Orthodontic camouflage of skeletal Class III malocclusion with miniplate: a case report.

Marcel Marchiori Farret,Milton M Benitez Farret,Alessandro Marchiori Farret

doi:10.1590/2177-6709.21.4.089-098.oar

Marcel Marchiori Farret, Milton M Benitez Farret + Show 1 more

Open Access

https://doi.org/10.1590/2177-6709.21.4.089-098.oar

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Abstract

ABSTRACTIntroduction: Skeletal Class III malocclusion is often referred for orthodontic treatment combined with orthognathic surgery. However, with the aid of miniplates, some moderate discrepancies become feasible to be treated without surgery. Objective: To report the case of a 24-year-old man with severe skeletal Angle Class III malocclusion with anterior crossbite and a consequent concave facial profile. Methods: The patient refused to undergo orthognathic surgery; therefore, orthodontic camouflage treatment with the aid of miniplates placed on the mandibular arch was proposed. Results: After 18 months of treatment, a Class I molar and canine relationship was achieved, while anterior crossbite was corrected by retraction of mandibular teeth. The consequent decrease in lower lip fullness and increased exposure of maxillary incisors at smiling resulted in a remarkable improvement of patient's facial profile, in addition to an esthetically pleasing smile, respectively. One year later, follow-up revealed good stability of results.

Highlights

Skeletal Class III malocclusion is often referred for orthodontic treatment combined with orthognathic surgery
If patients consent to orthognathic surgery, subsequent mechanical orthodontic treatment becomes simple with superior functional and esthetic results.[3,4,5]
The introduction of skeletal anchorage has increased the number of patients with skeletal problems who can be treated by mechanical orthodontic treatment only, thereby avoiding the need for complementary orthognathic surgery.[2,7]

Summary

Introduction

Skeletal Class III malocclusion is often referred for orthodontic treatment combined with orthognathic surgery. Objective: To report the case of a 24-year-old man with severe skeletal Angle Class III malocclusion with anterior crossbite and a consequent concave facial profile. Methods: The patient refused to undergo orthognathic surgery; orthodontic camouflage treatment with the aid of miniplates placed on the mandibular arch was proposed. Introdução: a má oclusão de Classe III esquelética é frequentemente tratada com associação entre Ortodontia e Cirurgia Ortognática. Objetivo: relatar o caso de um paciente de 24 anos, com má oclusão de Classe de III Angle e Classe III esquelética, mordida cruzada anterior e consequente perfil facial côncavo. Orthodontic camouflage of skeletal Class III malocclusion with miniplate: a case report. » Patients displayed in this article previously approved the use of their facial and intraoral photographs

INTRODUCTION

DISCUSSION