Microosteoperforations and use of reverse face mask as treatment of skeletal class III. Case report
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Abstract
Introduction: Malocclusions have repercussions on the functional aspects of the maxillo-mandibular complex. There are several factors to determine the treatment plan of these malocclusions, such as age, skeletal maturation, habits, and genetics, among others. Objective: To correct skeletal and dental Class III problems due to maxillary hypoplasia, by using a reverse maxillary protraction mask and microosteoperforations, an efficient treatment to obtain function and esthetics. Case presentation: A male patient attended the clinic, aged 12 years and 10 months, skeletal class III, brachyfacial, with skeletal and dental anterior crossbite, slightly enlarged lower facial third, bilateral molar and canine class III, with narrow airways and no relevant past medical history. The orthopedic treatment plan included a Hyrax screw with bands in maxillary molars and premolars, with the use of a reverse face mask for 10 months, microosteoperforations with 1.5mm x 8mm mini-implants to stimulate bone-dental movement. Orthodontic treatment was performed without extractions, with a passive self-ligation system with tubes in first and second molars. As a result of treatment, dental and facial results were satisfactory. A normal maxillo-mandibular relationship with molar and canine class I and adequate overjet and overbite were achieved; the maxillary hypoplasia was corrected, and a downward and backward rotation of the mandible occurred. The anterior crossbite was also corrected, and coincident midlines were obtained. Conclusions: Adequate treatment of these malocclusions may avoid extractions or orthognathic surgery. The results are also determined by the patient's cooperation.
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References
Ngan P, Wei SHY. Early treatment of class III patients to improve facial aesthetics and predict future growth. Hong Kong Dental Journal. 2004; 1: 24-30. Disponible en https://dentistry.hsc.wvu.edu/media/1245/early-treatment-of-class-iii-patients-to-improve-facial-aesthetics-and-predict-future-growth.pdf
Arman A, Toygar TU, Abuhijleh E. Profile changes associated with different orthopedic treatment approaches in class III malocclusions. Angle Orthod. 2004; 74(6): 733-740. DOI: 10.1043/0003-3219(2004)074<0733:PCAWDO>2.0.CO;2
Cha KS. Skeletal changes of maxillary protraction in patients exhibiting skeletal class III malocclusion: a comparison of three skeletal maturation groups. Angle Orthod. 2003; 73(1): 26-35. DOI: 10.1043/0003-3219(2003)073<0026:SCOMPI>2.0.CO;2
Toffol LD, Pavoni C, Baccetti T, Franchi L, Cozza P. Orthopedic treatment outcomes in class III malocclusion. A systematic review. Angle Orthod. 2008; 78(3): 561-573. DOI: 10.2319/030207-108.1
Küçükkeleş N, Nevzatoğlu S, Koldaş T. Rapid maxillary expansion compared to surgery for assistance in maxillary face mask protraction. Angle Orthod. 2011; 81(1): 42-49. DOI: 10.2319/042210-220.1
Mandall N, DiBiase A, Littlewood S, Nute S, Stivaros N, McDowall R, et al. Is early class III protraction facemask treatment effective? A multicentre, randomized, controlled trial: 15-month follow-up. J Orthod. 2010; 37(3): 149-161. DOI: 10.1179/14653121043056
Viazis A. Máscara para la protracción facial. En: A. Viazis. Atlas de ortodoncia: Principios y aplicaciones clínicas. 2 ed. Buenos Aires: Médica Panamericana;1995. 219-222.
Potpeschnigg. A tooth regulating machine. Deutsche Vierteljahrsschrift fur Zahnheikunde, 1875. Reseñado en Monthly Review of Dental Surgery. 1875; 3: 464-465. Disponible en https://babel.hathitrust.org/cgi/pt?id=osu.32436010316402&seq=500
Delaire J, Verdon P, Flour J. Ziele und Ergebnisse extraoraler Züge in postero-anteriorer Richtung in Anwendung einer orthopädischen Maske bei der Behandlung von Fällen der Klasse III. Fortschr Kieferorthop. 1976; 37(3), 247-262. DOI: 10.1007/BF02168670
Petit H. Adaptation following accelerated facial mask therapy. En JA McNamara, KA Ribbens, RP Howe (eds). Clinical alteration of the growing face. (Craniofacial Growth Series, 14). Ann Arbor: University of Michigan, Center for Human Growth and Development, 1983.
Sheridan JJ. Oral orthopedics. J La Dent Assoc. 1968; 26(1): 5-6. PMID: 5243524 (Resumen no disponible).
Köle H. Surgical operations on the alveolar ridge to correct occlusal abnormalities. Oral Surg Oral Med Oral Pathol. 1959; 12(5): 515-529. DOI: 10.1016/0030-4220(59)90153-7
Düker J. Experimental animal research into segmental alveolar movement after corticotomy. J Maxillofac Surg. 1975; 3(2): 81–84. DOI: 10.1016/s0301-0503(75)80022-1
AlGhamdi AST. Corticotomy facilitated orthodontics: Review of a technique. Saudi Dent J. 2010; 22(1): 1-5. DOI: 10.1016/j.sdentj.2009.12.008
Alikhani M, Raptis M, Zoldan B, Sangsuwon C, Lee YB, Alyami B, et al. Effect of micro-osteoperforations on the rate of tooth movement. Am J Orthod Dentofacial Orthop. 2013; 144(5): 639-648. DOI: 10.1016/j.ajodo.2013.06.017
Alikhani M, Khoo E, Alyami B, Raptis M, Salgueiro JM, Oliveira SM, et al. Osteogenic effect of high-frequency acceleration on alveolar bone. J Dent Res. 2012; 91(4): 413-419. DOI: 10.1177/0022034512438590
Zamora Escobar Y, Murillo Samper FJ. Micro-osteoperforations for accelerating tooth movement during canine distalization, split-mouth study. Case report. Rev Mex Ortodon. 2017; 5(4): 205-213. DOI: 10.1016/j.rmo.2018.01.011
Alikhani M, Alansari S, Sangsuwon C, Alikhani M, Chou MY, Alyami B, et al. Micro-osteoperforations: minimally invasive accelerated tooth movement. Semin Orthod. 2015; 21(3): 162-169. DOI: 10.1053/j.sodo.2015.06.002
Teixeira CC, Khoo E, Tran J, Chartres I, Liu Y, Thant LM, et al. Cytokine expression and accelerated tooth movement. J Dent Res. 2010; 89(10): 1135-1141. DOI: 10.1177/0022034510373764
Prasad S, Ravindran S. Effect of micro-osteoperforations. Am J Orthod Dentofacial Orthop. 2014; 145(3): 273. DOI: 10.1016/j.ajodo.2014.01.003
Alikhani M, Lopez JA, Alabdullah H, Vongthongleur T, Sangsuwon C, Alikhani M, et al. High-frequency acceleration: Therapeutic tool to preserve bone following tooth extractions. J Dent Res. 2016; 95(3): 311-318. DOI: 10.1177/0022034515621495
Robles-Andrade MS, Guerrero-Sierra C, Hernández-Hernández C. Ortodoncia acelerada periodontalmente: fundamentos biológicos y técnicas quirúrgicas. Rev Mex Periodontol. 2011; 2(1): 12-16. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=29975
Williams MD, Sarver DM, Sadowsky PL, Bradley E. 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
Deguchi T, McNamara JA. Craniofacial adaptations induced by chincup therapy in Class III patients. Am J Orthod Dentofac Orthop. 1999; 115(2): 175-182. DOI: 10.1016/s0889-5406(99)70346-x
McNamara JA, Brudon WL, Kokich VG. The facial mask. En: Orthodontics and dentofacial orthopedics. 2 ed. Needham, MA: Needham Press, 2002: 375-386.
BIBLIOGRAFÍA COMPLEMENTARIA
Ibarra Ramírez DA. Ventajas y desventajas de la máscara facial del Dr. Morales contra la máscara facial del Dr. Ruiz en el tratamiento de clase III [Tesis, Licenciatura]. México: UNAM, Facultad de Odontología, 2019. 61 pp. Disponible en: https://hdl.handle.net/20.500.14330/TES01000788440
Da Silva de Carballo L. Tratamiento temprano vs tratamiento tardío en la maloclusión clase III. Rev Latinoam Ortod Odontoped. 2006; art. 5. Disponible en: https://www.ortodoncia.ws/publicaciones/2006/art-5/
Franchi I, 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
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