A New Appliance for Class III Treatment in Growing Patients: Pushing Splints 3

Several orthopedic procedures have been used in early treatment to reduce the need for orthognathic surgery in skeletal Class III. The most used treatment is Rapid Maxillary Expansion and Facemask. This procedure also determines a clockwise rotation of the mandible, increasing the vertical dimension...

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Main Authors: Stefano Martina, Roberto Martina, Lorenzo Franchi, Vincenzo D’Antò, Rosa Valletta
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2019/9597024
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author Stefano Martina
Roberto Martina
Lorenzo Franchi
Vincenzo D’Antò
Rosa Valletta
author_facet Stefano Martina
Roberto Martina
Lorenzo Franchi
Vincenzo D’Antò
Rosa Valletta
author_sort Stefano Martina
collection DOAJ
description Several orthopedic procedures have been used in early treatment to reduce the need for orthognathic surgery in skeletal Class III. The most used treatment is Rapid Maxillary Expansion and Facemask. This procedure also determines a clockwise rotation of the mandible, increasing the vertical dimensions of the lower third of the face. Therefore, the control of vertical dimension appears to be a key objective in Class III hyperdivergent patients. This article shows two skeletal Class III patients treated with a new appliance (Pushing Splints 3), that is able to correct sagittal discrepancy with a good control of the vertical growth. In both cases, Class I relationship with a proper Overjet and Overbite was achieved with improvement of profile. The final cephalometric values demonstrated a stable sagittal relationship and a good control of the vertical growth. The specific biomechanic features of the PS3 appliance permit the improvement of the sagittal jaw relationship, delivering at the same time vertical vectors that are able to control the alveolar and skeletal components of the vertical growth. This could be useful in the treatment of Class III hyperdivergent patients.
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spelling doaj-art-c88cbfa8d1ad4cb38991f2e773dce44d2025-08-20T02:19:45ZengWileyCase Reports in Dentistry2090-64472090-64552019-01-01201910.1155/2019/95970249597024A New Appliance for Class III Treatment in Growing Patients: Pushing Splints 3Stefano Martina0Roberto Martina1Lorenzo Franchi2Vincenzo D’Antò3Rosa Valletta4Department of Medicine, Surgery and Dentistry, “Scuola Medica Salernitana”, University of Salerno, Via Allende, 84081 Baronissi, ItalySchool of Orthodontics, Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Via Pansini 5, 80131 Naples, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, 50134 Florence, ItalySchool of Orthodontics, Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Via Pansini 5, 80131 Naples, ItalySchool of Orthodontics, Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Via Pansini 5, 80131 Naples, ItalySeveral orthopedic procedures have been used in early treatment to reduce the need for orthognathic surgery in skeletal Class III. The most used treatment is Rapid Maxillary Expansion and Facemask. This procedure also determines a clockwise rotation of the mandible, increasing the vertical dimensions of the lower third of the face. Therefore, the control of vertical dimension appears to be a key objective in Class III hyperdivergent patients. This article shows two skeletal Class III patients treated with a new appliance (Pushing Splints 3), that is able to correct sagittal discrepancy with a good control of the vertical growth. In both cases, Class I relationship with a proper Overjet and Overbite was achieved with improvement of profile. The final cephalometric values demonstrated a stable sagittal relationship and a good control of the vertical growth. The specific biomechanic features of the PS3 appliance permit the improvement of the sagittal jaw relationship, delivering at the same time vertical vectors that are able to control the alveolar and skeletal components of the vertical growth. This could be useful in the treatment of Class III hyperdivergent patients.http://dx.doi.org/10.1155/2019/9597024
spellingShingle Stefano Martina
Roberto Martina
Lorenzo Franchi
Vincenzo D’Antò
Rosa Valletta
A New Appliance for Class III Treatment in Growing Patients: Pushing Splints 3
Case Reports in Dentistry
title A New Appliance for Class III Treatment in Growing Patients: Pushing Splints 3
title_full A New Appliance for Class III Treatment in Growing Patients: Pushing Splints 3
title_fullStr A New Appliance for Class III Treatment in Growing Patients: Pushing Splints 3
title_full_unstemmed A New Appliance for Class III Treatment in Growing Patients: Pushing Splints 3
title_short A New Appliance for Class III Treatment in Growing Patients: Pushing Splints 3
title_sort new appliance for class iii treatment in growing patients pushing splints 3
url http://dx.doi.org/10.1155/2019/9597024
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