Orthognathic surgery, along with orthodontics, is needed to properly manage a Class III malocclusion with skeletal disharmony. 1 When the patient refuses surgery out of anxiety, expense, or aesthetic considerations, it becomes more difficult to treat them.
Extraction is a popular treatment choice for these forms of conditions, where the extraction is typically performed on premolars in the lower or both arches, or on molars in an open-bite situation, which using devices such as lip bumpers.
When 6-8 A standard treatment recommendation for the crossbite, which affects Class III patients, is to use an expansion system after a midline maxillary osteotomy. nine, ten
This article provides two examples of severe skeletal Class III malocclusions, including one with a deep bite and one with an exposed bite, which were handled using an advanced non-surgical treatment process. In either case, the patients and their relatives objected to treatment, and so only orthodontic repair was advised. Patients wanted to see their dental malpositions resolved, as well as having an aesthetically pleasing appearance with their prognathism, but they still desired to retain their individual facial features, referred to as the “facial symbol.” Orthodontic surgery can only alter extrinsic features including teeth, alveolar bone, structural structure, and soft tissue characteristics. We wanted to achieve four major goals: proper mastication and speech function, improved prognathism, symmetry of the face and smile, and correcting dentoalveolar disharmony.
For Class III therapy, we must take into account all the characteristics that appear as complications orthodontically, as well as potential behavioral and quality-of-life issues. A personalized program is offered by the orthodontist as it is taken into account that medical decisions can be made with the above into consideration. Each patient should be evaluated and handled on the basis of his or her preferences and the recommendations of the orthodontist, which are then paired with an appreciation of the human condition.