Orthodontics and Ideas Column: Treatment of Class III with mass protection and retracting using skeletal anchorage

Vol. 13 – Number 50 – 2020 Orthodontics and Ideas Column Page 39-46 Treatment of Class III with mass protection and retracting using skeletal anchorage Guaracy Lyra da Fonseca Junior1 Ney Tavares2 Elizabeth Galamba Fernandes Abreu3 Gurgiane Rodrigues Gurgel Cavalcante4 Juliana Cama Ramacciato5 Luiz Felipe Azevedo6 Nivaldo Antônio Bernardo de Oliveira7 Abstract Introduction: In the search for anchorage control and optimal biomechanics, therapeutic options arise that associate bone anchorage and biomechanical devices. The orthodontic mini-implants came to be a definitive method, an efficient anchoring method, which are used to optimize results with simpler mechanics. The present study aims to present a Class III clinical case in an adult patient treated with a Versatile Skeletal Anchoring Plate (PVAE) supported on mini-implants installed on the palate and minimplants installed in the posterior region of the mandible. Results: After 11 months of treatment, the anterior crossbite was completely corrected and a Class I molar and canine relationship was achieved. There was a significant improvement in the patient’s profile, showing a harmonious face and a pleasant facial profile. Conclusions: The combination of the use of the Versatile Skeletal Anchoring Plate in the palate, mini-implants in the posterior mandible and Lingual Orthodontics, for Class III compensatory cases, was shown to be a viable option. Descriptors: Temporary skeletal anchorage, micro-screw, mini-implant, angle class III malocclusion, Orthodontics. 1 Esp. in Orthodontics – Sociedade Paulista de Ortodontia, Master in Orthodontics – SL Mandic, Doctor in Orthodontics – SL Mandic / SP. 2 Specialist and Master in Orthodontics SL Mandic, PhD in Orthodontics – SL Mandic / SP. 3 Specialist in Pediatric Dentistry and Master in Dentistry – UFPE. 4 Specialist in Orthodontics – CPO-Natal / RN, Master in Dental Sciences. 5 Master and PhD in Dentistry – FOP-Campinas. 6 Specialist in Orthodontics and Master in Orthodontics – Uniararas / SP. 7 Specialist in Orthodontics – FOP-UPE, Master in Orthodontics – SL Mandic.