Skeletal class III malocclusion is prevalent among orthodontic patients and is often associated with serious aesthetic, functional and social repercus-sions for patients. Class III with maxillary retrusion can be intercepted early in order to allow a more favorable environment for dentofacial growth and simplify subsequent orthodontic procedures. The current clinical case of a 5-year-old girl discusses the particularities of the early treatment of Class III malocclusion of maxillary origin using Delaire facemask associated with an innovative technique that improved the orthopedic effect by pulling the maxilla as a block with fewer dentoalveolar side effects. The facemask therapy enabled anterior maxillary displacement with the establishment of positive overjet. It also allowed the restoration of class I canine and molar relationships as well as a significant improvement in the patient’s profile and smile aesthetics.
References
[1]
Sandić, M.Ž., Juloski, J., Stefanović, N., Šćepan, I. and Glišić, B. (2015) The Treatment of Class III Malocclusion in Early Mixed Dentition: Two Case Reports. Stomatoloski glasnik Srbije, 62, 80-88. https://doi.org/10.1515/sdj-2015-0009
[2]
Singh, K., Verma, V.K., Panda, S. and Sachan, A. (2014) Management of Skeletal Class III Malocclusion in an Early Mixed Dentition with Face Mask Therapy: A Case Report. Journal of Dental Research, 1, 55 60. https://www.ramauniversityjournal.com/pdf_file/55-60.pdf
[3]
Azamian, Z. and Shirban, F. (2016) Treatment Options for Class III Malocclusion in Growing Patients with Emphasis on Maxillary Protraction. Scientifica, 2016, Article ID: 8105163. https://doi.org/10.1155/2016/8105163
[4]
Quinzi, V., Salvati, S.E., Pisaneschi, A., Palermiti, M. and Marzo, G. (2023) Class III Malocclusions in De-ciduous or Early Mixed Dentition: An Early Orthopaedic Treatment. European Journal of Paediatric Dentistry, 24, 42-44. https://pubmed.ncbi.nlm.nih.gov/36853215/
[5]
Zere, E., Chaudhari, P.K., Saran, J., Dhingra, K. and Tiwari, N. (2018) Developing Class III Malocclusions: Chal-lenges and Solutions. Clinical, Cosmetic and Investigational Dentistry, 10, 99-116. https://doi.org/10.2147/ccide.s134303
[6]
Celikoglu, M. and Oktay, H. (2013) Effects of Maxillary Protraction for Early Correction of Class III Malocclusion. The European Journal of Orthodontics, 36, 86-92. https://doi.org/10.1093/ejo/cjt006
[7]
Soyer, Y. (2017) Interception of Class-III Malocclusions. Journal of Dentofacial Anomalies and Orthodontics, 20, Article No. 207. https://doi.org/10.1051/odfen/2016051
[8]
Da Silva, D.B.H. and Gonzaga, A.S. (2020) Importance of Orthodontic Intervention of the Class III Malocclusion in Mixed Dentition. Dental Press Journal of Orthodontics, 25, 57-65. https://doi.org/10.1590/2177-6709.25.5.057-065.bbo
[9]
Parayaruthottam, P., Antony, V., Francis, P., Hassan, K. and Muhamed Shaloob, K. (2014) Interception of a Developing Class III Malocclusion with Facemask Therapy. Journal of Or-thodontic Research, 2, 38-41. https://doi.org/10.4103/2321-3825.125925
[10]
Mercy, V., Savitha, N.S. and Krishanmoorthy, S.H. (2023) A Case Report on Growth Modification Using Facemask Therapy in the Management of Class III Malocclusion in a Young Patient. International Journal of Pedodontic Rehabilitation, 8, 21-27. https://doi.org/10.56501/intjpedorehab.v8i1.762
[11]
Woon, S.C. and Thiruvenkatachari, B. (2017) Early Orthodontic Treatment for Class III Malocclu-sion: A Systematic Review and Meta-Analysis. American Journal of Orthodontics and Dentofacial Orthopedics, 151, 28-52. https://doi.org/10.1016/j.ajodo.2016.07.017
[12]
Anne Mandall, N., Cousley, R., DiBiase, A., Dyer, F., Littlewood, S., Mattick, R., et al. (2012) Is Early Class III Protraction Facemask Treatment Effective? A Multicentre, Randomized, Controlled Trial: 3-Year Follow-up. Journal of Orthodontics, 39, 176-185. https://doi.org/10.1179/1465312512z.00000000028
[13]
Vaughn, G.A., Mason, B., Moon, H. and Turley, P.K. (2005) The Effects of Maxillary Protraction Therapy with or without Rapid Palatal Expansion: A Prospective, Randomized Clinical Trial. American Journal of Orthodontics and Dentofacial Orthopedics, 128, 299-309. https://doi.org/10.1016/j.ajodo.2005.04.030
[14]
Oltramari-Navarro, P.V.P., Al-meida, R.R.D., Conti, A.C.D.C.F., Navarro, R.D.L., Almeida, M.R.D. and Fer-nandes, L.S.F.P. (2013) Early Treatment Protocol for Skeletal Class III Malocclusion. Brazilian Dental Journal, 24, 167-173. https://doi.org/10.1590/0103-6440201301588
[15]
Grippaudo, M.M., Quinzi, V., Manai, A., Paolantonio, E.G., Valente, F., La Torre, G., et al. (2020) Orthodontic Treatment Need and Timing: Assessment of Evolutive Malocclusion Conditions and Associated Risk Factors. European Journal of Paediatric Dentistry, 21, 203-208. https://pubmed.ncbi.nlm.nih.gov/32893653/
[16]
Abdulhussein, Z.A. and Aksoy, A. (2022) Compliance of Patients with Class III Malocclusion to Orthodontic Treatment. Journal of Baghdad College of Dentistry, 34, 12-24. https://doi.org/10.26477/jbcd.v34i1.3087
