title: An unexpected growth pattern: considerations in management.
abstract: A case study spanning 16 years is presented. Routine treatment with serial extraction and an edgewise appliance for a Class I crowded occlusion began when the patient was 8 years old. By the time the patient was 17, his dentition had evolved, because of unanticipated growth, into a Class III malocclusion with complete-arch crossbite. The question of whether it is most appropriate to treat this patient in one or two surgical procedures is discussed, and some controversial aspects and concerns are presented.
authors.affiliation: Howard University College of Dentistry, Washington.
authors.forename: M I
authors.initials: MI
authors.lastname: Katz
authors.forename: B R
authors.initials: BR
authors.lastname: Berman
mesh_terms: D000293:Adolescent; D002648:Child; D006801:Humans; D008297:Male; D008311:Malocclusion, Angle Class I / Q000150:complications / Q000628:therapy; D008313:Malocclusion, Angle Class III / Q000150:complications / Q000601:surgery*; D008334:Mandible / Q000254:growth & development* / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D008445:Maxillofacial Development; D010027:Osteotomy / Q000379:methods; D010155:Palatal Expansion Technique; D010347:Patient Care Planning; D011378:Prognathism / Q000601:surgery*