International Journal of Clinical Pediatric Dentistry

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VOLUME 17 , ISSUE 3 ( March, 2024 ) > List of Articles

CASE REPORT

Face Mask Therapy and Comprehensive Orthodontic Treatment for Skeletal Class III Malocclusion: A Case Report

Lam N Le, Thao T Do, Khanh Vu P Le

Keywords : Anterior crossbite, Case report, Face mask therapy, Maxillary deficiency, Posterior bite turbos, Skeletal class III malocclusion

Citation Information : Le LN, Do TT, Le KV. Face Mask Therapy and Comprehensive Orthodontic Treatment for Skeletal Class III Malocclusion: A Case Report. Int J Clin Pediatr Dent 2024; 17 (3):368-376.

DOI: 10.5005/jp-journals-10005-2793

License: CC BY-NC 4.0

Published Online: 01-06-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aim: This article aims to report a case of face mask therapy and comprehensive orthodontic treatment for skeletal class III malocclusion in a 16-year-old girl. Background: Treating skeletal class III malocclusion in a growing patient is crucial, as it can help avoid the need for additional surgery. Early treatment also lessens the negative impacts of the patient's facial abnormality on their social life because surgery is only done later. Case description: In this case report, a 14-year-old female patient presented with skeletal class III malocclusion with primary complaints of anterior crossbite. There was no relevant medical history. Face mask therapy and fixed appliance therapy were components of the treatment approach that successfully corrected the malocclusion. The total period of treatment was 20 months. Conclusion: The treatment resulted in a harmonious face, a well-aligned smile arch, stable dental and skeletal relationships, and significant esthetic improvements, including improved facial symmetry and profile. Significance: A growing teen who has a skeletal class III malocclusion and a maxillary deficit may be helped by a combination of face mask therapy and thorough orthodontic treatment. This case report outlines the use of the aforementioned technique to successfully treat a 14-year-old child with class III malocclusion and maxillary deficiencies. Early management of skeletal class III malocclusion in developing adolescents is vital as it can potentially eliminate the necessity for future surgical intervention, leading to improved treatment outcomes. Careful case selection, patient cooperation, and long-term stability enable a successful, stable, and esthetically pleasing treatment outcome.


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  1. Proffit WR, Fields HW, Sarver DM. Contemporary Orthodontics, 4th edition. 2007. pp. 689–707.
  2. Joshi N, Hamdan AM, Fakhouri WD. Skeletal malocclusion: a developmental disorder with a life-long morbidity. J Clin Med Res 2014;6(6):399–408. DOI: 10.14740/jocmr1905w
  3. Ishii H, Morita S, Takeuchi Y, et al. Treatment effect of combined maxillary protraction and chincap appliance in severe skeletal class III cases. Am J Orthodont 1987;92(4):304–312. DOI: 10.1016/0889-5406(87)90331-3
  4. Borzabadi-Farahani A, Borzabadi-Farahani A, Eslamipour F. Malocclusion and occlusal traits in an urban Iranian population. An epidemiological study of 11- to 14-year-old children. Eur J Orthodont 2009;31(5):477–484. DOI: 10.1093/ejo/cjp031
  5. Carroll SB, Doebley J, Griffiths AJ, et al. Introduction to Genetic Analysis. Springer; 2015.
  6. Iwasaki T, Hayasaki H, Takemoto Y, et al. Oropharyngeal airway in children with class III malocclusion evaluated by cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2009;136(3):318.e1–318.e9.
  7. Ellis E 3rd, McNamara JA Jr. Components of adult class III malocclusion. J Am Assoc Oral Maxillofac Surg 1984;42(5):295–305. DOI: 10.1016/0278-2391(84)90109-5
  8. Harrington C, Gallagher JR, Borzabadi-Farahani A. A retrospective analysis of dentofacial deformities and orthognathic surgeries using the index of orthognathic functional treatment need (IOFTN). Int J Pediatr Otorhinolaryngol 2015;79(7):1063–1066. DOI: 10.1016/j.ijporl.2015.04.027
  9. Turley PK. Orthopedic correction of class III malocclusion: retention and phase II therapy. J Clin Orthodont 1996;30(6):313–324.
  10. Deguchi T, Kageyama T. Orthodontic Treatment of Class III Malocclusion. Stability of class III treatment strategies in growing patients: a systematic review of the literature; 2014. pp. 151–178.
  11. Ngan P, Hu A, Fields H. Treatment of class III problems begins with differential diagnosis of anterior crossbites. Pediatr Dent 1997;19(6):386–395.
  12. Wu TF, Peng CJ, Lin III. Components of class III malocclusion in Chinese young adults. Clin Dent (Chinese) 1986;6:233–241.
  13. Đo Thi Binh NTBN, Huyen NT. Cephalometric characteristic of anterior open bite in Vietnamese people. Vietnam Med J 2021;506(2).
  14. Foersch M, Jacobs C, Wriedt S, et al. Effectiveness of maxillary protraction using facemask with or without maxillary expansion: a systematic review and meta-analysis. Clin Oral Investig 2015;19(6):1181–1192. DOI: 10.1007/s00784-015-1478-4
  15. McGill JS, McNamara J. Treatment and post-treatment effects of rapid maxillary expansion and facial mask therapy. Craniofac Growth Series 1999;35:123–152.
  16. Benhaioun H, Sahim S, El Aouame A, et al. Interception of class III malocclusion with facemask: cases’ report. J Int Dent 2021;71:S48. DOI: 10.1016/j.identj.2021.08.043
  17. Smyth RS, Ryan FS. Early treatment of class III malocclusion with facemask. Evid Based dent 2017;18(4):107–108. DOI: 10.1038/sj.ebd.6401269
  18. Anne Mandall N, Cousley R, DiBiase A, et al. Is early class III protraction facemask treatment effective? A multicentre, randomized, controlled trial: 3-year follow-up. J Orthodont 2012;39(3):176–185. DOI: 10.1179/1465312512Z.00000000028
  19. Masucci C, Franchi L, Defraia E, et al. Stability of rapid maxillary expansion and facemask therapy: a long-term controlled study. Am J Orthodont Dentofac Orthoped 2011;140(4):493–500. DOI: 10.1016/j.ajodo.2010.09.031
  20. Marshall SD, Low LE, Holton NE, et al. Chin development as a result of differential jaw growth. Am J Orthod Dentofac Orthop 2011;139(4):456–464. DOI: 10.1016/j.ajodo.2009.05.038
  21. Kwak HJ, Park HJ, Kim YJ, et al. Factors associated with long-term vertical skeletal changes induced by facemask therapy in patients with class III malocclusion. Angle Orthod 2018;88(2):157–162. DOI: 10.2319/042717-282.1
  22. Koh SD, Chung DH. Comparison of skeletal anchored facemask and tooth-borne facemask according to vertical skeletal pattern and growth stage. Angle Orthod 2014;84(4):628–633. DOI: 10.2319/060313-421.1
  23. Maino G, Turci Y, Arreghini A, et al. Skeletal and dentoalveolar effects of hybrid rapid palatal expansion and facemask treatment in growing skeletal class III patients. Am J Orthod Dentofac Orthop 2018;153(2):262–268. DOI: 10.1016/j.ajodo.2017.06.022
  24. Ramos AL. Class III treatment using facial mask: stability after 10 years. Dental Press J Orthod 2014;19(5):123–35. DOI: 10.1590/2176-9451.19.5.123-135.bbo
  25. James J, Sundareswaran S, Davis S. Effect of adding daytime class III elastics to the alternate rapid maxillary expansion-constriction and reverse headgear therapy - a randomized clinical trial. J Orthod Sci 2020;9:13. DOI: 10.4103/jos.JOS_71_19
  26. Rai P, Garg D, Tripathi T, et al. Biomechanical effects of Skeletally anchored class III elastics on the maxillofacial complex: a 3D finite element analysis. Prog Orthod 2021;22(1):36. DOI: 10.1186/s40510-021-00375-3
  27. Benjakul S, Thongudomporn U. Class III elastic traction: classical and modified design. Thai J Orthod 2020;7(1):20–28.
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