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E u r o S c i C o n C o n f e r e n c e o n
Dental & Dental
Hygiene
Dental & Dental Hygiene 2018
Journal of Dental and Craniofacial Research
ISSN 2576-392X
M a r c h 2 6 - 2 7 , 2 0 1 8
E d i n b u r g h , S c o t l a n d
Page 34
C
lass III malocclusion has been a challenge for most of the clinicians when
it comes for diagnosis, prognosis and treatment plan. This malocclusion
can be classified as dentoalveolar, skeletal or functional, which will determine
the prognosis. A 8½ year-old male patient in the mixed dentition stage,
complained having anterior crossbite. Facial evaluation showed slight lack of
development of the middle third. Intraoral examination revealed a forward shift
of the mandible, with a marked mesial molar relationship, and a crossbite of
the four permanent incisors with in-standing upper right lateral incisors and
retained upper right lateral deciduous tooth, thus resulting in a functional Class
III malocclusion. In this case, the patient was treated with fixed 2x4 appliances
on upper and lower arch for 8 months, followed by retention protocol. After
completion of the treatment, the patient was followed for a 6 months period,
and stability was observed. The clinical treatment results showed that it is
possible to achieve favorable outcomes with early management with fixed
braces in Class III malocclusion patients and showed a significant growth in
the sagittal skeletal position of the maxilla and significant improvement in
the soft tissue profile. There is an increase in mandibular length as well as
in maxillo-mandibular sagittal skeletal relationships. The patient exhibited a
significant reduction in negative overjet and overbite. The lower incisors were
retroclined and the lower first molars moved significantly in a vertical direction.
This case shows that that the stability of the correction of a functional Class III
malocclusion with minor skeletal involvement is mainly due to early diagnosis
and the early intervention. So early treatment allows proper facial growth and
development and prevents further worsening of the malocclusion, with more
severe consequences like need for surgery, extraction or more complicated
orthodontic procedure.
Biography
Abhiyanth Shetty is a specialist Orthodontist who always has a
holistic approach in treating patients by using natural orthodon-
tics. He graduated in Bachelor of Dental Surgery in 2002 and
earned his Master’s degree in Orthodontics from Rajiv Gandhi
University of Health Sciences in 2006. He has completed his fel-
lowship in Neuromuscular Orthodontics and Ganthology from
Italy in 2016 and currently he is pursuing his Master’s course
in Neuromuscular Orthodontics and Ganthology from Spain.
He has also undergone special training in treating patients us-
ing Orthotropic Philosophy in New Zealand for 5 years where
he believed that normal growth and development of face and
jaws mainly depends on correct oral posture i.e., tongue resting
against palate, lips sealed, breathing from nose and teeth in or
nearly in contact.
abhiortho@gmail.comInterceptive orthodontics in pediatric patients by fixed
braces
Abhiyanth Shetty
Rajiv Gandhi University of Health Science, India
Abhiyanth Shetty, J Den Craniofac Res 2018, Volume: 3
DOI: 10.21767/2576-392X-C1-002