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Updated: Feb 16, 2026
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The Establishment of a Murine Mandibular Molar Extraction Socket Healing Model
Published on: January 13, 2023
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Surgery first using skeletal anchorage with tandem mechanics for mandibular molar distalization
Carlos Alberto Estevanell Tavares1, Miguel Angelo R Sheffer2, Susiane Allgayer1
1Private practice, Porto Alegre, Rio Grande Do Sul, Brazil; Department of Orthodontics, Associação Brasileira de Odontologia, Seção Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Summary
This case report details orthodontic retreatment for a patient with skeletal Class III malocclusion. A surgery-first approach with skeletal anchorage achieved stable, favorable outcomes five years post-treatment.
Area of Science:
- Dentistry
- Orthodontics
- Skeletal Malocclusion
Background:
- Skeletal Class III malocclusion presents complex challenges, often involving retruded maxilla and prognathic mandible.
- Treatment necessitates advanced techniques for optimal esthetic and functional results.
Observation:
- A patient with a concave profile, occlusal cant, and missing premolars underwent orthodontic retreatment.
- Clinical examination revealed significant skeletal discrepancies requiring a comprehensive approach.
Findings:
- A surgery-first approach combined with maxillary skeletal anchorage and tandem mechanics was employed.
- Successful correction of the skeletal Class III malocclusion was achieved, improving facial profile and occlusion.
Implications:
- This case highlights the efficacy of combining surgery-first protocols with skeletal anchorage for complex orthodontic retreatment.
- Long-term stability of esthetic and occlusal outcomes is demonstrated, offering valuable insights for clinicians treating similar cases.
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