Treatment modalities for management of skeletal and dental Class III malocclusion – A case series

Sukanya Panda, N. M. Remin, Soumyashree Biswal, Ragni Tandon
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Abstract

Class III malocclusion is a challenging phenomenon to comprehend. Research done to determine the cause of Class III malocclusion revealed that the deformity affects all aspects of the craniofacial system, not only the jaws. Skeletal and dentoalveolar abnormalities coexist in the majority of patients with Class III malocclusion. Orthognathic surgery, dentoalveolar compensation, and growth modification are the three main therapies available for skeletal Class III malocclusion. Until the pubertal growth spurt, growth modification needs to be started. Thereby, in order to deal with skeletal Class III malocclusion in a grownup, orthognathic surgery collectively with conventional orthodontic therapy will be required in order optimize facial esthetics as well as attain stable occlusion. The objectives of the case series are to highlight different approaches to resolving skeletal Class III malocclusion, which includes orthognathic surgery, orthopedic appliance therapy, and extractions.
治疗骨骼和牙齿 III 级错颌畸形的方法 - 病例系列
Ⅲ类错合畸形是一种难以理解的现象。为确定 III 类错牙合畸形的原因而进行的研究表明,这种畸形影响到颅颌面系统的各个方面,而不仅仅是颌骨。大多数 III 类错牙合畸形患者都同时存在骨骼和牙槽骨异常。正颌手术、牙槽骨补偿和生长调节是治疗骨骼类 III 型错颌畸形的三种主要疗法。在青春期发育高峰之前,需要开始进行生长调节。因此,要治疗成年人的骨骼Ⅲ类错颌畸形,需要正颌外科手术和传统的正畸治疗相结合,以优化面部美观并获得稳定的咬合。本病例系列旨在强调解决骨骼类 III 型错颌畸形的不同方法,包括正颌外科手术、矫治器治疗和拔牙。
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