Management of Class III malocclusion in adult patient using Buccal Shelf bone screw: A case report.

Sandeep Atmaramji Jethe,*
Shirish Pratap Game,
Varsha V. Merani,
Shailesh B. Dongre,
Arun R. Mhaske,
Suyog S. Shendage

Abstract

A skeletal Class III malocclusion can be treated with orthopaedic camouflage either with Face mask or Chin cup therapy or extraction of premolar, and orthognathic surgical method depending on the complexity of skeletal and dental manifestation that Class III malocclusion had. Skeletal Class III malocclusion can be treated with Accurate treatment planning since malocclusion having lot off aesthetic as well as functional problem depending on the severity of the discrepancy. Here we presenting a case reports of Angle's Class III malocclusion which has been treated effectively with distalisation of lower arch Using 2 buccal shelf screws (2x12mm) with elastic chains following lower third molars extraction. In addition, improvement was observed in the soft tissue profile of the case. After 16 months of treatment, the case achieved an aesthetic and functional occlusion. A non-surgical approach of a 23-year-old male with skeletal and dental Class III malocclusion, concave profile, anterior crossbite, and a negative overjet of 5 mm while retaining the patient's profile was achieved. At the conclusion of the procedure, positive improvement with functional and aesthetic result were attained.