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Maxillary protraction after surgically assisted maxillary expansion.

Laurindo Zanco Furquim1, Guilherme Janson, Bruno D'Aurea Furquim

  • 1Department of Pediatric Dentistry, Orthodontics and Community Health, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.

Journal of Applied Oral Science : Revista FOB
|September 22, 2010
PubMed
Summary

This case report details orthodontic treatment for a 32-year-old woman with Class III malocclusion and maxillary deficiency. The successful treatment involved surgically assisted rapid maxillary expansion and orthopedic protraction, achieving excellent dentofacial esthetics.

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Area of Science:

  • Orthodontics
  • Dentofacial Orthopedics
  • Maxillofacial Surgery

Background:

  • Class III malocclusion presents significant dentofacial challenges, often involving maxillary deficiency.
  • Esthetic concerns are a primary driver for seeking orthodontic treatment in adults.
  • Surgically Assisted Rapid Maxillary Expansion (SARME) is an option for skeletal maxillary expansion.

Observation:

  • A 32-year-old female presented with a Class III malocclusion and subjective concerns regarding her dentofacial esthetics.
  • Cephalometric analysis revealed a Class III dentoskeletal pattern with a deficient maxilla.
  • The patient demonstrated excellent compliance throughout the treatment process.

Findings:

  • The treatment protocol combined Surgically Assisted Rapid Maxillary Expansion (SARME) with orthopedic protraction using a Sky Hook appliance and Class III elastics.
  • This multi-faceted approach effectively addressed the skeletal discrepancies.
  • Satisfactory dentofacial esthetics were achieved upon completion of the orthodontic treatment.

Implications:

  • This case highlights the successful application of SARME combined with orthopedic protraction for correcting Class III malocclusion in adults.
  • The findings suggest that this treatment modality can yield favorable esthetic outcomes in patients with maxillary deficiency.
  • Effective patient compliance is crucial for achieving optimal results in complex orthodontic cases.