EARLY TREATMENT OF A CLASS III PATIENT WITH CHINCUP: A CASE REPORT

Abstract

Class III malocclusions are usually related to growth and mandibular posture. The mixed dentition stage of development may provide a useful opportunity to embark upon orthodontic therapy to correct a Class III malocclusion. Chin cap is a useful appliance in growingpatients that exhibit mandibular prognathis. This case report aim to describe an early treatment of a Class III malocclusion by using a chincup. This case report presents a 9 year-old girl with a functional Class III malocclusion and anterior crossbite. She has treated by using chincup for 10 months. The occlusion was elevated with a maxillary appliance, and the maxilla was freed from the restriction of the mandible. In this way, the maxilla was able to continue its development and the growth of the mandible was limited by chincup. Anterior cross-bite was corrected and a positive overjet were achieved. Facial profile was improved. While posterior rotation of the mandible was expected with the effect of the chincup, SN-GoGn angle didn’t change in this case. At the end of treatment, a class I relationship and a smooth soft tissue profile were obtained.