Cargando…
Early Management of Class III Malocclusion in Mixed Dentition
AIM: Skeletal class III malocclusion are the most challenging orthodontic problem to treat. Diagnosis and treatment in early stage was important to boost self-esteem of patient. Our aim was to correct skeletal relationship and anterior crossbite to enhance the growth of maxilla. BACKGROUND: Class II...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Jaypee Brothers Medical Publishers
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8343682/ https://www.ncbi.nlm.nih.gov/pubmed/34413617 http://dx.doi.org/10.5005/jp-journals-10005-1752 |
_version_ | 1783734335011028992 |
---|---|
author | Jha, Awanindra K Chandra, Subhash |
author_facet | Jha, Awanindra K Chandra, Subhash |
author_sort | Jha, Awanindra K |
collection | PubMed |
description | AIM: Skeletal class III malocclusion are the most challenging orthodontic problem to treat. Diagnosis and treatment in early stage was important to boost self-esteem of patient. Our aim was to correct skeletal relationship and anterior crossbite to enhance the growth of maxilla. BACKGROUND: Class III malocclusion can be due to retrognathic maxilla, prognathic mandible or combination. Complexity of class III malocclusion depends upon abnormal growth pattern of maxilla and mandible. Maxilla growth ceases around 8–10 years and mandible continue till 16 years. Early intervention boosts self-esteem of the patient. CASE DESCRIPTION: This case presents with clinical feature of retrognathic maxilla at the age of six years. The patient had concave profile with incompetent lips. The mentolabial sulcus was normal and obtuse nasolabial angle with high clinical Frankfurt mandibular angle (FMA). There was reverse overjet of 1 mm. Cephalometric analysis showed a class III skeletal pattern with retrognathic maxilla and orthognathic mandible with increase in lower facial height and increases in gonial angle. The rapid maxillary expansion (RME) with reverse pull face mask was planned. The expansion screw was activated to loosen the circumaxillary suture. CONCLUSION: After active treatment anterior crossbite was corrected. The patient sagittal discrepancy was improved. Early mixed dentition period is the best time to begin class III treatment. CLINICAL SIGNIFICANCE: Early treatment with maxillary protraction and palatal expansion can correct most anterior–posterior skeletal discrepancy. HOW TO CITE THIS ARTICLE: Jha AK, Chandra S. Early Management of Class III Malocclusion in Mixed Dentition. Int J Clin Pediatr Dent 2021;14(2):331–334. |
format | Online Article Text |
id | pubmed-8343682 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Jaypee Brothers Medical Publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-83436822021-08-18 Early Management of Class III Malocclusion in Mixed Dentition Jha, Awanindra K Chandra, Subhash Int J Clin Pediatr Dent Case Report AIM: Skeletal class III malocclusion are the most challenging orthodontic problem to treat. Diagnosis and treatment in early stage was important to boost self-esteem of patient. Our aim was to correct skeletal relationship and anterior crossbite to enhance the growth of maxilla. BACKGROUND: Class III malocclusion can be due to retrognathic maxilla, prognathic mandible or combination. Complexity of class III malocclusion depends upon abnormal growth pattern of maxilla and mandible. Maxilla growth ceases around 8–10 years and mandible continue till 16 years. Early intervention boosts self-esteem of the patient. CASE DESCRIPTION: This case presents with clinical feature of retrognathic maxilla at the age of six years. The patient had concave profile with incompetent lips. The mentolabial sulcus was normal and obtuse nasolabial angle with high clinical Frankfurt mandibular angle (FMA). There was reverse overjet of 1 mm. Cephalometric analysis showed a class III skeletal pattern with retrognathic maxilla and orthognathic mandible with increase in lower facial height and increases in gonial angle. The rapid maxillary expansion (RME) with reverse pull face mask was planned. The expansion screw was activated to loosen the circumaxillary suture. CONCLUSION: After active treatment anterior crossbite was corrected. The patient sagittal discrepancy was improved. Early mixed dentition period is the best time to begin class III treatment. CLINICAL SIGNIFICANCE: Early treatment with maxillary protraction and palatal expansion can correct most anterior–posterior skeletal discrepancy. HOW TO CITE THIS ARTICLE: Jha AK, Chandra S. Early Management of Class III Malocclusion in Mixed Dentition. Int J Clin Pediatr Dent 2021;14(2):331–334. Jaypee Brothers Medical Publishers 2021 /pmc/articles/PMC8343682/ /pubmed/34413617 http://dx.doi.org/10.5005/jp-journals-10005-1752 Text en Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd. https://creativecommons.org/licenses/by-nc/4.0/© Jaypee Brothers Medical Publishers. 2021 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Jha, Awanindra K Chandra, Subhash Early Management of Class III Malocclusion in Mixed Dentition |
title | Early Management of Class III Malocclusion in Mixed Dentition |
title_full | Early Management of Class III Malocclusion in Mixed Dentition |
title_fullStr | Early Management of Class III Malocclusion in Mixed Dentition |
title_full_unstemmed | Early Management of Class III Malocclusion in Mixed Dentition |
title_short | Early Management of Class III Malocclusion in Mixed Dentition |
title_sort | early management of class iii malocclusion in mixed dentition |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8343682/ https://www.ncbi.nlm.nih.gov/pubmed/34413617 http://dx.doi.org/10.5005/jp-journals-10005-1752 |
work_keys_str_mv | AT jhaawanindrak earlymanagementofclassiiimalocclusioninmixeddentition AT chandrasubhash earlymanagementofclassiiimalocclusioninmixeddentition |