Planejamento interdisciplinar da correção da classe III esquelética com desgastes incisais

Abstract

This paper shows a case report in which interdisciplinary treatment plan comprised a surgically assisted orthodontic approach previously to the oral rehabilitation in a female, adult patient with dental and skeletal Class III malocclusion and tooth wear. The patient complained about her smile and face aesthetics and the extraoral exam revealed reduced lower lower facial third and absence of upper incisors exposure upper incisor exposure at rest. Intraoral exam exhibited molar and canine Class III relationship, anterior crossbite, tooth wear, shortening of incisors height and reduced occlusal vertical dimension. As treatment results, molar and canine class I relationship was obtained, as well as improvement of the facial proportions and sagittal relation between maxilla and mandible. The surgically assisted orthodontic treatment provided a dental intercuspation favorable to oral rehabilitation, restoring occlusal vertical dimension, reshaping the incisors, and providing occlusion with satisfactory aesthetics and function. This paper demonstrates the importance and necessity of an interdisciplinary approach on the treatment of dental and skeletal Class III malocclusion and clear communication of all the professionals involved.