title: Bone remodeling to correct maxillary deficiency after growth cessation.
abstract: This case report presents a 22-year-old girl with class III malocclusion due to maxillary deficiency. The patient was referred for presurgical orthodontics; however, she rejected the surgery. This case was treated by means of Tongue appliance and slow palatal expansion, followed by lower fixed appliance, reverse chin cup, and upper fixed appliance. Tongue appliance and slow palatal expansion were used at the beginning of the treatment. After 6 months, reverse chin cup and lower fixed appliance were added. Six months later reverse chin cup was removed and upper fixed appliance was mounted. Positive overbite and over jet were achieved after 24 months of active treatment. Nasolabial angle also showed improvement. Nonsurgical treatment of adult class III patients is a difficult procedure; however, this patient was treated nonsurgically.
authors.affiliation: Department of Orthodontics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Rahman
authors.initials: R
authors.lastname: Showkatbakhsh
authors.forename: Alireza
authors.initials: A
authors.lastname: Ghassemi
authors.forename: Marcus
authors.initials: M
authors.lastname: Gerressen
authors.forename: Mehrangiz
authors.initials: M
authors.lastname: Ghassemi
authors.forename: Abdolreza
authors.initials: A
authors.lastname: Jamilian
authors.forename: Shadab
authors.initials: S
authors.lastname: Mohammad
authors.forename: Uma S
authors.initials: US
authors.lastname: Pal
keywords: Bone remodeling; class III malocclusion; growth modification; maxillary deficiency; nonsurgical treatment