This document discusses orthognathic surgery and treatment for different malocclusions. For maxillary prognathism, the Wunderer technique involves retropositioning the maxilla through extraction of the first premolar. For mandibular retrognathism, different osteotomies are used like intraoral inverted L, extraoral C, and BSSO. Class II div II is treated by proclining maxillary incisors to correct a deep bite. Class III malocclusions require consideration of factors like severity and growth pattern before planning treatment using growth modification, orthodontics, or surgery. Early treatment can help guide erupting teeth into class I occlusion and improve facial appearance.
Original Description:
its all about etiology and management of class III malocclusion
This document discusses orthognathic surgery and treatment for different malocclusions. For maxillary prognathism, the Wunderer technique involves retropositioning the maxilla through extraction of the first premolar. For mandibular retrognathism, different osteotomies are used like intraoral inverted L, extraoral C, and BSSO. Class II div II is treated by proclining maxillary incisors to correct a deep bite. Class III malocclusions require consideration of factors like severity and growth pattern before planning treatment using growth modification, orthodontics, or surgery. Early treatment can help guide erupting teeth into class I occlusion and improve facial appearance.
This document discusses orthognathic surgery and treatment for different malocclusions. For maxillary prognathism, the Wunderer technique involves retropositioning the maxilla through extraction of the first premolar. For mandibular retrognathism, different osteotomies are used like intraoral inverted L, extraoral C, and BSSO. Class II div II is treated by proclining maxillary incisors to correct a deep bite. Class III malocclusions require consideration of factors like severity and growth pattern before planning treatment using growth modification, orthodontics, or surgery. Early treatment can help guide erupting teeth into class I occlusion and improve facial appearance.
For maxillary prognathism- extraction of 1 st premolar and retro-position of maxilla is carried out wunderer technique For mandibular retrognathism- 1. Intra oral Inverted L osteotomy 2. Extraoral C osteotomy 3. BSSO Wunderer technique Inverted L BSSO CLASS II DIV II management Problem here is- due to maxillary retroclined incisors there is premature contact of upper and lower teeth which guides mandible to remain posteriorly Main goal is to correct deep bite and procline maxillary and thus the mandibular teeth During mixed dentn period-activator and bionator is used if infraocclusion of molar is there.interocclusal acrylic is trimmed gradually. In permanent- 1 st premolar extracted thus space for correctn of crowding After growth cessation- orthognathic surgery. CLASS III Malocclusion A malocclusion that is very easy to identify but is often difficult to treat because of poor retention after treatment. Many factors need to be considered Before Planning the treatment-
-Patients opinion
-severity of skeletal pattern
-expected pattern of growth. TREATMENT MODALITIES
1. Growth modification 2. Orthodontic correction 3. Surgery The reasons for early treatment- reducing the severity of malocclusion To correct the anterior displacement of maxilla before eruption of canine and premolar to guide them in class I relation To provide a normal environment for growth of maxilla by elimination of ant. crossbite Psychological benefit- improved facial n dental appearance Frankel III Chin cup therapy Anterior Facemask 3D Screws Orthodontic correction If adequate overbite If reduced overbite
Proclination of Retroclination of lower Upper incisors incisors with or without maxillary proclination Mixed dentition period When canines are unerupted removable or fixed appliance can be used Anterior cross bite Posterior crossbite EXTRACTIONS In mild mandibular prognathism And lower arch crowding
Lower 1 st premolar extracted
Followed by fixed class III Intermaxillary elastics Both Arch length deficiencies
Extraction in both upper and lower Arch can be done Etiology and management of Class I Class II DIV I Class III DIV II