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Case Report
Skeletal open bite Class III compensatory treatment with biofunctional therapy
1 DDS, MSc, PhD, Professor, Ingá University Center Uningá, Maringá, PR, Brazil; 2DDS, Orthodontic Specialist, IOPG, Bauru, SP, Brazil
2 DDS, Orthodontic Specialist, IOPG, Bauru, SP, Brazil
3 DDS, MSc, PhD, Professor, Guarulhos University, Guarulhos, SP, Brazil
4 DDS, MSc, Orthodontic Graduate Student, Bauru Dental School, University of São Paulo, Bauru, SP, Brazil
5 DDS, MSc, PhD, Professor, Ingá University Center Uningá, Maringá, PR, Brazil
Address correspondence to:
Karina Maria Salvatore Freitas
Department of Orthodontics, Ingá University Center Uningá, Rodovia PR 317, n° 6114, Maringá, PR 87035-510,
Brazil
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Article ID: 101189Z01FV2021
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How to cite this article
Valarelli FP, Semenara NT, Patel MP, Almeida JF, Freitas KMS. Skeletal open bite Class III compensatory treatment with biofunctional therapy. Int J Case Rep Images 2021;12:101189Z01FV2021.ABSTRACT
Introduction: Class III skeletal malocclusion in adult patients presents mainly two treatment options: the surgical-orthodontic approach or compensatory treatment.
Case Report: In the present report, it was described the case of a 23-year-old male patient who presented skeletal Class III malocclusion associated with anterior open bite. The patient refused surgical-orthodontic treatment. Thus, the compensatory orthodontic treatment was performed with the biofunctional technique, consisting of preadjusted brackets with accentuated palatal torque on the maxillary incisors and accentuated buccal torque on mandibular incisors. This prescription aims to minimize the effects of Class III intermaxillary elastics, promoting more bodily movement than tipping of the anterior segments and improve bone remodeling. The anterior open bite was treated with lingual spurs, differentiated bonding of the accessories and early intermaxillary elastics. After 23 months of treatment, a functional occlusion was observed with bilateral Class I canine and molar relationships, overbite correction, and satisfactory smile esthetics.
Conclusion: The great outcomes indicate that compensatory orthodontic treatment is possible in skeletal discrepancies, with the correct diagnosis and considering patient compliance. The biofunctional technique provided a favorable dental positioning for Class III correction.
Keywords: Angle Class III malocclusion, Corrective orthodontics, Esthetics, Open bite
SUPPORTING INFORMATION
Author Contributions
Fabricio Pinelli Valarelli - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Nayara Thiago Semenara - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mayara Paim Patel - Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Jéssica Ferreirade Almeida - Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Karina Maria Salvatore Freitas - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Fabricio Pinelli Valarelli et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
