Acta Scientific Dental Sciences

Editorial Volume 2 Issue 5

Orthopedic Treatment of Class III Skeletal Malocclusions

Eyas Abuhijleh1* and Sudhir Rama Varma2

1Assistant Professor, Department of Orthodontics, Ajman University Fujairah Campus, United Arab Emirates
2Assistant Professor, Department of Periodontics, Ajman University Fujairah Campus, United Arab Emirates

*Corresponding Author: Eyas Abuhijleh, Assistant Professor, Department of Orthodontics, Ajman University Fujairah Campus, United Arab Emirates.

Received: January 16, 2018; Published: April 02, 2018

Citation: Eyas Abuhijleh and Sudhir Rama Varma. “Orthopedic Treatment of Class III Skeletal Malocclusions”. Acta Scientific Dental Sciences 2.5 (2018).

  The purpose of this editorial is to shed light on the debate among orthodontists concerning the effectiveness of early orthopedic treatment of skeletal Class III malocclusions.

  A Class III incisor relationship is one of the most difficult malocclusions to correct orthodontically, mainly because of the uncertainty of a satisfactory and stable outcome after growth.

  The final goal of any orthodontic treatment should be not only to obtain good function but also to improve facial attractiveness. The major focus of distress for the Class III patient, characterized by straight or concave profile, a retruded nasomaxillary complex, and a protruded soft tissue lower face, may be the soft tissue profile rather than the teeth in occlusion. However, attaining a balanced soft tissue facial profile is occasionally challenging because a Class III malocclusion is one of the most puzzling problems opposing the orthodontist.

  Among the orthodontic fraternity, treatment for skeletal maloc- clusions especially related to Class III, has been varied. Role of or - thognathic surgery or orthopedics as such has not been confirmed and its role depends on case to case, especially among growing children.

  Surgical method is the only choice and cannot be treated by con- ventional treatment in cases of mandibular prognathism, as it car- ries an inherent genetic marker, is what most orthodontists view. Alternatively, effective orthopaedic treatment can stop the problem from becoming more severe, can remove or reduce the need for a full surgical method and will advance the psychosocial welfare and esthetic appearance of the patient during the adolescent years, which are the supreme influential years of their lives. Whichever treatment is selected, it should provide stability in terms of func- tion and aesthetics over time.

  Most of the adult patients with Class III malocclusion are un- treated cases, usually indicated for orthognathic surgery, they need to be treated in the early stages, chin cup therapy and facemasks.

  Protrusive mandible and mandibular dentition, retrusive max - illa and dentition, also a mixture of these features are clinical fea - tures of skeletal Class III. Apart from maxillary deficiency in few cases, there is hyper mandibular development in most Class III pa- tients. This has in good number of Class III cases, with mandibular protrusion and maxillary retrusion, it leads to make maxilla a sig - nificant problem.

  Experimental research done on animals showed that protrac - tion forces can motivate or induce growth in the sutures of maxilla. In high proportion of Class III malocclusion cases, the first line of treatment is maxillary protraction.

   A high amount of research has concentrated on effects of orth - odontic treatment with a shorter time period. On the other hand, only few of these evaluated the long-term craniofacial effects of or - thopedic management.

  Finally it is vital and valid to say early orthopedic treatment for skeletal Class III malocclusion especially in cases of Class III caused by maxillary retrusion using face mask with rapid palatal expan - sion which is needed for mobilization of maxilla during protrusion, is a valid way treatment even if there will be some degree of re- lapse.

  On the flip side, conventional orthodontic treatment can pro - duce acceptable results and also reduce the need for invasive surgi- cal approaches, as a result, will bring about a positive acceptance from the patient and improve his or her psychological profile tre - mendously [1-3] .


  1. E Abuhijleh., et al. “Profile changes associated with different orthopedic treatment approaches in Class III malocclusions”. Angle Orthodontist 74.6 (2004): 731-738.
  2. E Abuhijleh., et al. “Comparison of skeletal and dentoalveolar effects of chincup and chincup + bite plate therapies”. Turkish Journal of Orthodontics 18 (2005): 11-26.
  3. E Abuhijleh., et al. “Evaluation of maxillary protraction and fixed appliance therapy in Class III patients”. European Journal of Orthodontics 28 (2006): 383-392.

Copyright: © 2018 Eyas Abuhijleh and Sudhir Rama Varma. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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