Correction of an adult Class III malocclusion through regaining of orthodontic space and an implant restoration.

J Esthet Restor Dent

Division of Orthodontics, Department of Dentistry, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

Published: January 2022

AI Article Synopsis

  • The case report focuses on a 23-year-old woman with Class III malocclusion and a missing upper left second premolar, detailing an interdisciplinary treatment approach.
  • The chosen treatment plan included maxillary molar retraction and arch protraction using a temporary skeletal anchorage device, successfully creating space for an implant and improving her overall dental alignment and function.
  • The case highlights the effectiveness of combining implant restoration with orthodontic methods, while emphasizing the importance of understanding the biomechanics of temporary skeletal anchorage devices for addressing similar dental issues.

Article Abstract

This case report describes the interdisciplinary treatment of a 23-year-old female with Class III malocclusion and a missing maxillary left second premolar. Treatment alternatives were discussed, and the selected treatment plan was presented to illustrate a way to gain space for the premolar implant restoration and correct Class III relationship through maxillary molar retraction followed by maxillary total arch protraction with a palatal temporary skeletal anchorage device. Esthetic anterior alignment and functional occlusal rehabilitation was achieved, and facial balance was maintained at the end of treatment. CLINICAL SIGNIFICANCE: Implant restoration in conjunction with regaining orthodontic space by a team of multidisciplinary dental specialists presents an effective treatment solution to permanent tooth agenesis. Class III malocclusion can be treated with a combination of maxillary protraction and mandibular retraction using temporary skeletal anchorage devices. The versatility of modified palatal C-plates presents greater clinical application when related side effects are controlled with solid understanding of their biomechanics.

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http://dx.doi.org/10.1111/jerd.12870DOI Listing

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