Class III camouflage using skeletal anchorage and Pendex appliance

Area of Science:

• Orthodontics and Dentofacial Orthopedics
• Dental Implants
• Biomaterials in Orthodontics

Background:

• Class III malocclusion presents complex challenges in orthodontic treatment.
• Combined anterior and posterior crossbites require precise management strategies.
• Orthodontic mini-implants offer skeletal anchorage for complex tooth movement.

Observation:

• A young female patient (18 years, 4 months) presented with a Class III malocclusion and combined crossbite.
• Two rigid orthodontic mini-implants were placed in the retromolar region for distalization of the lower arch.
• A Pendex appliance was utilized for space creation and arch form/transverse relationship improvement.

Findings:

• The active treatment duration was 17 months.
• Successful correction of overjet and overbite was achieved.
• Distalization of the entire lower arch using mini-implants and coil springs led to improved facial balance.
• Cephalometric analysis indicated dental compensation, but final results were stable.

Implications:

• Orthodontic mini-implants provide an effective solution for distalizing the entire lower arch in Class III malocclusions.
• Combined appliance therapy (mini-implants and Pendex) can successfully manage complex malocclusions with crossbites.
• This approach offers a stable and satisfactory outcome for improving both dental and facial aesthetics.