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- Title
Severe Open Bite Correction and 5-mm Mandibular Arch Distalisation without Skeletal Anchorage: 4-year Follow-up of a Case of Nonsurgical Orthodontic Treatment of Adult Skeletal Class III Malocclusion.
- Authors
Jian Han REN; Wei CaiWANG; Chen ZHOU; De Lan HUANG; Run Ze LI; Zhi Cai FENG; Yi Jia CHEN; Xi WANG; Yang CAO; Bin CAI; Bai Cheng BAO
- Abstract
Ideally, orthognathic surgery is indicated to treat skeletal Class III malocclusion with severe open bite in adults. In this borderline case, however, camouflage treatment without any skeletal anchorage was chosen. This report describes the orthodontic treatment of a 23-year-old man who presented with multiple orthodontic problems including severe open bite of the anterior and posterior teeth up to the first molars, bilateral posterior crossbite, bilateral Class III molar relationship, severe crowding, increased vertical dimension, and dental and facial midline deviation. The treatment included the extraction of four wisdom teeth, uprighting and distalisation of the mandibular arch with molar intrusion using curved NiTi wires with intermaxillary elastics. After 36 months of treatment, satisfactory improvements in the vertical overlap, horizontal overlap and sagittal malocclusion were achieved. The design of the mechanical system used in this case confirmed stable results at the 4-year follow-up.
- Subjects
DENTAL arch; MALOCCLUSION; CORRECTIVE orthodontics; THIRD molars; ORTHOGNATHIC surgery; INCISORS
- Publication
Chinese Journal of Dental Research, 2020, Vol 23, Issue 4, p297
- ISSN
1462-6446
- Publication type
Article
- DOI
10.3290/j.cjdr.b867899