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Correction of Class III malocclusion with alternate rapid maxillary expansions and constrictions using a hybrid hyrax-mandibular miniplate combination and simultaneous orthodontic treatment: A case report

  • Received : 2018.03.30
  • Accepted : 2018.06.26
  • Published : 2019.09.25

Abstract

In this report, we describe the successful use of alternate rapid maxillary expansions and constrictions with a hybrid hyrax-mandibular miniplate combination and simultaneous orthodontic treatment for the management of severe Class III malocclusion due to maxillary hypoplasia in an 11-year-old girl. The devices were removed after 20 months of treatment, and the family was instructed about a careful control and retention program that should be followed in accordance with the patient's growth. The final result included the correction of Class III malocclusion with adequate function and excellent facial esthetics, which restored the patient's self-esteem and provided personal motivation. The outcomes showed good stability after 24 months of retention. The decrease in the duration of active treatment is the most important finding from the present case. Considering that facial esthetics in adolescence is a determining factor for the development of a personality and interpersonal relationships, we recommend the use of this protocol for growing patients, who will exhibit not only an improved physical appearance but also a better quality of life.

Keywords

References

  1. Alexander AE, McNamara JA Jr, Franchi L, Baccetti T. Semilongitudinal cephalometric study of craniofacial growth in untreated Class III malocclusion. Am J Orthod Dentofacial Orthop 2009;135:700.e1-14. https://doi.org/10.1016/j.ajodo.2008.06.025
  2. Cevidanes L, Baccetti T, Franchi L, McNamara JA Jr, De Clerck H. Comparison of two protocols for maxillary protraction: bone anchors versus face mask with rapid maxillary expansion. Angle Orthod 2010;80:799-806. https://doi.org/10.2319/111709-651.1
  3. Shanker S, Ngan P, Wade D, Beck M, Yiu C, Hagg U, et al. Cephalometric A point changes during and after maxillary protraction and expansion. Am J Orthod Dentofacial Orthop 1996;110:423-30. https://doi.org/10.1016/S0889-5406(96)70046-X
  4. Baccetti T, Franchi L, McNamara JA Jr. Treatment and posttreatment craniofacial changes after rapid maxillary expansion and facemask therapy. Am J Orthod Dentofacial Orthop 2000;118:404-13. https://doi.org/10.1067/mod.2000.109840
  5. Da Silva Filho OG, Ozawa TO, Okada CH, Okada HY, Carvalho RM. Intentional ankylosis of deciduous canines to reinforce maxillary protraction. J Clin Orthod 2003;37:315-20.
  6. Kokich VG, Shapiro PA, Oswald R, Koskinen-Moffett L, Clarren SK. Ankylosed teeth as abutments for maxillary protraction: a case report. Am J Orthod 1985;88:303-7. https://doi.org/10.1016/0002-9416(85)90129-0
  7. Hong H, Ngan P, Han G, Qi LG, Wei SH. Use of onplants as stable anchorage for facemask treatment: a case report. Angle Orthod 2005;75:453-60.
  8. De Clerck H, Cevidanes L, Baccetti T. Dentofacial effects of bone-anchored maxillary protraction: a controlled study of consecutively treated Class III patients. Am J Orthod Dentofacial Orthop 2010;138:577-81. https://doi.org/10.1016/j.ajodo.2009.10.037
  9. Amini F, Poosti M. A new approach to correct a Class III malocclusion with miniscrews: a case report. J Calif Dent Assoc 2013;41:197-200.
  10. Wilmes B, Nienkemper M, Ludwig B, Kau CH, Drescher D. Early Class III treatment with a hybrid hyrax-mentoplate combination. J Clin Orthod 2011;45:15-21; quiz 39.
  11. Katyal V, Wilmes B, Nienkemper M, Darendeliler MA, Sampson W, Drescher D. The efficacy of Hybrid Hyrax-Mentoplate combination in early Class III treatment: a novel approach and pilot study. Aust Orthod J 2016;32:88-96.
  12. Smalley WM, Shapiro PA, Hohl TH, Kokich VG, Branemark PI. Osseointegrated titanium implants for maxillofacial protraction in monkeys. Am J Orthod Dentofacial Orthop 1988;94:285-95. https://doi.org/10.1016/0889-5406(88)90053-4
  13. Liou EJ, Tsai WC. A new protocol for maxillary protraction in cleft patients: repetitive weekly protocol of alternate rapid maxillary expansions and constrictions. Cleft Palate Craniofac J 2005;42:121-7. https://doi.org/10.1597/03-107.1
  14. Franchi L, Baccetti T, Masucci C, Defraia E. Early Alt-RAMEC and facial mask protocol in class III malocclusion. J Clin Orthod 2011;45:601-9.
  15. Wilmes B, Ngan P, Liou EJ, Franchi L, Drescher D. Early class III facemask treatment with the hybrid hyrax and Alt-RAMEC protocol. J Clin Orthod 2014;48:84-93.
  16. Cordasco G, Matarese G, Rustico L, Fastuca S, Caprioglio A, Lindauer SJ, et al. Efficacy of orthopedic treatment with protraction facemask on skeletal Class III malocclusion: a systematic review and meta-analysis. Orthod Craniofac Res 2014;17:133-43. https://doi.org/10.1111/ocr.12040
  17. Tsichlaki A, Chin SY, Pandis N, Fleming PS. How long does treatment with fixed orthodontic appliances last? A systematic review. Am J Orthod Dentofacial Orthop 2016;149:308-18. https://doi.org/10.1016/j.ajodo.2015.09.020