Korean J Orthod.  2008 Feb;38(1):60-67. 10.4041/kjod.2008.38.1.60.

Class III nonsurgical treatment using indirect skeletal anchorage: A case report

• Choi JY
• Lim WH
• Chun YS

• KMID: 1481506
• DOI: http://doi.org/10.4041/kjod.2008.38.1.60

Abstract

Treatment of adult patients with Class III malocclusion frequently requires a combined orthodontic and surgical approach. However, if for various reasons, nonsurgical orthodontic treatment is chosen, a stable outcome requires careful consideration of the patient's biologic limitation. This case presents the orthodontic treatment of an adult with a Class III malocclusion, which was treated nonsurgically using indirect skeletal anchorage.

Keyword

Class III; Nonsurgical treatment; Indirect skeletal anchorage; Miniscrew

MeSH Terms

Adult
Humans
Malocclusion

Figure

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  Fig 1 Pretreatment facial photographs.

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  Fig 2 Pretreatment intraoral photographs.

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  Fig 3 Pretreatment dental casts.

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  Fig 4 Pretreatment panoramic radiograph.

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  Fig 5 Pretreatment cephalometric radiograph.

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  Fig 6 Treatment progress.

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  Fig 7 Posttreatment facial photographs.

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  Fig 8 Posttreatment intraoral photographs.

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  Fig 9 Posttreatment dental casts.

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  Fig 10 Posttreatment panoramic radiograph.

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  Fig 11 Posttreatment cephalometric radiograph.

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  Fig 12 composite tracing of before and after treatment.

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  Fig 13 3D-Model superimposition.

Reference

1. Popp TW, Gooris CG, Schur JA. Nonsurgical treatment for a Class III dental relationship: A case report. Am J Orthod Dentofacial Orthop. 1993. 103:203–211.

2. Proffit WR. Contemporary orthodontics. 1986. St Louis: Mosby;200–207.

3. Stellzig-Eisenhauer A, Lux CJ, Schuster G. Treatment decision in adult patients with Class III malocclusion: orthodontic therapy or orthognathic surgery? Am J Orthod Dentofacial Orthop. 2002. 122:27–38.

4. Graber TM. Orthodontics, principles and practice. 2005. Philadelphia: Saunders;128–130.

5. Kanomi R. Mini-implant for orthodontic anchorage. J Clin Orthod. 1997. 31:763–767.

6. Costa A, Raffainil M, Melsen B. Miniscrews as orthodontic anchorage: A preliminary report. Int J Adult Orthodon Orthognath Surg. 1998. 13:201–209.

7. Park HS, Bae SM, Kyung HM, Sung JH. Micro-implant anchorage for treatment of skeletal Class I bialveolar protrusion. J Clin Orthod. 2001. 35:417–422.

8. Celenza F, Hochman M. Absolute anchorage in orthodontics: Direct and indirect implant-assisted modalities. J Clin Orthod. 2000. 34:397–402.

9. Jensen AC, Sinclair PM, Wolford LM. Soft tissue changes associated with double jaw surgery. Am J Orthod Dentofacial Orthop. 1992. 101:266–275.

10. Enacar A, Taner T, Toroglu S. Analysis of soft tissue profile changes associated with mandibular setback and double-jaw surgeries. Int J Adult Orthodon Orthognath Surg. 1999. 14:27–35.

11. Chew MT. Soft tissue and hard tissue changes after bimaxillary surgery in Chinese class III patients. Angle Orthod. 2005. 75:959–963.

12. Bailey LT, Esmailnejad A, Almeida MA. Stability of the palatal rugae as landmarks for analysis of dental casts in extraction and nonextraction cases. Angle Orthod. 1996. 66:73–78.

13. Chang YJ, Lee HS, Chun YS. Microscrew anchorage for molar intrusion. J Clin Orthod. 2004. 38:325–330.

14. Yun SW, Lim WH, Chun YS. Molar control using indirect miniscrew anchorage. J Clin Orthod. 2005. 39:661–664.

15. Aldo G, Fabiana M, Francesca S, Claudio A. Miniscrew treatment of ectopic mandibular molars. J Clin Orthod. 2003. 37:380–383.

16. Park HS, Kyung HM, Sung JH. A simple method of molar uprighting with micro-implant anchorage. J Clin Orthod. 2002. 36:592–596.

17. Kyung SH, Choi JH, Park YC. Miniscrew anchorage used to protract lower second molars into first molar extraction sites. J Clin Orthod. 2003. 37:575–579.

18. Sam K, Rabie AB, King NM. Orthodontic intrusion of periodontally involved teeth. J Clin Orthod. 2001. 35:325–330.

19. Linge BO, Linge L. Apical root resorption in upper anterior teeth. Eur J Orthod. 1983. 5:173–183.

20. McFadden WM, Engstrom C, Engstrom H, Anholm JM. A study of the relationship between incisor intrusion and root shortening. Am J Orthod Dentofacial Orthop. 1989. 96:390–396.

21. Costopoulos G, Nanda R. An evaluation of root resorption incident to orthodontic intrusion. Am J Orthod Dentofacial Orthop. 1996. 109:543–548.