Nonsurgical correction of skeletal Class III malocclusion with lateral shift in an adult

In an adult patient with a severe skeletal Class III malocclusion with midline deviation, combined surgical-orthodontic therapy is often the treatment of choice because it has a satisfying outcome, and the results tend to be stable. Sometimes, however, patients will not accept surgery as a part of the treatment. We report a nonsurgical treatment approach and its outcomes for an adult patient with a skeletal Class III malocclusion with a lateral shift. Treatment included distal movement of the mandibular arch and extraction of the third molars.