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Effects ofClass III Twin-Block Appliance in the Early Management of functional Class III Malocclusion: A Case Report

Year 2016, Volume: 43 Issue: 2 - Volume: 43 Issue: 2, 127 - 134, 01.05.2016

Abstract

Early treatment of Class III malocclusion is crucial to provide a more favourable environment for normal craniofacial growth and to improve facial esthetics for normal psychosocial development. The aim of this case report is to present the effects of early management of functional Class III malocclusion including functionalorthopedic treatment with a modified Clark Class III twin block appliance and fixed orthodontic treatment periods in a growing patient. Functional anterior crossbite was corrected by Class III twin-block appliance in eight months in the first phase of treatment; subsequently, final functional occlusion was established in eleven months by fixed orthodontic treatment. The present case report demonstrates that successful results can be achieved with the Class III twin-block appliance in the early management of functional Class III malocclusion.

References

  • Baccetti T, Franchi L,McNamara Jr JA. Treatment and posttreatment craniofacial changes after rapid maxillary expansion and facemask therapy.Am J Orthod Dento facial Orthop 2000; 118: 404-413.
  • Björk A, Skieller V. Normal and abnormal growth of the mandible. A synthesis of longitudinal cephalometric implant studies over a period of 25 years. Eur J Orthod 1983; 5: 1-46.
  • Bolton WA. Disharmony in Tooth Size and its Relation to the Analysis and Treatment of Malocclusion.Angle Orthod 1958; 28: 113-130.
  • Bolton WA. The Clinical Application of a Tooth-Size Analysis.Am J Orthod Dento- facial Orthop 1962; 48: 504-529.
  • Bos A, Kleverlaan CJ, Hoogstraten J, Prahl-Andersen B, Kuitert R. Comparing subjective and objective measures of head- gear compliance. Am J Orthod Dentofacial Orthop 2007; 132: 801-805.
  • Campbell PM. The dilemma of Class III treatment. Early or late? Angle Orthod 1983; 53: 175-191.
  • Clark WJ. Twin Block Functional Therapy. Mosby-Wolfe, London 1995.
  • Giancotti A, Maselli A, Mampieri G, Spanò E. Pseudo-Class III malocclusion treatment with Balters' Bionator. J Orthod 2003; 30: 203-215.
  • Greulich WW, Pyle SI. Radiographic Atlas of Skeletal Development of the Hand and Wrist. 2nd ed., Stanford University Press, Stanford, California 1959.
  • Hisano M, Ohtsubo K, Chung CJ, Nastion F, Soma K. Vertical control by combining a monoblock appliance in adult Class III overclosure treatment. Angle Orthod 2006; 76: 226-235.
  • Kanno Z, Kim Y, Soma K. Early correction of a developing skeletal Class III malocc- lusion. Angle Orthod 2007; 77: 549-556.
  • Kidner G, DiBiase A, DiBiase D. Class III Twin Blocks: a case series. J Orthod 2003; 30: 197-201.
  • Loh MK, Kerr WJS. The Function regula- tor III: effects and indications for use. Br J Orthod 1985; 12: 153-157.
  • McNamara Jr JA, Brudon WL. Orthodon- tics and Dentofacial Orthopedics. Ann Ar- bor, MI: Needham Press 2001.
  • Saadia M, Torres E.Sagittal changes after maxillary protraction with expansion in class III patients in the primary, mixed, and late mixed dentitions: a longitudinal retros- pective study.Am J Orthod Dentofacial Orthop 2000; 117: 669-680.
  • Seehra J, Fleming PS, Mandall N, DiBiase AT. A comparison of two different tech- niques for early correction of Class III ma- locclusion. Angle Orthod 2012; 82: 96- 101.
  • Takada K, Petdachai S, Sakuda M.Chan- ges in dentofacial morphology in skeletal Class III children treated by a modified maxillary protraction headgear and a chin cup: a longitudinal cephalometric apprai- sal.Eur J Orthod 1993; 15: 211-221.

FONKSİYONEL SINIF III MALOKLÜZYONUN ERKEN DÖNEM TEDAVİSİNDE SINIF III TWİN-BLOK APAREYİNİN ETKİLERİ: OLGU SUNUMU

Year 2016, Volume: 43 Issue: 2 - Volume: 43 Issue: 2, 127 - 134, 01.05.2016

Abstract

Sınıf III maloklüzyonun erken dönem tedavisi,baş ve yüz bölgesinin normal büyüme ve gelişimi için daha uygun bir ortamın oluşturulması ve normal bir psikososyal gelişim için yüz estetiğinin arttırılması açısından önemlidir. Bu olgu sunumunun amacı, büyüyen bir bireyde modifiye Clark Sınıf III twin-blok apareyi ile fonksiyonel ortopedik tedavi ve sabit ortodontik tedavi aşamalarını içeren fonksiyonel Sınıf III maloklüzyonun erken dönem tedavisinin etkilerini sunmaktır. Tedavinin ilk aşamasında fonksiyonel ön çapraz kapanış Sınıf III twin-blok apareyi ile sekiz ayda tedavi edilmiş, daha sonra sabit ortodontik tedavi ile on bir ayda sonuç fonksiyonel oklüzyon elde edilmiştir. Bu olgu sunumu, fonksiyonel Sınıf III maloklüzyonun erken dönem tedavisindeSınıf III twinblok apareyi ile başarılı sonuçlar elde edilebileceğini göstermektedir

References

  • Baccetti T, Franchi L,McNamara Jr JA. Treatment and posttreatment craniofacial changes after rapid maxillary expansion and facemask therapy.Am J Orthod Dento facial Orthop 2000; 118: 404-413.
  • Björk A, Skieller V. Normal and abnormal growth of the mandible. A synthesis of longitudinal cephalometric implant studies over a period of 25 years. Eur J Orthod 1983; 5: 1-46.
  • Bolton WA. Disharmony in Tooth Size and its Relation to the Analysis and Treatment of Malocclusion.Angle Orthod 1958; 28: 113-130.
  • Bolton WA. The Clinical Application of a Tooth-Size Analysis.Am J Orthod Dento- facial Orthop 1962; 48: 504-529.
  • Bos A, Kleverlaan CJ, Hoogstraten J, Prahl-Andersen B, Kuitert R. Comparing subjective and objective measures of head- gear compliance. Am J Orthod Dentofacial Orthop 2007; 132: 801-805.
  • Campbell PM. The dilemma of Class III treatment. Early or late? Angle Orthod 1983; 53: 175-191.
  • Clark WJ. Twin Block Functional Therapy. Mosby-Wolfe, London 1995.
  • Giancotti A, Maselli A, Mampieri G, Spanò E. Pseudo-Class III malocclusion treatment with Balters' Bionator. J Orthod 2003; 30: 203-215.
  • Greulich WW, Pyle SI. Radiographic Atlas of Skeletal Development of the Hand and Wrist. 2nd ed., Stanford University Press, Stanford, California 1959.
  • Hisano M, Ohtsubo K, Chung CJ, Nastion F, Soma K. Vertical control by combining a monoblock appliance in adult Class III overclosure treatment. Angle Orthod 2006; 76: 226-235.
  • Kanno Z, Kim Y, Soma K. Early correction of a developing skeletal Class III malocc- lusion. Angle Orthod 2007; 77: 549-556.
  • Kidner G, DiBiase A, DiBiase D. Class III Twin Blocks: a case series. J Orthod 2003; 30: 197-201.
  • Loh MK, Kerr WJS. The Function regula- tor III: effects and indications for use. Br J Orthod 1985; 12: 153-157.
  • McNamara Jr JA, Brudon WL. Orthodon- tics and Dentofacial Orthopedics. Ann Ar- bor, MI: Needham Press 2001.
  • Saadia M, Torres E.Sagittal changes after maxillary protraction with expansion in class III patients in the primary, mixed, and late mixed dentitions: a longitudinal retros- pective study.Am J Orthod Dentofacial Orthop 2000; 117: 669-680.
  • Seehra J, Fleming PS, Mandall N, DiBiase AT. A comparison of two different tech- niques for early correction of Class III ma- locclusion. Angle Orthod 2012; 82: 96- 101.
  • Takada K, Petdachai S, Sakuda M.Chan- ges in dentofacial morphology in skeletal Class III children treated by a modified maxillary protraction headgear and a chin cup: a longitudinal cephalometric apprai- sal.Eur J Orthod 1993; 15: 211-221.
There are 17 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Gökhan Yüksel This is me

M. Okan Akçam This is me

Publication Date May 1, 2016
Published in Issue Year 2016 Volume: 43 Issue: 2 - Volume: 43 Issue: 2

Cite

Vancouver Yüksel G, Akçam MO. FONKSİYONEL SINIF III MALOKLÜZYONUN ERKEN DÖNEM TEDAVİSİNDE SINIF III TWİN-BLOK APAREYİNİN ETKİLERİ: OLGU SUNUMU. EADS. 2016;43(2):127-34.