Stojanović Ljiljana S, Mileusnić Ivan, Mileusnić Budimir, Cutović Tatjana
Department of Orthodontics, Faculty of Dental Medicine, University of Belgrade, Serbia.
Vojnosanit Pregl. 2013 Feb;70(2):215-20. doi: 10.2298/vsp1302215s.
Class III malocclusions are considered to be ones of the most difficult problems to treat. Their causes are multifactorial and include genetic and/or environmental factors. Class III malocclusions are generally classified into 2 categories: skeletal and dental. The diagnosis is important due to the different treatment approaches. Generally a dental class III can be treated with orthodontics alone, while a true skeletal class III requires a combination of orthodontics and surgery.
We presented a female patient with skeletal Class III malocclusion. The treatment was complete with positive overbite and acceptable occlusion using a combination of fixed orthodontic appliance treatment as well as the surgical operation. The patient was happy with her new appearance and function.
Class III discrepancy should be diagnosed and classified according to its etiology and treated with appropriate surgery, including, if necessary, not only mandibular, but also maxillary surgery, in order to achieve a normal facial appearance. In any case, as the field of orthodontics continues to develop technologically and philosophically, we can expect that advances in diagnosis and treatment planning are im minent and inevitable.
Ⅲ类错颌被认为是最难治疗的问题之一。其病因是多因素的,包括遗传和/或环境因素。Ⅲ类错颌通常分为两类:骨骼型和牙性。由于治疗方法不同,诊断很重要。一般来说,牙性Ⅲ类错颌可以仅用正畸治疗,而真正的骨骼型Ⅲ类错颌则需要正畸和手术联合治疗。
我们介绍了一位患有骨骼型Ⅲ类错颌的女性患者。通过固定正畸矫治器治疗和手术联合治疗,实现了覆牙合正常和可接受的咬合关系。患者对自己的新容貌和功能感到满意。
Ⅲ类错颌应根据其病因进行诊断和分类,并采用适当的手术治疗,必要时不仅包括下颌手术,还包括上颌手术,以实现正常的面部外观。无论如何,随着正畸领域在技术和理念上不断发展,我们可以预期诊断和治疗计划方面的进展即将到来且不可避免。