Eka Erwansyah
Department of Orthodontic, Faculty of Dentistry, Hasanuddin University, Makassar-Indonesia

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Management of Orthodontic Camouflage Treatment in Class III Type 3 Subdivision Malocclusion: Case Report Aulina Nur Bahrun; Eka Erwansyah; Eddy Heriyanto Habar; Baharuddin M. Ranggang; Donald R Nahusona
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 1 (2024): Vol 1, Issue 1, June 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Introduction: Class III malocclusion is strongly influenced by genetic factors. Class III malocclusion can be treated in three ways: the first is growth modification, the second is camouflage treatment, and the third is orthognathic surgery. Orthodontic camouflage treatment can be performed for mild to moderate class III malocclusion case. Case Report: A 22-year-old female complained of his crossbite anterior. The family history of malocclusion showed characteristics of class III malocclusion. Cephalometric showed SNA 75o, SNB 80o, ANB -5o with overjet -1,5 mm, overbite 2,5 mm. This case was diagnosed as class III type 3 subdivision dentoskeletal malocclusion. The patient was treated with orthodontic camouflage treatment which was carried out by adjusting the inclination of the teeth using an inclined bite plane and class III intermaxillary elastic. After 20 months of treatment, facial profile changes were achieved (straight to convex), corrected anterior crossbite and posterior scissorbite, class I dental relations of canine and molar, 1 mm overjet, and 0,5 mm overbite. Discussion: Three approaches are available for treating class III dentoskeletal malocclusion and in this case, orthodontic camouflage treatment was performed by adjusting the inclination of the teeth using an inclined bite plane and class III intermaxillary elastic to achieve a good occlusion relationship.Conclusion: Orthodontic camouflage treatment for class III type 3 subdivision malocclusion provides optimal treatment results that are acceptable to patients and improves occlusion function and aesthetics.
Myofunctional Orthodontic Therapy in Class III Dentoskeletal Malocclusion Using Myobrace Appliance and Inclined Bite Plane: Case Report Aulina Nur Bahrun; Eka Erwansyah; Baharuddin M. Ranggang; Ardiansyah Pawinru; Mansjur Nasir
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 1 (2024): Vol 1, Issue 1, June 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Introduction: Class III malocclusion has previously been one of the most difficult to treat. Regardless of this fact, no child has ever been born with class III malocclusion; it always develops over the time. This alteration can be associated to bad habits which if continuously repeated, can cause functional anomalies of the orofacial musculature. Class III malocclusion can be treated in early age with myofunctional therapy. Case Report: A 7 years old male complained his crossbite anterior and concave profile. The parents reported that he likes to protruding the lower jaw and breath through the mouth. Cephalometric showed SNA 78o, SNB 81o, ANB -3o with overjet -2 mm, overbite 5 mm. This case was diagnosed as class III dentoskeletal malocclusion. Discussion: The patient was treated with myobrace i-3N for four months to correct the mouth breathing habit where after four months treatment, myobrace i-3R for arch development for 6 months, inclined bite plane 2 months, and myobrace i-3H for 6,5 months. After 16.5 months of treatment, facial profile changes were achieved (concave to straight), corrected gummy smile, corrected anterior and posterior crossbite, class I molar dental relations, 0.5 mm overjet, and 1 mm overbite. Conclusion: Myobrace appliance followed with myobrace activity may be a good choice for correction class III dentoskeletal malocclusion with mouth breathing habit in growing age.
Orthodontic Treatment of Patient with Skeletal Class III Using Chin Cup and Edgewise Technique: A Case Report Andi Gerwyn Dewanta; Eka Erwansyah; Eddy Heriyanto Habar; Nasyrah Hidayati
Indonesian Journal of Orthodontics Case Report Vol. 1 No. 1 (2024): Vol 1, Issue 1, June 2024
Publisher : Orthodontics Specialist Study Program, Faculty of Dentistry, Hasanuddin University

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Abstract

Introduction: Skeletal Class III malocclusion is clinically presented as a result of maxillary retrusion, mandibular protrusion, or a combination of the two. It is often associated with complex dento-alveolar problems, which include an anterior edge-to-edge relation or anterior and posterior crossbite (Mousoulea dkk., 2016). Patients with Class III malocclusion exhibit potential aesthetic problems presenting a concave profile and a vertical function pattern which limits their function to vertical movements. The prevalence of Class III malocclusion presents a wide variety among and within populations, declared high around Asian populations, with a 23% rate. Case Report: A girl 14-year old with Skeletal Class III with anterior crossbite, unilateral posterior crossbite, and concave profile. Conclusion: The patient’s overall treatment resolved the patient’s chief complaint, correcting maxillary crowding, and anterior crossbite, achieving Class I Molar and Canine Relationship, a harmonious facial profile, and positive overjet achieved.