Although Class III malocclusions are the least frequent, they are frequently harder
to treat and more likely to need orthognathic surgery for the best treatment. The
reported incidence of this malocclusion ranges from 1% to 18%, with Asian groups experiencing
the greatest prevalence and Caucasian populations experiencing the lowest. Generally
speaking, class III malocclusions can be divided into two groups: developing and non-developing.
Early intervention utilizing two phases of therapy is frequently recommended for Class
III malocclusions that are still developing, with children (ages 7 to 9) showing more
orthopedic benefit. Several approaches have been suggested for treating adult Class
III patients who are not developing, including multi-brackets with Class III elastics,
extraction treatment, full arch distalization, and multi-loop edgewise therapy. These
procedures aid in secure occlusions and appropriate interincisal relationships, but
often require either intraoral or extraoral anchorage to retract the mandibular incisors.
The patient's compliance is frequently crucial to the effectiveness of the treatment.
This article will focus on identifying and comprehending the aspects that play a critical
part in strategizing non-surgical treatment options for Class III malocclusions, as
well as demonstrating the concepts utilizing an eight-point protocol to increase the
efficacy, aesthetics, and stability.
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Published online: October 27, 2022
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