Column How is it done – Interdisciplinary planning of skeletal class III correction with incisal wear

Vol. 14 – Number 56 – 2021 Column How is it done Page 10-18 Interdisciplinary planning of skeletal class III correction with incisal wear Diego Junior da Silva Santos1 Ângela Fonseca2 Fábio Gambôa Ritto3 Luana Karine Amaro Silva4 José Augusto Mendes Miguel5 Abstract This paper shows a case report in which interdisciplinary treatment plan comprised a surgically assisted orthodontic approach previously to the oral rehabilitation in a female, adult patient with dental and skeletal Class III malocclusion and tooth wear. The patient complained about her smile and face aesthetics and the extraoral exam revealed reduced lower lower facial third and absence of upper incisors exposure upper incisor exposure at rest. Intraoral exam exhibited molar and canine Class III relationship, anterior crossbite, tooth wear, shortening of incisors height and reduced occlusal vertical dimension. As treatment results, molar and canine class I relationship was obtained, as well as improvement of the facial proportions and sagittal relation between maxilla and mandible. The surgically assisted orthodontic treatment provided a dental intercuspation favorable to oral rehabilitation, restoring occlusal vertical dimension, reshaping the incisors, and providing occlusion with satisfactory aesthetics and function. This paper demonstrates the importance and necessity of an interdisciplinary approach on the treatment of dental and skeletal Class III malocclusion and clear communication of all the professionals involved. Descriptors: Angle Class III malocclusion, interdisciplinary communication, tooth wear, orthognathic surgery. 1 Postdoctoral Student in Dentistry – Concentration area in Orthodontics – UERJ, PhD in Dentistry – Concentration area in Orthodontics – UERJ, Graduated by the Brazilian Board of Orthodontics and Facial Orthopedics. 2 Oral Rehabilitation – private clinic. 3 Assistant Professor, Department of Oral and Maxillofacial Surgery – University of Oklahoma, Adjunct Professor, Discipline of Surgery Maxillo-Facial – UFF, Coordinator of the Residency Program – HUPE, Doctor in Maxillo-Facial Surgery – UNICAMP. 4 Specialist in Orthodontics – UERJ, Master’s Student in Dentistry – Concentration area in Orthodontics – UERJ. 5 Associate Professor of the Discipline of Orthodontics – UERJ, Coordinator of the Master’s Program in Dentistry – UERJ, PhD in Dentistry – UFRJ, Graduated by the Brazilian Board of Orthodontics and Facial Orthopedics. DOI: 10.24077/2021;1456-1018