Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion

Background: The treatment options for adults with skeletal Class III malocclusion can be dentoalveolar compensation, also known as orthodontic camouflage, or orthognathic surgery. Camouflage treatment can be carried out with teeth extractions, distalisation of the mandibular dentition, and use of Cl...

Full description

Bibliographic Details
Main Authors: Fransiska Monika, Retno Widayati
Format: Article
Language:English
Published: Universitas Airlangga 2020-12-01
Series:Dental Journal
Subjects:
Online Access:https://e-journal.unair.ac.id/MKG/article/view/22047
_version_ 1818916513627766784
author Fransiska Monika
Retno Widayati
author_facet Fransiska Monika
Retno Widayati
author_sort Fransiska Monika
collection DOAJ
description Background: The treatment options for adults with skeletal Class III malocclusion can be dentoalveolar compensation, also known as orthodontic camouflage, or orthognathic surgery. Camouflage treatment can be carried out with teeth extractions, distalisation of the mandibular dentition, and use of Class III intermaxillary elastics. However, intermaxillary elastics as anchorage has its own risk–benefit. Purpose: To explain that camouflage treatment with teeth extractions can be performed in a mild to moderate skeletal Class III malocclusion using intermaxillary anchorage with elastics, while minimising the deleterious effects and achieving a satisfactory treatment outcome. Case: Our patient was a 25-year-old female who had a skeletal Class III pattern, with normal maxilla and a protruded mandible. She had a straight facial profile with a Class III canine and molar relationship on her right and left sides. Anterior crossbite was also present with crowding on both the maxilla and the mandible. Case Management: The treatment plan was carried out with dentoalveolar compensation by extracting teeth. Extraction of the lower first premolars was conducted to eliminate the crowding and correct the anterior crossbite. The mandibular incisors were retroclined and the maxillary incisors were proclined with dentoalveolar compensation. Passive self-ligating system was used with standard torque prescription, intermaxillary anchorage, and no additional appliances for anchorage control. Class I canine and incisor relationship were both achieved at the end of the treatment, while maintaining the Class III molar relationship. Conclusion: Orthodontic camouflage treatment in an adult patient using a passive self-ligating system and intermaxillary anchorage can improve facial profile and improve dental occlusion.
first_indexed 2024-12-20T00:19:22Z
format Article
id doaj.art-9483a88b3e394e8fbcce5bc5f2a20866
institution Directory Open Access Journal
issn 1978-3728
2442-9740
language English
last_indexed 2024-12-20T00:19:22Z
publishDate 2020-12-01
publisher Universitas Airlangga
record_format Article
series Dental Journal
spelling doaj.art-9483a88b3e394e8fbcce5bc5f2a208662022-12-21T20:00:14ZengUniversitas AirlanggaDental Journal1978-37282442-97402020-12-0153419119510.20473/j.djmkg.v53.i4.p191-19511285Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusionFransiska Monika0Retno Widayati1Faculty of Dentistry, Universitas Indonesia, JakartaFaculty of Dentistry, Universitas Indonesia, JakartaBackground: The treatment options for adults with skeletal Class III malocclusion can be dentoalveolar compensation, also known as orthodontic camouflage, or orthognathic surgery. Camouflage treatment can be carried out with teeth extractions, distalisation of the mandibular dentition, and use of Class III intermaxillary elastics. However, intermaxillary elastics as anchorage has its own risk–benefit. Purpose: To explain that camouflage treatment with teeth extractions can be performed in a mild to moderate skeletal Class III malocclusion using intermaxillary anchorage with elastics, while minimising the deleterious effects and achieving a satisfactory treatment outcome. Case: Our patient was a 25-year-old female who had a skeletal Class III pattern, with normal maxilla and a protruded mandible. She had a straight facial profile with a Class III canine and molar relationship on her right and left sides. Anterior crossbite was also present with crowding on both the maxilla and the mandible. Case Management: The treatment plan was carried out with dentoalveolar compensation by extracting teeth. Extraction of the lower first premolars was conducted to eliminate the crowding and correct the anterior crossbite. The mandibular incisors were retroclined and the maxillary incisors were proclined with dentoalveolar compensation. Passive self-ligating system was used with standard torque prescription, intermaxillary anchorage, and no additional appliances for anchorage control. Class I canine and incisor relationship were both achieved at the end of the treatment, while maintaining the Class III molar relationship. Conclusion: Orthodontic camouflage treatment in an adult patient using a passive self-ligating system and intermaxillary anchorage can improve facial profile and improve dental occlusion.https://e-journal.unair.ac.id/MKG/article/view/22047class iii malocclusionorthodontic camouflage treatmentpassive self-ligating system
spellingShingle Fransiska Monika
Retno Widayati
Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion
Dental Journal
class iii malocclusion
orthodontic camouflage treatment
passive self-ligating system
title Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion
title_full Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion
title_fullStr Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion
title_full_unstemmed Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion
title_short Orthodontic camouflage treatment using a passive self-ligating system in skeletal Class III malocclusion
title_sort orthodontic camouflage treatment using a passive self ligating system in skeletal class iii malocclusion
topic class iii malocclusion
orthodontic camouflage treatment
passive self-ligating system
url https://e-journal.unair.ac.id/MKG/article/view/22047
work_keys_str_mv AT fransiskamonika orthodonticcamouflagetreatmentusingapassiveselfligatingsysteminskeletalclassiiimalocclusion
AT retnowidayati orthodonticcamouflagetreatmentusingapassiveselfligatingsysteminskeletalclassiiimalocclusion