title: Camouflage treatment of skeletal class III malocclusion with asymmetry using a bone-borne rapid maxillary expander.
abstract: This case report presents the successful use of palatal mini-implants for rapid maxillary expansion and mandibular distalization in a skeletal Class III malocclusion. The patient was a 13-year-old girl with the chief complaint of facial asymmetry and a protruded chin. Camouflage orthodontic treatment was chosen, acknowledging the possibility of need for orthognathic surgery after completion of her growth. A bone-borne rapid expander (BBRME) was used to correct the transverse discrepancy and was then used as indirect anchorage for distalization of the lower dentition with Class III elastics. As a result, a Class I occlusion with favorable inclination of the upper teeth was achieved without any adverse effects. The total treatment period was 25 months. Therefore, BBRME can be considered an alternative treatment in skeletal Class III malocclusion.
authors.affiliation: a Clinical Fellow, Department of Orthodontics, Kyung Hee University School of Dentistry, Seoul, South Korea.
authors.forename: Yu-Jin
authors.initials: YJ
authors.lastname: Seo
authors.forename: Kyu-Rhim
authors.initials: KR
authors.lastname: Chung
authors.forename: Seong-Hun
authors.initials: SH
authors.lastname: Kim
authors.forename: Gerald
authors.initials: G
authors.lastname: Nelson
mesh_terms: D000293:Adolescent; D002508:Cephalometry / Q000379:methods; D002680:Chin / Q000473:pathology; D015921:Dental Implants; D005146:Facial Asymmetry / Q000628:therapy*; D005260:Female; D006801:Humans; D008313:Malocclusion, Angle Class III / Q000628:therapy*; D008334:Mandible / Q000473:pathology; D008437:Maxilla / Q000473:pathology; D008904:Miniaturization; D009295:Nasal Bone / Q000473:pathology; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation*; D016382:Orthodontic Appliance Design; D010155:Palatal Expansion Technique / Q000295:instrumentation*; D010347:Patient Care Planning; D011378:Prognathism / Q000628:therapy; D013997:Time Factors; D014087:Tooth Movement Techniques / Q000295:instrumentation; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants
keywords: Asymmetry, C-expander; Camouflage; Class III malocclusion; Mini-implant; Rapid maxillary expansion