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An unexpected growth pattern: considerations in management.

M I Katz1, B R Berman

  • 1Howard University College of Dentistry, Washington.

The International Journal of Adult Orthodontics and Orthognathic Surgery
|January 1, 1992
PubMed
Summary
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This 16-year case study shows how routine orthodontic treatment for crowded teeth evolved into a Class III malocclusion due to unexpected growth. It discusses single vs. two-stage surgical options for this complex case.

Area of Science:

  • Orthodontics and Dentofacial Orthopedics
  • Surgical Orthodontics

Background:

  • A 16-year case study details orthodontic treatment initiated at age 8 for a Class I crowded occlusion.
  • Treatment involved serial extraction and an edgewise appliance.

Observation:

  • Unanticipated patient growth led to the evolution of the dentition.
  • By age 17, the malocclusion had transformed into a Class III with a complete-arch crossbite.

Findings:

  • The study presents a complex orthodontic case with evolving malocclusion.
  • It highlights the challenges of treating late-developing Class III malocclusion after initial Class I correction.

Implications:

  • Discusses the dilemma of choosing between one or two surgical procedures for correction.

Related Experiment Videos

  • Raises controversial aspects and concerns regarding treatment strategies for such evolving cases.