Class III Malocclusion Treated by Combined Orthodontic and Orthognathic Approach Along with Growth Prediction: A Case Report

Gandhi, Vaibhav; Mehta, Falguni; Patel, Dolly; Parekh, Harshik; Joshi, Hrishabh

doi:10.5152/turkjorthod.2020.19032

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…( 1 ) to correct the concave subnasal profile, ( 2 ) to manage the severe maxillary ALD, ( 3 ) to level and align mandibular arch and normalize lower incisors inclination, ( 4 ) to establish a functional Class II occlusion, ( 5 ) to correct the skeletal Class III, ( 6 ) to obtain normal overjet and overbite, ( 7 ) to enhance the lower facial height, ( 8 ) to level the curve of Spee, and ( 9 ) to enhance facial and dental esthetics by improving the smile.…”

Section: Case Reportmentioning

confidence: 99%

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Surgical Treatment of a Borderline Skeletal Class III Patient: an Interdisciplinary Approach

Philippe¹,

Mona²

2021

Med Arch

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Introduction: Class III malocclusion is considered the most challenging discrepancies in orthodontic diagnosis and treatment planning. It is often difficult to classify borderline cases as surgical or non-surgical. The following case report is of a borderline Class III case with several missing maxillary premolars treated via an interdisciplinary approach. Aim: This clinical case highlights the importance of meticulous diagnosis to obtain optimal results in borderline Class III cases. The significance of an interdisciplinary approach in complex adult orthodontic cases was also discussed. Case Report: Given the complexity of the case, the treatment required a comprehensive interdisciplinary approach with the intervention of multiple specialties including periodontics, prosthodontics, orthodontics, oral surgery and maxillofacial surgery. The presurgical orthodontic stage was achieved in preparation for LeFort I maxillary advancement. Third molars extractions along with implant placement were implemented. Finally, crown placement and connective tissue graft were completed to achieve an optimal result. Total treatment time was 1.7 years (20 months). Patient’s profile and facial appearance were dramatically enhanced, and a stable functional Class II occlusion was attained despite the preexisting skeletal Class III. Conclusion: Borderline adult Class III cases require a delicate diagnostic approach to be able to distinguish a surgical from a non-surgical approach. Complex adult orthodontic cases require a diplomatic interdisciplinary approach from all required specialties in order to attain the most favorable results.

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Section: Case Reportmentioning

confidence: 99%

“…Class III malocclusion is generally caused by a retrognathic maxilla, prognathic mandible or a combination of both. A fourth possibility may be due to a centric relation-centric occlusion shift leading to the forward positioning of the mandible presenting as pseudo-Class III ( 6 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of a Borderline Skeletal Class III Patient: an Interdisciplinary Approach

Philippe¹,

Mona²

2021

Med Arch

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“…Actualmente, pentru pacienţii cu anomalii dento-maxilare clasa III-a, se descriu mai multe situaţii clinice: retrognatism maxilar (pseudoprognatism mandibular), prognatism maxilar propriu-zis, prognatism mandibular combinat cu retrognatism maxilar [2]. Prin urmare, strategia de tratament necesită a fi divizată luând în calcul o multitudine de factori precum statusul de creștere, vârsta, severitatea displaziei scheletate, severitatea malocluziei dentare, precum și acordul pacientului [4]. Ker si al.…”

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Surgical treatm ent of dento maxillary anomalies class III angle. Clinical case

Ciuclea¹,

Dumitru²,

Stanislav³

et al. 2021

JSM

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Dento-maxillary anomalies are relatively widespread among the population, eventually leading to serious psychological and lifestyle deterioration. The purpose of this paper is to evaluate the complex orthodontic-surgical treatment in the dento-maxillary anomaly class III Angle. We aim to present the clinical case of a female patient suffering from skeletal third-class, gnathic form, who came to „Omni Dent” clinic in order to complete the second stage of associate orthodontic and surgical treatment. Medical investigations: OPG, CBCT, TRG, digital scanning, dental photography, digital programs, used at collecting data for virtual planning, establishing a complex diagnosis and choosing the best surgical technique for this case, subsequently, with the transfer of the virtual plan in the operating room through surgical guides and occlusal splints. Postoperatively, there was an obvious improvement of the facial appearance, supported by the comparison of pre- and postoperative cephalometric indices: SNA (from 76,6° to 84°), SNB (from 80,6° to 78,8°), ANB (from -4° to 5,2°), Wits (from -9,6° to 0°). Early diagnosis and detailed planning by using modern methods of examination may ensure an efficient rehabilitation of patients suffering from dento-maxillary anomalies.

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Racial and gender differences of cervical vertebral maturation staging between African Americans versus Caucasian patients of various age groups: A retrospective study

Gudhimella

Gandhi

Glatt

et al. 2022

International Orthodontics

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Class III Malocclusion Treated by Combined Orthodontic and Orthognathic Approach Along with Growth Prediction: A Case Report

Cited by 3 publications

References 8 publications

Surgical Treatment of a Borderline Skeletal Class III Patient: an Interdisciplinary Approach

Surgical Treatment of a Borderline Skeletal Class III Patient: an Interdisciplinary Approach

Surgical treatm ent of dento maxillary anomalies class III angle. Clinical case

Racial and gender differences of cervical vertebral maturation staging between African Americans versus Caucasian patients of various age groups: A retrospective study

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