Compensatory orthodontic treatment of skeletal Class III malocclusion with anterior crossbite.
BACKGROUND
This case report describes the orthodontic treatment of an adult patient with skeletal Class III malocclusion and anterior crossbite. A short cranial base led to difficulties in establishing a cephalometric diagnosis. The patient's main complaint comprised esthetics of his smile and difficulties in mastication.


METHODS
The patient did not have the maxillary first premolars and refused orthognathic surgery. Therefore, the treatment chosen was orthodontic camouflage and extraction of mandibular first premolars. For maxillary retraction, the vertical dimension was temporarily increased to avoid obstacles to orthodontic movement.


RESULTS
At the end of the treatment, ideal overjet and overbite were achieved.


CONCLUSIONS
Examination eight years after orthodontic treatment revealed adequate clinical stability. This case report was submitted to the Brazilian Board of Orthodontics and Facial Orthopedics (BBO) as part of the requirements to become a BBO diplomate.
José
J
Valladares Neto
D001641:Bicuspid / Q000601:surgery; D002508:Cephalometry / Q000379:methods; D003970:Diastema / Q000628:therapy; D004955:Esthetics, Dental; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008313:Malocclusion, Angle Class III / Q000628:therapy*; D008409:Mastication / Q000502:physiology; D016382:Orthodontic Appliance Design; D019516:Orthodontic Space Closure / Q000295:instrumentation / Q000379:methods; D009971:Orthodontics, Corrective / Q000295:instrumentation / Q000379:methods*; D010347:Patient Care Planning; D012904:Smiling; D014081:Tooth Extraction / Q000379:methods; D014087:Tooth Movement Techniques / Q000295:instrumentation / Q000379:methods; D014716:Vertical Dimension; D055815:Young Adult
Corrective orthodontics; Crossbite; Tooth extraction