Correction of Severe Class III Malocclusion by Mandibular Molar Distalization with Ramal Plates
This retrospective investigation aims to evaluate the dentoskeletal and soft tissue changes after the distalization of the mandibular dentition using the ramal plates in nonextraction camouflage treatment of severe Class III malocclusion with a full-cusp discrepancy or more at the first molars. The...
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MDPI AG
2024-11-01
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| Series: | Applied Sciences |
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| author | Ahmed Almadih Alex Hung Kuo Chou Yoon-Ah Kook Sung-Seo Mo Seong Ho Han |
| author_facet | Ahmed Almadih Alex Hung Kuo Chou Yoon-Ah Kook Sung-Seo Mo Seong Ho Han |
| author_sort | Ahmed Almadih |
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| description | This retrospective investigation aims to evaluate the dentoskeletal and soft tissue changes after the distalization of the mandibular dentition using the ramal plates in nonextraction camouflage treatment of severe Class III malocclusion with a full-cusp discrepancy or more at the first molars. The sample consisted of pre- (T1) and post-treatment (T2) lateral cephalograms from 25 adult patients who were treated with the ramal plates for mandibular total distalization. The skeletal, dental, and soft tissue variables were analyzed from T1 to T2 in order to determine the effects of mandibular dentitional distalization. The mandibular first molars distalized 3.65 mm at the crown and 1.81 mm at the root. Similarly, the mandibular incisors retracted 3.32 mm at the crown and 0.81 mm at the root. Skeletally, the Wits appraisal displayed a significant increase of 1.56 mm. Also, soft tissue changes showed a significant lower lip retraction of 1.26 mm. These findings suggest that the ramal plates exhibited effective mandibular distalization in treating severe Class III malocclusion, which may be considered a viable alternative to the orthognathic surgical approach in some patients. |
| format | Article |
| id | doaj-art-a6c878cf2812471fb272caf1308a1bdf |
| institution | DOAJ |
| issn | 2076-3417 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
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| series | Applied Sciences |
| spelling | doaj-art-a6c878cf2812471fb272caf1308a1bdf2025-08-20T02:50:17ZengMDPI AGApplied Sciences2076-34172024-11-0114231115710.3390/app142311157Correction of Severe Class III Malocclusion by Mandibular Molar Distalization with Ramal PlatesAhmed Almadih0Alex Hung Kuo Chou1Yoon-Ah Kook2Sung-Seo Mo3Seong Ho Han4Department of Orthodontics, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of KoreaDepartment of Orthodontics, College of Dentistry, New York University, New York, NY 10010, USADepartment of Orthodontics, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of KoreaDepartment of Orthodontics, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of KoreaDivision of Orthodontics, Department of Dentistry, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of KoreaThis retrospective investigation aims to evaluate the dentoskeletal and soft tissue changes after the distalization of the mandibular dentition using the ramal plates in nonextraction camouflage treatment of severe Class III malocclusion with a full-cusp discrepancy or more at the first molars. The sample consisted of pre- (T1) and post-treatment (T2) lateral cephalograms from 25 adult patients who were treated with the ramal plates for mandibular total distalization. The skeletal, dental, and soft tissue variables were analyzed from T1 to T2 in order to determine the effects of mandibular dentitional distalization. The mandibular first molars distalized 3.65 mm at the crown and 1.81 mm at the root. Similarly, the mandibular incisors retracted 3.32 mm at the crown and 0.81 mm at the root. Skeletally, the Wits appraisal displayed a significant increase of 1.56 mm. Also, soft tissue changes showed a significant lower lip retraction of 1.26 mm. These findings suggest that the ramal plates exhibited effective mandibular distalization in treating severe Class III malocclusion, which may be considered a viable alternative to the orthognathic surgical approach in some patients.https://www.mdpi.com/2076-3417/14/23/11157ramal platesevere class III malocclusionmandibular distalizationnonextraction treatment |
| spellingShingle | Ahmed Almadih Alex Hung Kuo Chou Yoon-Ah Kook Sung-Seo Mo Seong Ho Han Correction of Severe Class III Malocclusion by Mandibular Molar Distalization with Ramal Plates Applied Sciences ramal plate severe class III malocclusion mandibular distalization nonextraction treatment |
| title | Correction of Severe Class III Malocclusion by Mandibular Molar Distalization with Ramal Plates |
| title_full | Correction of Severe Class III Malocclusion by Mandibular Molar Distalization with Ramal Plates |
| title_fullStr | Correction of Severe Class III Malocclusion by Mandibular Molar Distalization with Ramal Plates |
| title_full_unstemmed | Correction of Severe Class III Malocclusion by Mandibular Molar Distalization with Ramal Plates |
| title_short | Correction of Severe Class III Malocclusion by Mandibular Molar Distalization with Ramal Plates |
| title_sort | correction of severe class iii malocclusion by mandibular molar distalization with ramal plates |
| topic | ramal plate severe class III malocclusion mandibular distalization nonextraction treatment |
| url | https://www.mdpi.com/2076-3417/14/23/11157 |
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