Journal of South Asian Association of Pediatric Dentistry

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VOLUME 4 , ISSUE 2 ( July-September, 2021 ) > List of Articles


Early Orthopedic Management of Class III Malocclusion with Rapid Maxillary Expansion and Facemask Therapy: Two Case Reports

Mallayya C Hiremath, Srinath Krishnappa, Divya D Putalikar, Bineesh Balan, Nihal Kothari

Keywords : Anterior crossbite, Class III, Expansion appliance, Malocclusion

Citation Information : Hiremath MC, Krishnappa S, Putalikar DD, Balan B, Kothari N. Early Orthopedic Management of Class III Malocclusion with Rapid Maxillary Expansion and Facemask Therapy: Two Case Reports. J South Asian Assoc Pediatr Dent 2021; 4 (2):142-147.

DOI: 10.5005/jp-journals-10077-3067

License: CC BY-NC 4.0

Published Online: 26-08-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Orthopedic correction of skeletal class III malocclusion in a child patient is crucial because it can avoid future surgical procedures. Early correction of class III malocclusion helps in avoiding the negative effects produced by the facial disfigurement. In this article, we present two case reports relating to early orthopedic management of class III malocclusion with rapid maxillary expansion (RME) and facemask. An 8-year-old boy and a 9-year-old girl presented with class III malocclusion characterized by mid-face deficiency and anterior crossbite. Both the cases were managed with a combination of RME and facemask therapy. Satisfactory correction of class III malocclusion occurred by a combination of skeletal and dental improvements.

  1. Pereira Da Silva HCF, De Paiva JB, Neto JR. Anterior crossbite treatment in the primary dentition: three case reports. Int Orthod 2018;16(3):514–529. DOI: 10.1016/j.ortho.2018.06.027.
  2. Ishii H, Morita S, Takeuchi Y, et al. Treatment effect of combined maxillary protraction and chincap appliance in severe skeletal class III cases. Am J Orthod Dentofacial Orthop 1987;92(4):304–312. DOI: 10.1016/0889-5406(87)90331-3.
  3. Borzabadi-Farahani A, Borzabadi-Farahani A, Eslamipour F. Malocclusion and occlusal traits in an urban Iranian population. An epidemiological study of 11 to 14-year old children. Eur J Orthod 2009;31(5):477–484. DOI: 10.1093/ejo/cjp031.
  4. Kharbanda OP, Sidhu SS, Sundaram KR, et al. Prevalence of malocclusion and its traits in Delhi children-I. J Indian Orthod Soc 1995;26:98–103.
  5. Ellis 3rd E, McNamara Jr JA. Components of adult class III malocclusion. J Oral Maxillofac Surg 1984;42(5):295–305. DOI: 10.1016/0278-2391(84)90109-5.
  6. Harrison RL, Leggott PJ, Kennedy DB, et al. The association of simple anterior dental crossbite to gingival margin discrepancy. Pediatr Dent 1991;13:296–300.
  7. Turley PK. Orthopedic correction of class III malocclusion with palatal expansion and custom protraction headgear. J Clin Orthod 1988;22:314–325.
  8. Kerr WJ, TenHave TR. Mandibular position in class III malocclusion. Br J Orthod 1988;15(4):241–245. DOI: 10.1179/bjo.15.4.241.
  9. Turley PK. Orthopedic correction of class III malocclusion: retention and phase II therapy. J Clin Orthod 1996;30:313–324.
  10. Keim RG, Gottlieb EL, Nelson AH, et al. JCO study of orthodontic diagnosis and treatment procedures, part 1: results and trends. J Clin Orthod 2008;42:625–640.
  11. Franchi L, Baccetti T, McNamara JA. Postpubertal assessment of treatment timing for maxillary expansion and protraction therapy followed by fixed appliances. Am J Orthod Dentofacial Orthop 2004;126(5):555–568. DOI: 10.1016/j.ajodo.2003.10.036.
  12. Williams MD, Sarver DM, Sadowsky PL, et al. Combined rapid maxillary expansion and protraction facemask in the treatment of class III malocclusions in growing children: a prospective long-term study. Semin Orthod 1997;3(4):265–274. DOI: 10.1016/S1073-8746(97)80059-X.
  13. Ngan PW, Hagg U, Yiu C, et al. Treatment response and long-term dentofacial adaptations to maxillary expansion and protraction. Semin Orthod 1997;3(4):255–264. DOI: 10.1016/S1073-8746(97)80058-8.
  14. Hagg U, Tse A, Bendeus M, et al. Long-term follow-up of early treatment with reverse headgear. Eur J Orthod 2003;25(1):95–102. DOI: 10.1093/ejo/25.1.95.
  15. Bengi AO, Gurton AO, Okcu KM, et al. Premaxillary distraction osteogenesis with an individual tooth-borne appliance. Angle Orthod 2004;74:420–431.
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