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Treatment of a Class III growing patient with mandibular prognathism and severe anterior crossbite

机译:一名生长中的下颌前突和严重前交叉咬伤的III级患者的治疗

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The treatment of growing patients with Class III skeletal pattern represents one of the greatest clinical challenges for the orthodontist. Several treatment protocols have been proposed, almost all involving rapid maxillary expansion and maxillary protraction. However, there are cases where the maxilla is properly positioned in the anteroposterior direction and there is no transverse discrepancy, featuring only a mandibular prognathism. In such cases, when there is a set of favorable factors such as lack of laterognathism and lower mandibular plane angle, a viable option and which could prove quite interesting is the use of orthodontic chin cup during the night, aiming at trying to redirect the forward growth of the mandible. To have success, it is necessary that this procedure involves pubertal growth spurt and is extended to full skeletal maturation. This case was presented to the board of the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) as part of the requirements to become a BBO Diplomate.
机译:对正在成长的具有III类骨骼模式的患者的治疗是正畸医生面临的最大临床挑战之一。已经提出了几种治疗方案,几乎所有方案都涉及上颌快速扩张和上颌前伸。但是,在某些情况下,上颌骨正确地定位在前后方向,并且没有横向差异,仅以下颌前突为特征。在这种情况下,如果存在一系列有利因素,例如缺乏红唇畸形和下颌平面角减小,那么一个可行的选择可能是非常有趣的,那就是在夜间使用正畸下巴托,目的是试图使向前的方向转向下颌骨的增长。为了获得成功,有必要使该过程涉及青春期生长突增,并扩展到完全骨骼成熟。该案例已作为成为BBO外交官的要求的一部分提交给了巴西正畸与口腔颌面骨科委员会(BBO)的董事会。

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