Nonsurgical Management of Adult Skeletal Class 3 with Deep Bite utilizing Mini-implants

J Contemp Dent Pract. 2017 Jan 1;18(1):65-68. doi: 10.5005/jp-journals-10024-1991.

Abstract

Malocclusions with anterior crossbite are a major esthetic and functional concern for patients. This case report presents a 27-year-old Syrian female who was diagnosed with a class 3 malocclusion, combined with anterior crossbite, deep bite, concave profile, and inadequate maxillary incisor exposure. There was a centric occlusion (CO)/centric relation (CR) discrepancy and the mandible could be manipulated to near edge-to-edge incisal relation. Correction was done by class 3 intermaxillary elastics on upper and lower mini-implants for the first 6 months, followed by preadjusted edgewise appliance. The objective of implant-supported elastics was to adapt the patient for the CR condylar position without dental effect. Treatment was completed in 24 months with satisfactory dental and facial relationship.

Keywords: Centric relation; Deep bite; Mini-implants; Nonsurgical treatment Skeletal class 3..

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Dental Implants*
  • Elasticity
  • Female
  • Humans
  • Malocclusion, Angle Class III / complications
  • Malocclusion, Angle Class III / therapy*
  • Maxilla
  • Orthodontic Appliance Design
  • Orthodontic Appliances
  • Orthodontics, Corrective / instrumentation
  • Orthodontics, Corrective / methods*
  • Overbite / complications
  • Overbite / therapy*
  • Time Factors
  • Treatment Outcome

Substances

  • Dental Implants