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TAD driven Class III camouflage: Eight point protocol to optimize efficiency, aesthetics and stability

Published:October 27, 2022DOI:https://doi.org/10.1053/j.sodo.2022.10.013
      Although Class III malocclusions are the least frequent amongst sagittal malocclusions, they tend to be challenging to treat and are more likely to need orthognathic surgery for the best treatment.
      • Venugopal A
      • Srirengalakshmi M
      • Marya A
      • Manzano P.
      Periodontally compromised severe skeletal Class III with open bite corrected by orthodontic camouflage using temporary anchorage devices.
      The reported incidence of this malocclusion ranges below 20%, with Asian groups experiencing the greatest prevalence and Caucasian populations experiencing the lowest. Class III malocclusions can be divided into two groups: developing and non-developing. With children (ages 7 to 9) benefiting more orthopedically, early intervention is typically advised for Class III malocclusions that are still developing. Several approaches have been suggested to treat adult Class III patients non-surgically, including fixed orthodontic treatment with Class III elastics, extraction treatment, full arch distalization, and multi-loop edgewise archwire (MEAW) therapy. These procedures aid in secure occlusions and appropriate interincisal relationships, but often require added skeletal anchorage to retract the mandibular incisors.
      • Burns NR
      • Musich DR
      • Martin C
      • Razmus T
      • Gunel E
      • Ngan P.
      Class III camouflage treatment: what are the limits?.
      The patient's compliance is also frequently crucial to the effectiveness of the treatment delivered onto them. This article focuses on identifying and comprehending an eight -point protocol to manage class III malocclusions and strategize non-surgical treatment alternatives to increase the treatments’ efficiency, aesthetic outcome and stability.
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