Two-Step Extraction of the Lower First Molar for Class III Treatment in Adult Patient

The aim of this article is to describe a case report of Class III malocclusion treatment with lower first molar extraction. The 27-year-old Caucasian male patient presented a symmetric face with a straight profile, hyperdivergent growth pattern, molar and cuspid Class III relation, and an anterior c...

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Main Authors: Kélei Cristina de Mathias Almeida, Ricardo Fabris Paulin, Taísa Barnabé Raveli, Dirceu Barnabé Raveli, Ary Santos-Pinto
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2016/1580313
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author Kélei Cristina de Mathias Almeida
Ricardo Fabris Paulin
Taísa Barnabé Raveli
Dirceu Barnabé Raveli
Ary Santos-Pinto
author_facet Kélei Cristina de Mathias Almeida
Ricardo Fabris Paulin
Taísa Barnabé Raveli
Dirceu Barnabé Raveli
Ary Santos-Pinto
author_sort Kélei Cristina de Mathias Almeida
collection DOAJ
description The aim of this article is to describe a case report of Class III malocclusion treatment with lower first molar extraction. The 27-year-old Caucasian male patient presented a symmetric face with a straight profile, hyperdivergent growth pattern, molar and cuspid Class III relation, and an anterior crossbite as well as a mild crowding on cuspids area, in both upper and lower arches and a tendency to posterior crossbite. The treatment was performed by the use of Haas expansion appliance followed by an initial alignment and leveling of the upper and lower arches with a fixed edgewise appliance, extraction of lower teeth aiming the correction of the incisors proclination and end the treatment with a Class I molar relationship. It resulted in a significant change in the patient’s profile, dentoalveolar Class III correction, upper arch expansion, leveling and alignment of the upper and lower arches, and improvement of tipping of the upper and lowers incisors. In cases of a dentoalveolar compensation in well positioned bone bases the treatment with fixed appliances is an alternative and extraction of lower teeth is considered.
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issn 2090-6447
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language English
publishDate 2016-01-01
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series Case Reports in Dentistry
spelling doaj-art-61296d2b2661492d86a66d0c0d88026d2025-02-03T05:52:44ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/15803131580313Two-Step Extraction of the Lower First Molar for Class III Treatment in Adult PatientKélei Cristina de Mathias Almeida0Ricardo Fabris Paulin1Taísa Barnabé Raveli2Dirceu Barnabé Raveli3Ary Santos-Pinto4Department of Orthodontics and Pediatric Dentistry, Araraquara School of Dentistry, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, BrazilDiscipline de Occlusion and Orthodontics, Paulista University (UNIP), SGAS 913, Asa Sul, 71918-000 Brasília, DF, BrazilDepartment of Orthodontics and Pediatric Dentistry, Araraquara School of Dentistry, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, BrazilDepartment of Orthodontics and Pediatric Dentistry, Araraquara School of Dentistry, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, BrazilDepartment of Orthodontics and Pediatric Dentistry, Araraquara School of Dentistry, Universidade Estadual Paulista (UNESP), Rua Humaitá 1680, 14801-903 Araraquara, SP, BrazilThe aim of this article is to describe a case report of Class III malocclusion treatment with lower first molar extraction. The 27-year-old Caucasian male patient presented a symmetric face with a straight profile, hyperdivergent growth pattern, molar and cuspid Class III relation, and an anterior crossbite as well as a mild crowding on cuspids area, in both upper and lower arches and a tendency to posterior crossbite. The treatment was performed by the use of Haas expansion appliance followed by an initial alignment and leveling of the upper and lower arches with a fixed edgewise appliance, extraction of lower teeth aiming the correction of the incisors proclination and end the treatment with a Class I molar relationship. It resulted in a significant change in the patient’s profile, dentoalveolar Class III correction, upper arch expansion, leveling and alignment of the upper and lower arches, and improvement of tipping of the upper and lowers incisors. In cases of a dentoalveolar compensation in well positioned bone bases the treatment with fixed appliances is an alternative and extraction of lower teeth is considered.http://dx.doi.org/10.1155/2016/1580313
spellingShingle Kélei Cristina de Mathias Almeida
Ricardo Fabris Paulin
Taísa Barnabé Raveli
Dirceu Barnabé Raveli
Ary Santos-Pinto
Two-Step Extraction of the Lower First Molar for Class III Treatment in Adult Patient
Case Reports in Dentistry
title Two-Step Extraction of the Lower First Molar for Class III Treatment in Adult Patient
title_full Two-Step Extraction of the Lower First Molar for Class III Treatment in Adult Patient
title_fullStr Two-Step Extraction of the Lower First Molar for Class III Treatment in Adult Patient
title_full_unstemmed Two-Step Extraction of the Lower First Molar for Class III Treatment in Adult Patient
title_short Two-Step Extraction of the Lower First Molar for Class III Treatment in Adult Patient
title_sort two step extraction of the lower first molar for class iii treatment in adult patient
url http://dx.doi.org/10.1155/2016/1580313
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