2014, Number 1
<< Back
Rev Odotopediatr Latinoam 2014; 4 (1)
Early treatment of Class III malocclusion with orthopedic appliances: Case report with 7 years of control
Alzate-J, Álvarez-E, Botero-P
Language: Spanish
References: 26
Page: 95-109
PDF size: 385.48 Kb.
ABSTRACT
One of the most difficult malocclusions to diagnose and treat is Class III malocclusion. It is characterized by an alteration in the sagittal relationship of the jaws, either by a deficiency or maxillary retrusion or mandibular prognathism, or whether a combination of the above. The etiology is multifactorial and is due to an interaction of hereditary and environmental factors.
A 4-year-old female with hereditary pattern of class III malocclusion in his mother's family is presented. Skeletal Class III, increased jaw length, protruded, rotating posterior and maxilla retruded. Vertical growth type, straight profile, anterior crossbite and posterior left-sided. Orthopedic appliance therapy was instituted during the deciduous dentition to the permanent dentition, to achieve , balancing the maxillomandibular growth. One of the most complex aspects of orthopedic clinical management of Class III malocclusion is the possibility of relapse after active treatment period, however, in our patient changes in skeletal, dental and aesthetic aspects achieved during treatment have been stable.
REFERENCES
. Jacobson A, Evans WG, Preston CB, Sadowsky PL. Mandibular prognathism. Am J Orthod. 1974; 66 (2):140-71.
. Litton SF, Ackermann LV, Isaacson R, Shapiro B. A genetic study of class III malocclusion. Am J Orthod. 1970; 58:565 77.
. Toffol LD, Pavoni C, Baccetti T, Franchi L, Cozza P. Orthopedic treatment outcomes in Class III malocclusion. A systematic review. Angle Orthod. 2008; 78(3):561-73.
. Pascoe JJ, Hayward Jr, Costich Er. Mandibular prognathism: its etiology and a classification. J Oral Surg Anesth Hosp Dent Serv. 1960; 18:21-4.
. Gorlin RJ, Redman RS, Shapiro BL. effect of x-chromosome aneuploidy on jaw growth. J. Dent. Res. 1965; 44: SUPPL: 269-82.
. Guyer EC, Ellis E III, McNamara, JA Jr, Behrents RG. Components of Class III malocclusion in juveniles and adolescents. Angle Orthod. 1986; 56:7-30.
. Thilander B, Pena L, Infante C, Parada SS, de Mayorga C. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogota, Colombia. An epidemiological study related to different stages of dental development. Eur J Orthod. 2001; 23(2):153-67.
. Abdelnabya Y; Nassarb E. Chin cup effects using two different force magnitudes in the management of lass III malocclusions. Angle Orthod. 2010; 80:957-62.
. Westwood PV, McNamara JA Jr, Baccetti T, Franchi L, Sarver DM. Long-term effects of Class III treatment with rapid maxillary expansion and facemask therapy followed by fixed appliances. Am J Orthod Dentofacial Orthop. 2003; 123:306-20.
. Baccetti T, Franchi L, McNamara J. Cephalometric variables predicting the longterm success or failure of combined rapid maxillary expansion and facial mask therapy. Am J Orthod Dentofacial Orthop. 2004; 126(1):16-22.
. Baccetti T, Franchi L, McNamara Ja Jr Treatment and posttreatment craniofacial changes after rapid maxillary expansion and facemask therapy. Am J Orthod Dentofacial Orthop. 2000; 118: 404-413.
. Macdonald K E, Kapust A J, Turley P K. Cephalometric changes after the correction of Class III malocclusion with maxillary expansion/ facemask therapy. Am J Orthod Dentofacial Orthop . 1999; 116: 13-24.
. Tortop T, Keykubat A, Yüksel S. Facemask therapy with and without expansion. Am J Orthod Dentofacial Orthop. 2007; 132: 467-474.
Chen LL. The effects of maxillary protraction and its long-term stability-a clinical trial in Chinese adolescents. Eur J Orthod. 2012; 34(1):88-95.
. Takada K, Petdachai S, Sakuda M . Changes in dentofacial morphology in skeletal Class III children treated by a modified maxillary protraction headgear and a chin cup: a longitudinal cephalometric appraisal. Eur J Orthod. 1993; 15: 211-221.
. Chong Y H, Ive J C, Ártun J. Changes following the use of protraction headgear for early correction of Class III malocclusion. Angle Orthod. 1996; 66: 351-362.
. Shanker S et al. Cephalometric A-point changes during and after maxillary protraction and expansion. Am J Orthod dentofacial Orthop. 1996; 110: 423-430.
. Ngan PW, Hagg U, Yiu C, Wei SH. Treatment response and long-term dentofacial adaptations to maxillary expansion and protraction. Semin Orthod 1997; 3:255-64.
. Wolfe S; Araujo E; Behrents R; Buschang P.Craniofacial growth of Class III subjects six to sixteen years of age. Angle Orthod. 2011; 81:211-216.
. Ngan P, Wei SH, Hagg U, Yiu CK, Merwin D, Stickel B. Effect of protraction headgear on Class III malocclusion. Quintessence Int. 1992; 23:197-207.
. Kilicoglu H, Kirlic_ Y. Profile changes in patients with Class III malocclusions after Delaire mask therapy. Am J Orthod Dentofacial Orthop. 1998; 113:453-462.
. Yuksel S, Ucem TT, Keykubat A. Early and late facemask therapy. Eur J Orthod. 2001;23:559-568
. Deguchi T, Kuroda T, Minoshima Y, Graber TM. Craniofacial features of patients with Class III abnormalities: growthrelated changes and effects of short-term and long-term chincup therapy. Am J Orthod Dentofacial Orthop. 2002; 121:84-92.
. Baik HS, Jee SH, Lee KJ, Oh TK. Treatment effects of Frankel functional regulator III in children with Class III malocclusions. Am J Orthod Dentofacial Orthop. 2004; 125:294-301.
. Deguchi T, Kanomi R, Ashizawa Y, Rosenstein SW. Very early face mask therapy in Class III children. Angle Orthod. 1999; 69:349-355.
. Masucci C, Franchi L, Defraia E, Mucedero M , Cozza P , Baccetti T. Stability of rapid maxillary expansion and facemask therapy: A long-term controlled study. Am J Orthod Dentofacial Orthop 2011; 140:493-500.