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Bone remodeling to correct maxillary deficiency after growth cessation
Rahman Showkatbakhsh1, Alireza Ghassemi, Marcus Gerressen
1Department of Orthodontics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
National Journal of Maxillofacial Surgery
|July 9, 2013
Summary
This case report details a successful non-surgical treatment for adult Class III malocclusion using appliances like the Tongue appliance and slow palatal expansion. The approach corrected significant bite issues and improved facial aesthetics in a 22-year-old patient.
Area of Science:
- Orthodontics
- Dentofacial Orthopedics
Background:
- Class III malocclusion often requires surgical intervention in adults, particularly when maxillary deficiency is present.
- Non-surgical management of adult Class III malocclusion presents significant challenges due to skeletal maturity.
Observation:
- A 22-year-old female patient presented with Class III malocclusion attributed to maxillary deficiency.
- The patient declined surgical orthodontic treatment, opting for a non-surgical alternative.
Findings:
- Treatment involved a phased approach using a Tongue appliance, slow palatal expansion, reverse chin cup, and fixed orthodontic appliances.
- Over 24 months of active treatment, the patient achieved positive overbite and overjet.
- Facial profile analysis indicated an improvement in the nasolabial angle.
Implications:
- This case demonstrates the feasibility of achieving favorable occlusal and aesthetic outcomes in adult Class III malocclusion without surgery.
- The combined use of specific appliances offers a viable non-surgical treatment option for selected adult patients.
- Further research into non-surgical Class III correction methods is warranted.
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