Effectiveness of Management of Skeletal Class III Malocclusion during Primary, Mixed, and Permanent Dentition Period – A Literature Review

Abstract

Skeletal class III malocclusion is one of the most challenging conditions in clinical dental practice. Various treatment options are available for the management of the condition such as reverse twin block appliance, facemask appliance, chin cup therapy, bone anchorage maxillary protraction device, and tandem traction bow appliance. However, treatment timing is controversial. There are various advantages and disadvantages following the correction of skeletal class III malocclusion during primary, mixed and permanent dentition period. Hence, this review aims to compile the available literature regarding the effectiveness of correction of skeletal class III malocclusion during primary, mixed, and permanent dentition.

Comparison of treatment effects between two types of facemasks in early Class III patients

“…Ellis and McNamara reported that 62%–67% of skeletal Class III malocclusion is due to maxillary underdevelopment, which can be treated by maxillary protraction with a facemask (Ellis & McNamara, 1984 ). Many studies to search for golden timing for facemask therapy (Kapust et al, 1998 ; Saadia & Torres, 2000 ; Suda et al, 2000 ) stated that early mixed dentition is a good period for maxillary protraction to enhance forward displacement of the maxilla by sutural growth (Menéndez‐Díaz et al, 2018 ; Usman et al, 2022 ). This early intervention helps establish normal jaw relations by relieving impeded maxillary growth and producing a favorable periodontal status by eliminating traumatic occlusion (Graber & Vanarsdall, 2017 ; Ngan, 2005 ).…”