class III molar occlusion

Philip-Alliez, Camille; Gall, Michel Le; Deroze, Danielle; Orthlieb, Jean-Daniel; Canal, Pierre

doi:10.1051/odfen/2009407

Cited by 2 publications

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References 2 publications

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“…14 The alternative treatment by extraction of maxillary second premolars and mesialisation of the first molars to achieve a Class I molar relationship could risk to depress the face, as the patient already had a fairly straight profile. 15 The patient's facial profile was improved as there were several skeletal and dental changes that affected the position of the upper and lower lip. Increase in ANB angle and the angle of convexity might be attributed to the protraction of the upper incisors and also the retraction of the lower incisors ( Table 1).…”

Section: Discussionmentioning

confidence: 99%

Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion

Monika

Widayati

2020

Dent. J.

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Background: The treatment options for adults with skeletal Class III malocclusion can be dentoalveolar compensation, also known as orthodontic camouflage, or orthognathic surgery. Camouflage treatment can be carried out with teeth extractions, distalisation of the mandibular dentition, and use of Class III intermaxillary elastics. However, intermaxillary elastics as anchorage has its own risk–benefit. Purpose: To explain that camouflage treatment with teeth extractions can be performed in a mild to moderate skeletal Class III malocclusion using intermaxillary anchorage with elastics, while minimising the deleterious effects and achieving a satisfactory treatment outcome. Case: Our patient was a 25-year-old female who had a skeletal Class III pattern, with normal maxilla and a protruded mandible. She had a straight facial profile with a Class III canine and molar relationship on her right and left sides. Anterior crossbite was also present with crowding on both the maxilla and the mandible. Case Management: The treatment plan was carried out with dentoalveolar compensation by extracting teeth. Extraction of the lower first premolars was conducted to eliminate the crowding and correct the anterior crossbite. The mandibular incisors were retroclined and the maxillary incisors were proclined with dentoalveolar compensation. Passive self-ligating system was used with standard torque prescription, intermaxillary anchorage, and no additional appliances for anchorage control. Class I canine and incisor relationship were both achieved at the end of the treatment, while maintaining the Class III molar relationship. Conclusion: Orthodontic camouflage treatment in an adult patient using a passive self-ligating system and intermaxillary anchorage can improve facial profile and improve dental occlusion.

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Section: Discussionmentioning

confidence: 99%

Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion

Monika

Widayati

2020

Dent. J.

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Orthodontic Conundrums Part 2: Finishing Cases to a Class III Molar Relationship

2021

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This is the second article in a series on conundrums in orthodontics. A Class I molar relationship is a frequent aim of orthodontic treatment. There are, however, examples where intentionally finishing to a Class III molar relationship is the more pragmatic and preferable option. Pursuing this approach in the appropriate circumstances may, for example, prevent deleterious consequences to the facial profile or avoid the need for further dental extractions. This article explores the indications for finishing cases to a Class III molar relationship with illustrated clinical cases. CPD/Clinical Relevance: Dogmatic attempts to deliver Class I molar relationships, in all cases, without consideration of the consequences, have the potential to cause the patient harm. The orthodontist must then consider all possible options available, including those resulting in a Class III molar relationship.

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Therapeutic Class III molar occlusion

Cited by 2 publications

References 2 publications

Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion

Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion

Orthodontic Conundrums Part 2: Finishing Cases to a Class III Molar Relationship

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