Complex clinical case with Class III and open bite: stability after seven years

ABSTRACT A healthy 15-year-old boy with anterior open bite, edge-to-edge transverse discrepancy, and Class III skeletal relationship sought a nonsurgical orthodontic treatment. The patient was treated with premolars extraction, a Hyrax expander and intrusion mechanics with vertical elastics. This me...

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Main Authors: Rhita Cristina Cunha Almeida, Livia Kelly Ferraz Nunes, Ingrid Balbino Sousa Coelho Vieira, Felipe de Assis Ribeiro Carvalho, Marco Antonio de Oliveira Almeida
Format: Article
Language:English
Published: Dental Press Editora
Series:Dental Press Journal of Orthodontics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512020000200032&lng=en&tlng=en
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author Rhita Cristina Cunha Almeida
Livia Kelly Ferraz Nunes
Ingrid Balbino Sousa Coelho Vieira
Felipe de Assis Ribeiro Carvalho
Marco Antonio de Oliveira Almeida
author_facet Rhita Cristina Cunha Almeida
Livia Kelly Ferraz Nunes
Ingrid Balbino Sousa Coelho Vieira
Felipe de Assis Ribeiro Carvalho
Marco Antonio de Oliveira Almeida
author_sort Rhita Cristina Cunha Almeida
collection DOAJ
description ABSTRACT A healthy 15-year-old boy with anterior open bite, edge-to-edge transverse discrepancy, and Class III skeletal relationship sought a nonsurgical orthodontic treatment. The patient was treated with premolars extraction, a Hyrax expander and intrusion mechanics with vertical elastics. This mechanics allowed for excellent facial and occlusal results. The final occlusion presented Class I molar and canine relationships, ideal overjet and overbite, and straight facial profile. Analysis of the posttreatment and follow-up radiographs showed that the treatment outcomes remained stable seven years after active orthodontic treatment. Thus, although combined orthodontic and surgical treatment should be considered for patients with this skeletal malocclusion, this case report proves that well controlled orthodontic movement with the patient’s cooperation can be a valid alternative treatment, with good and stable outcomes for patients who refuse surgery.
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spelling doaj.art-d1d1cf38629c4693ba5890d16b3362c52022-12-22T01:11:02ZengDental Press EditoraDental Press Journal of Orthodontics2176-94512177-6709252324310.1590/2177-6709.25.2.032-043.oarS2176-94512020000200032Complex clinical case with Class III and open bite: stability after seven yearsRhita Cristina Cunha AlmeidaLivia Kelly Ferraz NunesIngrid Balbino Sousa Coelho VieiraFelipe de Assis Ribeiro CarvalhoMarco Antonio de Oliveira AlmeidaABSTRACT A healthy 15-year-old boy with anterior open bite, edge-to-edge transverse discrepancy, and Class III skeletal relationship sought a nonsurgical orthodontic treatment. The patient was treated with premolars extraction, a Hyrax expander and intrusion mechanics with vertical elastics. This mechanics allowed for excellent facial and occlusal results. The final occlusion presented Class I molar and canine relationships, ideal overjet and overbite, and straight facial profile. Analysis of the posttreatment and follow-up radiographs showed that the treatment outcomes remained stable seven years after active orthodontic treatment. Thus, although combined orthodontic and surgical treatment should be considered for patients with this skeletal malocclusion, this case report proves that well controlled orthodontic movement with the patient’s cooperation can be a valid alternative treatment, with good and stable outcomes for patients who refuse surgery.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512020000200032&lng=en&tlng=enstabilityopen biteclass iii
spellingShingle Rhita Cristina Cunha Almeida
Livia Kelly Ferraz Nunes
Ingrid Balbino Sousa Coelho Vieira
Felipe de Assis Ribeiro Carvalho
Marco Antonio de Oliveira Almeida
Complex clinical case with Class III and open bite: stability after seven years
Dental Press Journal of Orthodontics
stability
open bite
class iii
title Complex clinical case with Class III and open bite: stability after seven years
title_full Complex clinical case with Class III and open bite: stability after seven years
title_fullStr Complex clinical case with Class III and open bite: stability after seven years
title_full_unstemmed Complex clinical case with Class III and open bite: stability after seven years
title_short Complex clinical case with Class III and open bite: stability after seven years
title_sort complex clinical case with class iii and open bite stability after seven years
topic stability
open bite
class iii
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512020000200032&lng=en&tlng=en
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