Skeletal Class III early treatment with absolute anchorage – case report

Vol. 12 – Number 47 – 2019 Case report Page 86-92 Skeletal Class III early treatment with absolute anchorage – case report Juliana Ximenes Damasceno¹ Lis Monteiro de Carvalho Guerra² Antônia Auri Alves Bitu³ Iana Aragão, Magalhães4 José Luciano Couto Pimenta¹ Felipe Franco Marçal¹ Abstract In the presence of skeletal Class III malocclusion due to maxillary deficiency, maxillary protraction preceded or not by palatine disjunction is the procedure most frequently used by orthodontists. However, it promotes dental compensations and it is limited to very early ages. The present article aims to show, through a clinical case report, the treatment of skeletal Class III with bone anchorage, potentiating protraction results and minimizing the undesirable dental effects as recommended by Manhães. This protocol was used in one patient prior to pubertal growth spurt and included rapid maxillary expansion with Hyrax hybrid associated to Class III elastics used 24 hours/day attached to a supported device. by teeth and mini-implants (IM) and implant-supported mandibular anchorage (Barra Manhães) besides the use of nocturnal facial mask. Considerable maxillary advancement, better collaboration, absence of dental compensations and effective cost-benefit to the patient were observed. Descriptors: Class III malocclusion, maxillary deficiency, skeletal anchorage. ¹ PhD, Professor of Dentistry – Christus University Center. ² Professor, Specialization Course in Orthodontics – Unichristus, Post-doctorate in Dentistry – UFC. ³ Master, Professor of the Dentistry Course – Christus University Center 4 Undergraduate student of Dentistry – Christus University Center. Dear Subscriber, This article will be available for download in January 2020.