Skeletal Class Iii Upper Bilateral Canine Ectopia and Nanic Lateral Incisors – A Camouflage Approach

Abstract

Skeletal class III patients, especially adults, are best treated by orthognathic surgery and orthodontic treatment; when adding anunfavorable factor such as upper nanic incisors, the treatment difficulty increases. In this particular case, the patient and both his parentsrejected the orthognathic surgery, their main concern being the crowding of the teeth and not the physical appearance of the facialprofile. Based on the skeletal measurements, the orthodontic treatment goals were: align both arches, retrude lower arch, stabilizationof occlusion. MBT classic brackets were bonded aiming for closure of spaces in the lower arch and retrusion of lower incisors. Afterthe active treatment, 16 months, essix retainers were given to wear 12/24. The patient was instructed to be aware of any change in hisocclusion and call the clinic for any small tooth movement immediately.