ORTHODONTIC CAMOUFLAGE TREATMENT OF DENTOSKELETAL CLASS III MALOCCLUSION WITH PREMOLAR EXTRACTION (Case Report)
Abstract
ABSTRACT
Introduction: A dentoskeletal Class III malocclusion in adolescent patient with no potential growth and the skeletal discrepancy is mild to moderate, can be corrected by camouflage orthodontic treatment. One of strategy for camouflage treatment is orthodontic treatment with premolar tooth extraction. Objectives: To describe management of dentoskeletal class III malocclusion by extraction of the upper and lower right premolar. Case Report & Management: A 19 years old javanese female patient was diagnosed with Class III Angle dentoskeletal malocclusion with anterior crowding and crossbite (overjet -3 mm), midline shift, and concave facial profile. SNA 85°, SNB 86°, ANB -1°, IMPA 79°, Inter I 157°. This case was treated with straight wire appliance with vertical U-loop to correct anterior crossbite. Treatment followed by extraction of 15 to improve right molar relations and extraction 44 to correct the median line shift. Result: At the end of the treatment, anterior crossbite was corrected, class I canine and molar relation with normal overbite overjet and median line was in a line. SNA 85°, SNB 86°, ANB -1°, IMPA 63°, Inter I 137°. Conclusion: All treatment goals have been achieved and the patient was satisfied. Camouflage treatment with proper extraction can be considered in a non-surgical treatment of adult and give a satisfactory result.