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Bone remodeling to correct maxillary deficiency after growth cessation
Rahman Showkatbakhsh1, Alireza Ghassemi2, Marcus Gerressen2, Mehrangiz Ghassemi3, Abdolreza Jamilian4, Shadab Mohammad5, Uma S Pal5
1 Department of Orthodontics, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Departments of Oral, Maxillofacial Plastic and Reconstructive Surgery, University Hospital, RWTH-Aachen, Pauwelsstr, Aachen, Germany
3 Department of Orthodontics, University Hospital, RWTH-Aachen, Pauwelsstr, Aachen, Germany
4 Department of Orthodontics, Dental Branch, Islamic Azad University, Tehran, Iran
5 Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, K.G.M.U., Lucknow, Uttar Pradesh, India
Correspondence Address:
Abdolreza Jamilian
No 2713, Vali Asr St. Tehran
Iran
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0975-5950.111382
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This case report presents a 22-year-old girl with class III malocclusion due to maxillary deficiency. The patient was referred for presurgical orthodontics; however, she rejected the surgery. This case was treated by means of Tongue appliance and slow palatal expansion, followed by lower fixed appliance, reverse chin cup, and upper fixed appliance. Tongue appliance and slow palatal expansion were used at the beginning of the treatment. After 6 months, reverse chin cup and lower fixed appliance were added. Six months later reverse chin cup was removed and upper fixed appliance was mounted. Positive overbite and over jet were achieved after 24 months of active treatment. Nasolabial angle also showed improvement. Nonsurgical treatment of adult class III patients is a difficult procedure; however, this patient was treated nonsurgically. |
