title: Treatment of a Class III patient: a case report.
abstract: BACKGROUND
  The skeletal Class III malocclusion may be characterised by mandibular prognathism, maxillary deficiency or both.
  
  
  OBJECTIVE
  To describe the early treatment of a skeletal Class Ill patient.
  
  
  METHODS
  This case report presents a 10 year-old boy with a Class III malocclusion comprising a combination of maxillary deficiency and mandibular prognathism. Two treatment plans were considered. The first was to correct maxillary deficiency at an early age, while the second aimed to postpone treatment until after skeletal growth completion and then offer bimaxillary surgery. The case was treated early and a tongue appliance was used for maxillary protraction.
  
  
  RESULTS
  The post-treatment SNA angle showed a 5 degree increase and a positive overbite and overjet were achieved after 23 months of active treatment. However, mandibular prognathism was still evident.
  
  
  CONCLUSIONS
  Both treatment options have advantages and disadvantages which require informed clinical consideration.
authors.affiliation: Department of Orthodontics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Rahman
authors.initials: R
authors.lastname: Showkatbakhsh
authors.forename: Abdolreza
authors.initials: A
authors.lastname: Jamilian
mesh_terms: D002508:Cephalometry; D002648:Child; D006801:Humans; D008297:Male; D008313:Malocclusion, Angle Class III / Q000628:therapy*; D008334:Mandible / Q000002:abnormalities; D008437:Maxilla / Q000002:abnormalities; D016382:Orthodontic Appliance Design; D011378:Prognathism / Q000628:therapy; D063173:Retrognathia / Q000628:therapy; D014059:Tongue / Q000502:physiology