Correction of a Class III Malocclusion with a Functional Shift and Severe Crowding
A forward functional shift of the mandible is a significant problem that can cause both functional and aesthetic complications for many patients. This shift usually occurs in growing patients, and it is unusual to see in adult patients. This case report shows an adult patient with a forwarding funct...
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Format: | Article |
Language: | English |
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Wiley
2020-01-01
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Series: | Case Reports in Dentistry |
Online Access: | http://dx.doi.org/10.1155/2020/8867130 |
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author | Yahya A. Alogaibi Ahmad A. Al-Fraidi Manar K. Alhajrasi Ali A. Hassan |
author_facet | Yahya A. Alogaibi Ahmad A. Al-Fraidi Manar K. Alhajrasi Ali A. Hassan |
author_sort | Yahya A. Alogaibi |
collection | DOAJ |
description | A forward functional shift of the mandible is a significant problem that can cause both functional and aesthetic complications for many patients. This shift usually occurs in growing patients, and it is unusual to see in adult patients. This case report shows an adult patient with a forwarding functional shift that caused both anterior and posterior crossbites with a pseudo class III dental and skeletal relationship. The patient also showed severe upper arch crowding with blocked-out canines and mild crowding in the lower arch. The treatment of this patient involved extraction of the upper right and left first premolars and the lower right first premolar, followed by opening of the bite to relieve the neuromuscular reflex of the forward protrusion of the mandible during centric occlusion and to correct both the anterior and posterior crossbites. Extraction spaces were closed using class III elastics and elastomeric chains. At the end of the treatment, good functional and aesthetic results were obtained after the elimination of the forward functional shift. |
format | Article |
id | doaj-art-49901e26f05b4cbd91aa7391410ead17 |
institution | Kabale University |
issn | 2090-6447 2090-6455 |
language | English |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Dentistry |
spelling | doaj-art-49901e26f05b4cbd91aa7391410ead172025-02-03T01:28:35ZengWileyCase Reports in Dentistry2090-64472090-64552020-01-01202010.1155/2020/88671308867130Correction of a Class III Malocclusion with a Functional Shift and Severe CrowdingYahya A. Alogaibi0Ahmad A. Al-Fraidi1Manar K. Alhajrasi2Ali A. Hassan3Bisha Dental Center, Ministry of Health, P.O. Box 418, Bisha 61922, Saudi ArabiaDepartment of Orthodontic, King Fahad Hospital, Specialized Dental Center, Madina, Saudi ArabiaDepartment of Orthodontic, North Jeddah Specialty Dental Center, MOH, Jeddah, Saudi ArabiaAlfarabi Private College, Jeddah, Western Region, Saudi ArabiaA forward functional shift of the mandible is a significant problem that can cause both functional and aesthetic complications for many patients. This shift usually occurs in growing patients, and it is unusual to see in adult patients. This case report shows an adult patient with a forwarding functional shift that caused both anterior and posterior crossbites with a pseudo class III dental and skeletal relationship. The patient also showed severe upper arch crowding with blocked-out canines and mild crowding in the lower arch. The treatment of this patient involved extraction of the upper right and left first premolars and the lower right first premolar, followed by opening of the bite to relieve the neuromuscular reflex of the forward protrusion of the mandible during centric occlusion and to correct both the anterior and posterior crossbites. Extraction spaces were closed using class III elastics and elastomeric chains. At the end of the treatment, good functional and aesthetic results were obtained after the elimination of the forward functional shift.http://dx.doi.org/10.1155/2020/8867130 |
spellingShingle | Yahya A. Alogaibi Ahmad A. Al-Fraidi Manar K. Alhajrasi Ali A. Hassan Correction of a Class III Malocclusion with a Functional Shift and Severe Crowding Case Reports in Dentistry |
title | Correction of a Class III Malocclusion with a Functional Shift and Severe Crowding |
title_full | Correction of a Class III Malocclusion with a Functional Shift and Severe Crowding |
title_fullStr | Correction of a Class III Malocclusion with a Functional Shift and Severe Crowding |
title_full_unstemmed | Correction of a Class III Malocclusion with a Functional Shift and Severe Crowding |
title_short | Correction of a Class III Malocclusion with a Functional Shift and Severe Crowding |
title_sort | correction of a class iii malocclusion with a functional shift and severe crowding |
url | http://dx.doi.org/10.1155/2020/8867130 |
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