Treatment in Borderline Class III Malocclusion: Orthodontic Camouflage (Extraction) Versus Orthognathic Surgery

Rabie, A-Bakr M.; Wong, Ricky W.K.; Min, Gwi-Hyeon

doi:10.2174/1874210600802010038

Cited by 66 publications

(92 citation statements)

References 16 publications

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“…Early orthopedic intervention can be effective in normalizing skeletal class III malocclusion if patients are treated in a timely manner. [1][2][3][4][5][6] Class III malocclusion is a severe dentofacial anomaly. In most patients, there is no single feature responsible for the anomaly.…”

Section: Introductionmentioning

confidence: 99%

“…Displacements can be a major factor in determining a surgical vs a nonsurgical decision for some patients. 4 There are several methods of conventional cephalometric analyses to assess A/P skeletal discrepancy. The Arnett analysis uses a true vertical line as a facial reference and it is recommended as a more sophisticated and accurate method of deciding the needs of the case.…”

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confidence: 99%

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Orthodontic Camouflage in Skeletal Class III Malocclusion: A Contemporary Review

Tekale¹,

Vakil²,

Vakil³

et al. 2014

JOFR

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Early orthopedic intervention can be effective in normalizing skeletal class III malocclusions if patients are treated in a timely manner. There are a large number of skeletal class III patients that either decline or cannot afford surgical treatment. The only alternative is 'Orthodontic camouflage' through comprehensive treatment with fixed appliances. The ultimate judgment as to whether orthodontic treatment alone, to camouflage a skeletal problem, would be an acceptable result, or whether orthognathic surgery to correct the jaw discrepancy would be required, must be made by the patient and parents. Class III camouflage logically would be the reverse of class II camouflage, based on retracting the lower incisors, advancing the upper incisors, and surgically reducing the prominence of the chin, in addition, rotating the mandible downward and backward, when the chin is prominent, can be considered a form of camouflage. Even though timing of orthodontic treatment has always been somewhat controversial, it is an agreement in the literature that prognosis is still obscure until growth is completed. A cephalometric analysis is needed to quantitatively record the severity of the class III malocclusion and to determine the underlying cause of the deformity. Although it is agreed that camouflage line of treatment is not an ideal line of treatment, but it serves its purpose very well in mild range of skeletal dysplasia's and in conditions where patient is either unwilling for orthognathic surgery or in cases were surgery is contraindicated.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

Orthodontic Camouflage in Skeletal Class III Malocclusion: A Contemporary Review

Tekale¹,

Vakil²,

Vakil³

et al. 2014

JOFR

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“…• Coordinación de arcos En esta situación clínica se incluyen las desviaciones de línea media, los casos de maloclusión clase II [19,20] y clase III [21] de origen dentoalveolar o esquelético en las cuales el paciente quiere camuflar el problema y la extracción dental ayuda a lograr una adecuada relación de los arcos.…”

Section: Situación Clínica Y Secuencia De Tratamientounclassified

Protocolo de extracciones en ortodoncia

Castro

Garcés²

2014

Rev. nac. odontol.

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Cómo citar este artículo: Villada Castro M, Pedroza Garcés A. Protocolo de extracciones en ortodoncia. Rev. Nac. Odontol. 2013 diciembre; 9 (edición especial): 17-23.Resumen. En muchas ocasiones, la extracción dental como resultado de una necesidad de espacio para el tratamiento ortodóncico, crea alteraciones en la cresta alveolar que pueden resultar en problemas funcionales y estéticos para la correcta finalización del tratamiento, por la insuficiente cantidad de tejido óseo. Este problema le exige al especialista hacer un razonamiento ordenado de cada situación clínica individual y considerar una serie de factores propios del paciente, del tratamiento y del profesional al que remiten, que le indiquen el momento apropiado para realizar las exodoncias de su paciente. El propósito de este artículo es hacer una descripción de los cambios del alvéolo dentario posextracción, y sugerir un protocolo que sea apropiado para definir el momento y la mejor manera en que se deban realizar las extracciones dentales de un paciente ortodóncico.Palabras clave: extracción dental, hueso alveolar, remisión, tratamiento ortodóncico. Protocol for Extractions in OrthodontiaAbstract. Tooth extraction due to the need for space for orthodontic treatment in many cases causes changes in the alveolar ridge, which can result in functional and aesthetic problems for the successful completion of treatment stemming from an insufficient amount of bone tissue. This problem requires the specialist to analyze each individual clinical situation and consider a number of factors specific to the patient, the treatment and the professional to whom they are referred, who will then determine the appropriate time to perform extractions. The purpose of this article is to describe post-extraction changes in the tooth socket and suggest a protocol that is appropriate for defining when and how best to carry out tooth extractions in orthodontic patients.

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“…Class III malocclusion [1][2][3][4][5] is a structural deviation in the sagittal relationship between the maxillary and mandibular bony arches. It is characterized by maxillary retrusion, mandibular protrusion, or a combination of the two.…”

Section: Introductionmentioning

confidence: 99%

“…When treating non-growing patients with skeletal Class III malocclusion, only the two following treatment alternatives are possible [2]: 1) orthodontic repositioning of the teeth to camouflage the underlying skeletal discrepancy or 2) orthognathic surgery combined with orthodontic treatment.…”

Section: Introductionmentioning

confidence: 99%

Orthodontic camouflage versus orthognathic surgery: A comparative analysis of long-term stability and satisfaction in moderate skeletal Class III

Xiong¹,

Yu²,

Chen³

2013

OJST

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Objective: The purpose of this study was to compare long-term stability and satisfaction between orthodontic camouflage and orthognathic surgery in treatment of moderate skeletal Class III adults. Materials and Methods: A total of 25 adults females who had been treated with orthodontic camouflage for Class III malocclusions were recalled at least 3 years posttreatment to evaluate stability and satisfaction with treatment outcomes. The data were compared with similar data for long-term outcomes in 21 patients with the same Class III problems who had bimaxillary surgical correction. Results: In the camouflage patients, small mean changes in skeletal landmark positions occurred over the long term, although the changes were generally much smaller than in the surgery patients. Dental changes in the surgery group were more severe than those in the camouflage group. The camouflage patients reported fewer functional or temporomandibular joint problems than did the surgery patients. Both groups reported similar levels of overall satisfaction with treatment. Conclusion: The results suggest that both camouflage and surgical treatment in moderate skeletal Class III adults can achieve satisfactory outcomes and provide long-term stability. If patients do not readily accept surgery because of potential surgical complications or financial difficulties, camouflage treatment may be an effective alternative treatment.

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Treatment in Borderline Class III Malocclusion: Orthodontic Camouflage (Extraction) Versus Orthognathic Surgery

Cited by 66 publications

References 16 publications

Orthodontic Camouflage in Skeletal Class III Malocclusion: A Contemporary Review

Orthodontic Camouflage in Skeletal Class III Malocclusion: A Contemporary Review

Protocolo de extracciones en ortodoncia

Orthodontic camouflage versus orthognathic surgery: A comparative analysis of long-term stability and satisfaction in moderate skeletal Class III

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