Idiopathic osteosclerosis in a Class III patient treated with facemask therapy and hybrid hyrax- A case report

Abstract

Class III malocclusion is the most common form of malocclusion requiring orthognathic surgery. Hence, early diagnosis and intervention is often beneficial in reducing the severity of the problem. Protraction of the maxilla using a facemask accompanied by rapid maxillary expansion (RME) is the ideal treatment option for growing patients with Class III malocclusion and deficient maxilla. Idiopathic osteosclerosis is an asymptomatic, benign lesion that usually develops early in life. Its origin could be associated to reaction to inflammation or occlusal trauma, occurring at the time of teeth transition. Here, in this case report, we have showed the successful management of a Class III adolescent patient, diagnosed with idiopathic osteosclerosis, with face mask therapy and hybrid hyrax expansion appliance following Alt-RAMEC protocol. Also, we have showed the management of disturbed wound healing which might occur after palatal implant removal.