Stage C as given by Angelieri et al., [1] only on assumption without performing and evaluating the results of RME in the samples selected. The main hindrance to RME is by circummaxillary sutures than the MPS. [2] Of all the circummaxillary sutures, pterygomaxillary suture [3] and zygomaticomaxillary suture [4] provide maximum resistance to RME. According to Baccetti et al., [5] pterygomaxillary suture fuses by age 12 years, and according to Angeleiri et al., [4] zygomaticomaxillary suture fuses between 10 and 15 years of age. Although the authors have mentioned that success of RME is influenced by fusion of circummaxillary sutures, their conclusion of justifying RME beyond 15 years based only on the maturation status of MPS, ignoring the maturation of circummaxillary sutures, is doubtful. Furthermore, the authors have recommended the use of CBCT to evaluate the maturation status of MPS, but routinely, CBCT is not indicated for the same. The authors have mentioned that prediction of prognosis of RME based on chronological age is uncertain, correlating MPS maturation with routinely used skeletal maturity indicator is a better option rather than use CBCT to evaluate the same.
Management of skeletal class III malocclusions in a nongrowing individual remains a challenging and arduous task for the orthodontist. The skeletal class III malocclusion is often not amenable to camouflage procedures and requires a surgical correction of the underlying skeletal bases to achieve esthetic and functional treatment results. These patients often require one or more extractions to remove the preexisting dentoalveolar compensations prior to the surgical procedure which is undertaken as part of presurgical orthodontics. Postsurgical orthodontics is often of limited duration and is concerned with the settling of occlusion and obtaining tight cuspal interdigitation. Cone-beam computed tomography is a recent innovation which has revolutionized imaging in dentistry. Within orthodontics, it has proven to be of great value in orthosurgical planning and evaluation of posttreatment results including root parallelism and root resorption. This case report describes orthosurgical management of class III malocclusion utilizing cone-beam computed tomography in treatment planning.
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