Diagnosis and Treatment Considerations of Orthodontic Miniscrews in Camouflage Treatment of Adult Class III Malocclusions by Distalization of the Mandibular Dentition- A Review of Literature

Abstract

Class III malocclusions pose a challenge to the orthodontist, and conventional treatment options to treat this condition in an adult patient include orthognathic surgery, or orthodontic camouflage. Up until a few years ago, orthodontic camouflage for correction of a Class III problem involved retroclination of the lower anterior teeth and proclination of the upper anterior teeth. The advent of skeletal anchorage systems has opened up new vistas in camouflaging Class III malocclusion due to mandibular prognathism. This article reviews the various treatment planning considerations, both clinical and radiographic, for camouflage of Class III malocclusion by miniscrew assisted distalization of the mandibular dentition, and also discusses treatment options, procedures, biomechanics and possible pitfalls. www.adum.edu.my

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

“…Set of case selection criteria has been previously proposed for camoufl aged orthodontic treatment of Class III, which includes straight or slight concave profi le, non-critically prominent retroclination of lower anterior teeth with the presence of adequate bone volume surrounding them, thick gingival biotype, suffi cient bone parameters behind molar area in lingual projection to the second molars [12].…”

Retreatment of an orthognathic camouflaged case by total lower arch mesialization using temporary anchorage device

“…Furthermore, there are some reports of total arch distalization using TADs in Class III borderline adult patients with acceptable occlusion but less than ideal, although improved esthetic results. [ 14 15 ] In a study by Chen and Cao, the authors claimed that both miniscrews and miniplates are acceptable alternatives for total mandibular arch distalization in mild Class III patients seeking nonsurgical treatment for Class III malocclusion. [ 16 ] Although these approaches may be useful in some patients who refuse orthognathic treatment alternatives, they may not be a suitable choice for patients seeking ideal dentofacial esthetics.…”