Keywords
Orthodontic Brackets
malocclusion
angle class III
molar
Tooth Extraction
Mixed Dentition
malocclusion
angle class III
molar
Tooth Extraction
Mixed Dentition
How to Cite
Martínez-Bermudez, O. E. ., Plazas-Román, J. E. ., Vergara-Guerra, C. A. ., & Díaz-Caballero , A. . (2020). An alternative point of view for the camouflage treatment of a skeletal class III. A clinical case report. Duazary, 17(2), 58–65. https://doi.org/10.21676/2389783X.3236
Abstract
Skeletal class III treatment is a challenge for the dental team, especially in kids and teenagers; therefore, it is important to have multiple alternative and treatment modalities that are not traditionally used. The purpose of this report is to review the interceptive orthodontic treatment of a female patient with a Class III malocclusion in the mixed dentition, severe crowding in both arches with no space for upper and lower canines’ eruption. The patient was treated at nine years old, nonsurgical with extraction of mandibular first molars. The basis for this treatment approach is presented, and the short term treatment results reviewed. Important factors to consider when establishing a camouflage of a Class III molar relationship and its limitations are discussed in order to avoid an orthognatic surgery.References
1. Plazas J, Martínez O, Castro L, Solana A, Villalba L. Prevalencia de maloclusiones en niños de una escuela en Cartagena de Indias. Ciencia y Salud virtual. 2011; 3(1): 2-8. Doi: https://doi.org/10.22519/21455333.38
2. Thilander B, Pena L, Infante C, Parada S, de Mayorga C. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogotá, Colombia. An epidemiological study related to different stages of dental development. Eur J Orthod. 2001; 23(2): 153-168. Disponible en https://www.ncbi.nlm.nih.gov/pubmed/11398553
3. Turley P. Treatment of the Class III Malocclusion with Maxillary Expansion and Protraction. Semin Orthod. 2007; 13: 143-157. Disponible en http://www.sciencedirect.com/science/article/pii/S1073874607000266
4. Rey D, Oberti G, Ealo M, Baccetti T. Camouflage of moderate Class III malocclusions with extraction of lower second molars and mandibular cervical headgear. Prog Orthod. 2007; 8 (2): 300-307. Disponible en https://www.ncbi.nlm.nih.gov/pubmed/18030376
5. Lee W, Wong R, Ikegami T. Maxillary second molars extraction. World J Orthod. 2008; 9: 52-61. Disponible en https://www.ncbi.nlm.nih.gov/pubmed/18426106
6. Seon H. Limitations in Orthopedic and Camouflage Treatment for Class III Malocclusion. Semin Orthod. 2007; 13 (3): 158-174. Disponible en http://www.sciencedirect.com/science/article/pii/S1073874607000278
7. Burns NR, Musich DR, Martin C. Class III camouflage treatment: What are the limits? Am J Orthod Dentofacial Orthop. 2010; 137: 9.e1- 9.e13. Disponible en https://dentistry.hsc.wvu.edu/media/1149/class-iii-camouflage-treatment-what-are-the-limits.pdf
8. Baccetti T, Franchi L, Cameron C, McNamara JA. Treatment timing for rapid maxillary expansion. Angle Orthod. 2001; 71: 343‐350. Disponible en https://www.researchgate.net/publication/11744423_Treatment_Timing_for_Rapid_Maxillary_Expansion
9. Lin J. Lower second molar extraction in correction of severe skeletal class III malocclusion. Angle Orthod 2006; 76: 217-225. Disponible en https://pdfs.semanticscholar.org/0a7e/148b10c3c75f09f52bf9a174399f354c2ee0.pdf
10. Dnyandeo P, Vakil K, Vakil J, Madhukarrao S. Orthodontic Camouflage in skeletal class III malocclusion: a contemporary review. J Orofacial Res. 2014; 4(2): 98-102. Disponible en http://www.jaypeejournals.com/eJournals/ShowText.aspx?ID=6595&Type=FREE&TYP=TOP&IN=~/eJournals/images/JPLOGO.gif&IID=497&isPDF=YES
11. Carvalho J, Goncalves S, Andrade L, Batista D, Souza R, Almeida V. Accuracy of two cephalometric analysis in the treatment of patients with skeletal class III malocclusion. Brazilian Dent J. 2015; 26(2): 186-192. Disponible en http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402015000200186
12. Baccetti T, Franchi L, Cameron C, McNamara J. Treatment timing for maxillary Expansion. Angle Orthod. 2011; 71: 343-350. Disponible en https://www.ncbi.nlm.nih.gov/pubmed/11605867
13. Kondo E, Ono M, Ahoba TJ. Utilization of third molars in the orthodontic treatment of skeletal class III subject with severe lateral deviation: Case Report. World J Orthod. 2004; 5: 201-212. Disponible en https://www.ncbi.nlm.nih.gov/pubmed/15612339
14. 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. Disponible en https://www.ncbi.nlm.nih.gov/pubmed/12142894
15. Mora M, Pesqueiro R, Hernandez G, de Silva J, Rodriguez J. Alteración Dentofacial clase III tratado con camuflaje. Rev Mex Ortod. 2015; 3(1): 62-69. Disponible en https://www.sciencedirect.com/science/article/pii/S2395921516000180
16. Ning F, Duan Y. Camouflage treatment in adult skeletal class III cases by extraction of two lower premolars. Korean J Orthod 2010; 40(5): 349-357. Disponible en https://e-kjo.org/search.php?where=aview&id=10.4041/kjod.2010.40.5.349&code=0123KJOD&vmode=PUBREADER
17. Costa TM, Ustrell JM, Correia, J. Orthodontic camouflage in the case of a skeletal class III malocclusion. World J Orthod. 2004; 5: 213-23. Disponible en https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5029321/
18. Figueido M, Furquim D, Bommarito S, Scanavini M. Orthodontic compensation in skeletal class III malocclusion: a case report. World J Orthod. 2007; 8: 385-396. Disponible en https://www.researchgate.net/publication/5755596_Orthodontic_compensation_in_skeletal_Class_III_malocclusion_A_case_report
19. Alkahadra T. A Systematic review of the consequences of early extraction of first permanent first molar in different mixed dentition stages. J Int Soc Prevent Communit Dent. 2017; 7(5): 223-226. Disponible en https://www.ncbi.nlm.nih.gov/pubmed/29026692
2. Thilander B, Pena L, Infante C, Parada S, de Mayorga C. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogotá, Colombia. An epidemiological study related to different stages of dental development. Eur J Orthod. 2001; 23(2): 153-168. Disponible en https://www.ncbi.nlm.nih.gov/pubmed/11398553
3. Turley P. Treatment of the Class III Malocclusion with Maxillary Expansion and Protraction. Semin Orthod. 2007; 13: 143-157. Disponible en http://www.sciencedirect.com/science/article/pii/S1073874607000266
4. Rey D, Oberti G, Ealo M, Baccetti T. Camouflage of moderate Class III malocclusions with extraction of lower second molars and mandibular cervical headgear. Prog Orthod. 2007; 8 (2): 300-307. Disponible en https://www.ncbi.nlm.nih.gov/pubmed/18030376
5. Lee W, Wong R, Ikegami T. Maxillary second molars extraction. World J Orthod. 2008; 9: 52-61. Disponible en https://www.ncbi.nlm.nih.gov/pubmed/18426106
6. Seon H. Limitations in Orthopedic and Camouflage Treatment for Class III Malocclusion. Semin Orthod. 2007; 13 (3): 158-174. Disponible en http://www.sciencedirect.com/science/article/pii/S1073874607000278
7. Burns NR, Musich DR, Martin C. Class III camouflage treatment: What are the limits? Am J Orthod Dentofacial Orthop. 2010; 137: 9.e1- 9.e13. Disponible en https://dentistry.hsc.wvu.edu/media/1149/class-iii-camouflage-treatment-what-are-the-limits.pdf
8. Baccetti T, Franchi L, Cameron C, McNamara JA. Treatment timing for rapid maxillary expansion. Angle Orthod. 2001; 71: 343‐350. Disponible en https://www.researchgate.net/publication/11744423_Treatment_Timing_for_Rapid_Maxillary_Expansion
9. Lin J. Lower second molar extraction in correction of severe skeletal class III malocclusion. Angle Orthod 2006; 76: 217-225. Disponible en https://pdfs.semanticscholar.org/0a7e/148b10c3c75f09f52bf9a174399f354c2ee0.pdf
10. Dnyandeo P, Vakil K, Vakil J, Madhukarrao S. Orthodontic Camouflage in skeletal class III malocclusion: a contemporary review. J Orofacial Res. 2014; 4(2): 98-102. Disponible en http://www.jaypeejournals.com/eJournals/ShowText.aspx?ID=6595&Type=FREE&TYP=TOP&IN=~/eJournals/images/JPLOGO.gif&IID=497&isPDF=YES
11. Carvalho J, Goncalves S, Andrade L, Batista D, Souza R, Almeida V. Accuracy of two cephalometric analysis in the treatment of patients with skeletal class III malocclusion. Brazilian Dent J. 2015; 26(2): 186-192. Disponible en http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402015000200186
12. Baccetti T, Franchi L, Cameron C, McNamara J. Treatment timing for maxillary Expansion. Angle Orthod. 2011; 71: 343-350. Disponible en https://www.ncbi.nlm.nih.gov/pubmed/11605867
13. Kondo E, Ono M, Ahoba TJ. Utilization of third molars in the orthodontic treatment of skeletal class III subject with severe lateral deviation: Case Report. World J Orthod. 2004; 5: 201-212. Disponible en https://www.ncbi.nlm.nih.gov/pubmed/15612339
14. 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. Disponible en https://www.ncbi.nlm.nih.gov/pubmed/12142894
15. Mora M, Pesqueiro R, Hernandez G, de Silva J, Rodriguez J. Alteración Dentofacial clase III tratado con camuflaje. Rev Mex Ortod. 2015; 3(1): 62-69. Disponible en https://www.sciencedirect.com/science/article/pii/S2395921516000180
16. Ning F, Duan Y. Camouflage treatment in adult skeletal class III cases by extraction of two lower premolars. Korean J Orthod 2010; 40(5): 349-357. Disponible en https://e-kjo.org/search.php?where=aview&id=10.4041/kjod.2010.40.5.349&code=0123KJOD&vmode=PUBREADER
17. Costa TM, Ustrell JM, Correia, J. Orthodontic camouflage in the case of a skeletal class III malocclusion. World J Orthod. 2004; 5: 213-23. Disponible en https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5029321/
18. Figueido M, Furquim D, Bommarito S, Scanavini M. Orthodontic compensation in skeletal class III malocclusion: a case report. World J Orthod. 2007; 8: 385-396. Disponible en https://www.researchgate.net/publication/5755596_Orthodontic_compensation_in_skeletal_Class_III_malocclusion_A_case_report
19. Alkahadra T. A Systematic review of the consequences of early extraction of first permanent first molar in different mixed dentition stages. J Int Soc Prevent Communit Dent. 2017; 7(5): 223-226. Disponible en https://www.ncbi.nlm.nih.gov/pubmed/29026692
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