Combined Orthodontic and Surgical Management for Treatment of Severe Class III Malocclusion with Anterior and Posterior Crossbites
Severe class III malocclusion can be a great challenge, especially in adult patients. This case report describes an adult patient with severe skeletal class III malocclusion and with an obvious maxillary deficiency and mandibular excess causing both anterior and posterior crossbites in addition to a...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2021/5579077 |
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| author | Yahya A. Alogaibi Fahad F. Alsulaimani Basem Jamal Rania Mitwally |
| author_facet | Yahya A. Alogaibi Fahad F. Alsulaimani Basem Jamal Rania Mitwally |
| author_sort | Yahya A. Alogaibi |
| collection | DOAJ |
| description | Severe class III malocclusion can be a great challenge, especially in adult patients. This case report describes an adult patient with severe skeletal class III malocclusion and with an obvious maxillary deficiency and mandibular excess causing both anterior and posterior crossbites in addition to a shift in the upper and lower midlines to the left concerning the facial midline. This was complicated by compensatory mechanisms such as the proclination of upper incisors and retroclination of lower incisors. Decompensation of the upper and lower arches was performed combined with upper arch expansion to relieve crowding in the upper arch and correct the posterior crossbite. This was followed by double jaw surgeries, including Le Fort I osteotomy in the maxilla and bilateral sagittal split osteotomy (BSSO) in the mandible. Orthodontic finishing procedures were then used to correct any other dental discrepancies. Remarkable esthetic and functional results were achieved with high patient satisfaction. |
| format | Article |
| id | doaj-art-872d6fe80d2b4f2f9decc51b37c1111b |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-872d6fe80d2b4f2f9decc51b37c1111b2025-02-03T05:43:48ZengWileyCase Reports in Dentistry2090-64472090-64552021-01-01202110.1155/2021/55790775579077Combined Orthodontic and Surgical Management for Treatment of Severe Class III Malocclusion with Anterior and Posterior CrossbitesYahya A. Alogaibi0Fahad F. Alsulaimani1Basem Jamal2Rania Mitwally3Orthodontist, Bisha Dental Center, Ministry of Health, P.O. Box 418, Bisha 61922, Saudi ArabiaConsultant and Professor, Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah 21589, Saudi ArabiaConsultant and Associate Professor, Oral & Maxillofacial Surgery Department, King Abdulaziz University, Jeddah, Saudi ArabiaNorth Dental Specialty Center, Orthodontic Department, Orthodontist, Ministry of Health, Jeddah, Saudi ArabiaSevere class III malocclusion can be a great challenge, especially in adult patients. This case report describes an adult patient with severe skeletal class III malocclusion and with an obvious maxillary deficiency and mandibular excess causing both anterior and posterior crossbites in addition to a shift in the upper and lower midlines to the left concerning the facial midline. This was complicated by compensatory mechanisms such as the proclination of upper incisors and retroclination of lower incisors. Decompensation of the upper and lower arches was performed combined with upper arch expansion to relieve crowding in the upper arch and correct the posterior crossbite. This was followed by double jaw surgeries, including Le Fort I osteotomy in the maxilla and bilateral sagittal split osteotomy (BSSO) in the mandible. Orthodontic finishing procedures were then used to correct any other dental discrepancies. Remarkable esthetic and functional results were achieved with high patient satisfaction.http://dx.doi.org/10.1155/2021/5579077 |
| spellingShingle | Yahya A. Alogaibi Fahad F. Alsulaimani Basem Jamal Rania Mitwally Combined Orthodontic and Surgical Management for Treatment of Severe Class III Malocclusion with Anterior and Posterior Crossbites Case Reports in Dentistry |
| title | Combined Orthodontic and Surgical Management for Treatment of Severe Class III Malocclusion with Anterior and Posterior Crossbites |
| title_full | Combined Orthodontic and Surgical Management for Treatment of Severe Class III Malocclusion with Anterior and Posterior Crossbites |
| title_fullStr | Combined Orthodontic and Surgical Management for Treatment of Severe Class III Malocclusion with Anterior and Posterior Crossbites |
| title_full_unstemmed | Combined Orthodontic and Surgical Management for Treatment of Severe Class III Malocclusion with Anterior and Posterior Crossbites |
| title_short | Combined Orthodontic and Surgical Management for Treatment of Severe Class III Malocclusion with Anterior and Posterior Crossbites |
| title_sort | combined orthodontic and surgical management for treatment of severe class iii malocclusion with anterior and posterior crossbites |
| url | http://dx.doi.org/10.1155/2021/5579077 |
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