Two-phase treatment in a patient with a skeletal Class III malocclusion: Early orthopedic treatment and subsequent camouflage treatment with temporary anchorage devices |
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| Affiliation: | 1. Department of Orthodontics, Osaka University Dental Hospital, Osaka, Japan;2. Private Practice, Takarazuka, Hyogo, Japan;3. Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Dentistry, Osaka University, Osaka, Japan;1. Department of Orthodontics, Vishnu Dental College, Andhra Pradesh, India;2. Department of Prosthodontics, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India;3. Department of Orthodontics, All India Institute of Medical Sciences, New Delhi, India;4. Department of Orthodontics, VyasDental College and Hospital, Jodhpur, India;5. Department of Orthodontics, Rungta College of Dental Sciences and Research, Bhilai, India;6. Department of Orthodontics, Case Western Reserve University, Cleveland, OH, United States |
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| Abstract: | In this case report, we describe the outcome of a two-phase orthodontic approach used to treat a 4-year and 8-month-old girl who exhibited excessive negative overjet and skeletal Class III jaw relationship. In Phase I treatment, growth modification using a protraction headgear appliance was used to normalize maxillomandibular growth. A forward growth of the maxilla and a normal overjet were achieved. During pubertal growth period, a skeletal Class III jaw relationship persisted due to differential jaw growth. A Phase II camouflage treatment with the help of temporary anchorage devices (TADs) was used to distalize the mandibular dentition. Good occlusion and facial esthetics were achieved, and the outcome has been maintained for 2 years after completion of the active treatment. |
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| Keywords: | Two-phase treatment Class III malocclusion Temporary anchorage devices |
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