title: Nonsurgical Management of Adult Skeletal Class 3 with Deep Bite utilizing Mini-implants.
abstract: Malocclusions with anterior crossbite are a major esthetic and functional concern for patients. This case report presents a 27-year-old Syrian female who was diagnosed with a class 3 malocclusion, combined with anterior crossbite, deep bite, concave profile, and inadequate maxillary incisor exposure. There was a centric occlusion (CO)/centric relation (CR) discrepancy and the mandible could be manipulated to near edge-to-edge incisal relation. Correction was done by class 3 intermaxillary elastics on upper and lower mini-implants for the first 6 months, followed by preadjusted edgewise appliance. The objective of implant-supported elastics was to adapt the patient for the CR condylar position without dental effect. Treatment was completed in 24 months with satisfactory dental and facial relationship.
authors.affiliation: Department of Orthodontics, Damascus University, Damascus Syrian Arab Republic, Phone: +00963967803138, e-mail: alihalabi32t@ yahoo.com.
authors.forename: Ali G
authors.initials: AG
authors.lastname: Alhalabi
authors.affiliation: Department of Oral and Maxillofacial Surgery, Ludwig-Maximilians-Universitat, Bavaria, Germany.
authors.forename: Salah
authors.initials: S
authors.lastname: Mahaini
authors.affiliation: Department of Prosthodontics, Ernst-Moritz-Arndt-Universitat Greifswald, Braunschweig, Germany.
authors.forename: Ghalia
authors.initials: G
authors.lastname: Shebib
authors.affiliation: Department of Oral and Maxillofacial Surgery, Damascus University, Damascus, Syrian Arab Republic.
authors.forename: Khaldoun
authors.initials: K
authors.lastname: Darwich
authors.affiliation: Department of Orthodontics, Damascus University, Damascus Syrian Arab Republic.
authors.forename: Luai
authors.initials: L
authors.lastname: Mahaini
mesh_terms: D000328:Adult; D015921:Dental Implants; D004548:Elasticity; D005260:Female; D006801:Humans; D008313:Malocclusion, Angle Class III / Q000150:complications / Q000628:therapy*; D008437:Maxilla; D016382:Orthodontic Appliance Design; D009967:Orthodontic Appliances; D009971:Orthodontics, Corrective / Q000295:instrumentation / Q000379:methods*; D057887:Overbite / Q000150:complications / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants
keywords: Centric relation; Deep bite; Mini-implants; Nonsurgical treatment Skeletal class 3.