Nonextraction treatment of a skeletal Class III malocclusion.
This case report describes the nonsurgical, nonextraction therapy of a 16-year-old boy with a skeletal Class III malocclusion, a prognathic mandible, and a retrusive maxilla. He was initially classified as needing orthognathic surgery, but he and his parents wanted to avoid that. The Class III malocclusion was corrected with a rapid palatal expander and a maxillary protraction mask followed by nonextraction orthodontic treatment with fixed appliances, combined with short Class III and vertical elastics in the anterior area. The height of the maxillary alveolar process and the vertical face height were slightly increased with treatment. Class I molar and canine relationships were achieved, and the facial profile improved substantially.
León-Salazar
Vladimir
V
Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, Brazil. licusperu@hotmail.com
Janson
Guilherme
G
de Freitas
Marcos Roberto
MR
de Almeida
Renato Rodrigues
RR
León-Salazar
Rubén
R
D000293:Adolescent; D005115:Extraoral Traction Appliances; D006801:Humans; D008297:Male; D008313:Malocclusion, Angle Class III / Q000628:therapy*; D008437:Maxilla / Q000002:abnormalities; D024343:Open Bite / Q000628:therapy*; D016382:Orthodontic Appliance Design; D009971:Orthodontics, Corrective / Q000295:instrumentation / Q000379:methods; D010155:Palatal Expansion Technique; D011378:Prognathism / Q000628:therapy*; D014716:Vertical Dimension