Surgery first using skeletal anchorage with tandem mechanics for mandibular molar distalization

Carlos Alberto Estevanell Tavares; Miguel Angelo R Sheffer; Susiane Allgayer

doi:10.1016/j.ajodo.2016.09.035

Surgery first using skeletal anchorage with tandem mechanics for mandibular molar distalization

Am J Orthod Dentofacial Orthop. 2018 Jan;153(1):118-130. doi: 10.1016/j.ajodo.2016.09.035.

Authors

Carlos Alberto Estevanell Tavares¹, Miguel Angelo R Sheffer², Susiane Allgayer³

Affiliations

¹ Private practice, Porto Alegre, Rio Grande Do Sul, Brazil; Department of Orthodontics, Associação Brasileira de Odontologia, Seção Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
² Private practice, Porto Alegre, Rio Grande do Sul, Brazil.
³ Private practice, Porto Alegre, Rio Grande Do Sul, Brazil; Department of Orthodontics, Associação Brasileira de Odontologia, Seção Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil. Electronic address: susianeallgayer@gmail.com.

PMID: 29287638
DOI: 10.1016/j.ajodo.2016.09.035

Abstract

This case report describes the orthodontic retreatment a patient with a skeletal Class III malocclusion. The clinical examination showed a concave profile caused by a retruded maxilla and a prognathic mandible, an occlusal cant, and absence of all first premolars. A surgery-first approach was combined with skeletal anchorage implants in the maxillary arch and tandem mechanics. The esthetic facial profile, pleasant smile, appropriate occlusion, and overall good treatment outcomes remained stable 5 years after active orthodontic treatment.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Combined Modality Therapy
Humans
Male
Malocclusion, Angle Class III / surgery
Malocclusion, Angle Class III / therapy*
Mandible
Molar
Orthodontic Anchorage Procedures* / methods
Orthognathic Surgical Procedures*
Retreatment
Tooth Movement Techniques*
Young Adult