Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2015 Jan-Feb;23(1):101-9.
doi: 10.1590/1678-775720140074.

Management of the Class III malocclusion treated with maxillary expansion, facemask therapy and corrective orthodontic. A 15-year follow-up

Affiliations
Case Reports

Management of the Class III malocclusion treated with maxillary expansion, facemask therapy and corrective orthodontic. A 15-year follow-up

Renato Rodrigues de Almeida et al. J Appl Oral Sci. 2015 Jan-Feb.

Abstract

The facial growth of Class III malocclusion worsens with age, in this case, the early orthopedic treatment, providing facial balance, modifying the maxillofacial growth and development. A 7.6-year old boy presented with Class III malocclusion associated with anterior crossbite; the mandible was shifted to the right and the maxilla had a transversal deficiency. Rapid maxillary expansion followed by facemask therapy was performed, to correct the anteroposterior relationship and improve the facial profile. The patient was followed for a 15-year period, after completion of the treatment, and stability was observed. Growing patients should be monitored following their treatment, so as to prevent malocclusion relapse.

PubMed Disclaimer

Figures

Figure 1
Figure 1. Extra-oral and Intraoral pretreatment photographs. Parents authorized the publication of these pictures.
Figure 2
Figure 2. Intraoral photograph before (A, B, C, D and E) and after expansion (F and G)
Figure 3
Figure 3. Photographs of the construction and adaptation of Turley´s face mask. Parents authorized the publication of these pictures.
Figure 4
Figure 4. Removable appliance with grid palate
Figure 5
Figure 5. Orthodontic fixed appliance
Figure 6
Figure 6. Modified Hawley retainer
Figure 7
Figure 7. Intraoral posttreatment photographs
Figure 8
Figure 8. Extra-oral and Intraoral long-term posttreatment photographs. Parents authorized the publication of these pictures.
Figure 9
Figure 9. Photographs and lateral radiographs. Parents authorized the publication of these pictures.

References

    1. Almeida MR, Almeida RR, Oltramari-Navarro PV, Conti AC, Navarro RL, Camacho JG. Early treatment of Class III malocclusion: 10-year clinical follow-up. J Appl Oral Sci. 2011;19(4):431–439. - PMC - PubMed
    1. Anderson I, Rabie AB, Wong RW. Early treatment of pseudo-class III malocclusion: a 10-year follow-up study. J Clin Orthod. 2009;43(11):692–698. - PubMed
    1. Baccetti T, McGill JS, Franchi L, McNamara JA, Jr, Tollaro I. Skeletal effects of early treatment of Class III malocclusion with maxillary expansion and face-mask therapy. Am J Orthod Dentofacial Orthop. 1998;113(3):333–343. - PubMed
    1. Baccetti T, Tollaro I. A retrospective comparison of functional appliance treatment of Class III malocclusions in the deciduous and mixed dentitions. Eur J Orthod. 1998;20(3):309–317. - PubMed
    1. Burns NR, Musich DR, Martin C, Razmus T, Gunel E, Ngan P. Class III camouflage treatment: what are the limits? Am J Orthod Dentofacial Orthop. 2010;137(1) 9 e1-9 e13. - PubMed

Publication types