Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion
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Background: The treatment options for adults with skeletal Class III malocclusion can be dentoalveolar compensation, also known as orthodontic camouflage, or orthognathic surgery. Camouflage treatment can be carried out with teeth extractions, distalisation of the mandibular dentition, and use of Class III intermaxillary elastics. However, intermaxillary elastics as anchorage has its own risk–benefit. Purpose: To explain that camouflage treatment with teeth extractions can be performed in a mild to moderate skeletal Class III malocclusion using intermaxillary anchorage with elastics, while minimising the deleterious effects and achieving a satisfactory treatment outcome. Case: Our patient was a 25-year-old female who had a skeletal Class III pattern, with normal maxilla and a protruded mandible. She had a straight facial profile with a Class III canine and molar relationship on her right and left sides. Anterior crossbite was also present with crowding on both the maxilla and the mandible. Case Management: The treatment plan was carried out with dentoalveolar compensation by extracting teeth. Extraction of the lower first premolars was conducted to eliminate the crowding and correct the anterior crossbite. The mandibular incisors were retroclined and the maxillary incisors were proclined with dentoalveolar compensation. Passive self-ligating system was used with standard torque prescription, intermaxillary anchorage, and no additional appliances for anchorage control. Class I canine and incisor relationship were both achieved at the end of the treatment, while maintaining the Class III molar relationship. Conclusion: Orthodontic camouflage treatment in an adult patient using a passive self-ligating system and intermaxillary anchorage can improve facial profile and improve dental occlusion.
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Proffit WR, Fields HW, Sarver DM. Contemporary orthodontics. 5th ed. St. Louis: Mosby Elsevier; 2013. p. 220–75.
Nanda R, Kapila S. Current therapy in orthodontics. St. Louis: Mosby Elsevier; 2010. p. 143–58.
Hardy DK, Cubas YP, Orellana MF. Prevalence of angle class III malocclusion: A systematic review and meta-analysis. Open J Epidemiol. 2012; 02(04): 75–82.
Alhammadi MS, Halboub E, Fayed MS, Labib A, El-Saaidi C. Global distribution of malocclusion traits: A systematic review. Dental Press J Orthod. 2018; 23(6): e1–10.
Rabie A-BM, Wong RWK, Min GU. Treatment in borderline Class III malocclusion: Orthodontic camouflage (extraction) versus orthognathic surgery. Open Dent J. 2008; 2(1): 38–48.
Janson G, De Freitas MR, Araki J, Franco EJ, Barros SEC. Class III subdivision malocclusion corrected with asymmetric intermaxillary elastics. Am J Orthod Dentofac Orthop. 2010; 138(2): 221–30.
Troy BA, Shanker S, Fields HW, Vig K, Johnston W. Comparison of incisor inclination in patients with Class III malocclusion treated with orthognathic surgery or orthodontic camouflage. Am J Orthod Dentofac Orthop. 2009; 135(2): 146.e1-146.e9.
Burns NR, Musich DR, Martin C, Razmus T, Gunel E, Ngan P. Class III camouflage treatment: What are the limits? Am J Orthod Dentofac Orthop. 2010; 137(1): 9.e1-9.e13.
Mitchell L. An introduction to orthodontics. 4th ed. Oxford: Oxford University Press; 2013. p. 179–92.
Bellini-Pereira S, Pinzan A, Castillo AA-D, Janson G, Sakoda KL, Cury SEN, Bellini-Pereira S. Class III malocclusion camouflage treatment in adults: A Systematic Review. J Dent Open Access. 2019; 2019(1): 1–12.
Fakharian M, Bardideh E, Abtahi M. Skeletal Class III malocclusion treatment using mandibular and maxillary skeletal anchorage and intermaxillary elastics: A case report. Dental Press J Orthod. 2019; 24(5): 52–9.
Manni A, Lupini D, Cozzani M. Combining skeletal anchorage and intermaxillary elastics in Class II treatment. J Clin Orthod. 2018; 52(4): 227–34.
Klineberg I, Eckert S. Functional occlusion in restorative dentistry and prosthodontics. St. Louis: Mosby Elsevier; 2016. p. 201–13.
Farret MMB, Farret MM, Farret AM. Strategies to finish orthodontic treatment with a Class III molar relationship: three patient reports. World J Orthod. 2009; 10(4): 323–33.
Philip-Alliez C, Le Gall M, Deroze D, Orthlieb JD, Canal P. Therapeutic Class III molar occlusion. J Dentofac Anomalies Orthod. 2009; 12(4): 169–81.
Cai B, Zhao XG, Xiang LS. Orthodontic decompensation and correction of skeletal Class III malocclusion with gradual dentoalveolar remodeling in a growing patient. Am J Orthod Dentofac Orthop. 2014; 145(3): 367–80.
Jing Y, Han X, Guo Y, Li J, Bai D. Nonsurgical correction of a Class III malocclusion in an adult by miniscrew-assisted mandibular dentition distalization. Am J Orthod Dentofac Orthop. 2013; 143(6): 877–87.
Chen SSH, Greenlee GM, Kim JE, Smith CL, Huang GJ. Systematic review of self-ligating brackets. Am J Orthod Dentofac Orthop. 2010; 137(6): 726.e1-726.e18.
Deswita Y, Soegiharto BM, Tarman KE. Camouflage treatment of skeletal Class III malocclusion in an adult cleft-palate patient using passive self-ligating system. Am J Orthod Dentofac Orthop. 2019; 155: 117–26.
Rowland H, Hichens L, Williams A, Hills D, Killingback N, Ewings P, Clark S, Ireland AJ, Sandy JR. The effectiveness of Hawley and vacuum-formed retainers: A single-center randomized controlled trial. Am J Orthod Dentofac Orthop. 2007; 132(6): 730–7.
Mai W, He J, Meng H, Jiang Y, Huang C, Li M, Yuan K, Kang N. Comparison of vacuum-formed and Hawley retainers: A systematic review. Am J Orthod Dentofac Orthop. 2014; 145(6): 720–7.
Littlewood SJ, Millett DT, Doubleday B, Bearn DR, Worthington H V. Retention procedures for stabilising tooth position after treatment with orthodontic braces. Cochrane Database Syst Rev. 2016; 2016: CD002283.
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