Advantages of using micro-implant during camouflaged treatment of the non-growing Class III malocclusion: case report with in-detail discussion

Abstract

Background. Camouflaged orthodontic treatment as a possible rehabilitation algorithm may be proposed for the Class III malocclusion patients without remaining growth potential. Objective. To discuss clinically significant aspects of providing camouflaged orthodontic treatment for the non-growing Class III malocclusion with the usage of temporary-anchorage devices based on presented clinical case. Materials and Methods. Primary cohort of the publications related with the camouflaged treatment of the non-growing Class III malocclusion was formed through the literature search within PubMed database using MESH-terms and the analogical keywords within Google Scholar search engine. Results. In present case report it was possible to achieve pleasant facial profile, and Class I occlusion with normal anterior-posterior relationships in patient with initial Class III malocclusion. The mandible arch length deficiency was corrected within the mandibular dentition, and normal alignment was achieved without altering the arch form and width parameter due to the use of Class III elastics and micro-implants as absolute anchorage. Systematized advantages of using skeletal anchorage for Class III orthodontic treatment include following: minimized drawback of dental-based anchorage, possibility for greater maxillary advancement, maximization of skeletal effect and minimization of clockwise mandible rotation, forming conditions for elastics wear during whole day with possibility to employ smaller traction forces, while minimizing risk of unwanted changes in any craniofacial structures. Conclusion. Camouflaged orthodontic correction is a reliable treatment option for Class III malocclusion patients without remaining growth potential. Micro-implants as skeletal anchorage devices represent reliable opportunity for camouflaged orthodontic treatment of Class III malocclusion patients and changes the need in orthognathic surgery.