A Simplified Digital Approach to the Treatment of a Postpuberty Patient with a Class III Malocclusion and Bilateral Crossbite

Monolateral and bilateral crossbites are amongst the most frequent forms of malocclusion in the world population. The lack of early correction of this type of malocclusion leads to the partial or total ossification of the sutures which then require surgical treatment in adult patients. In recent yea...

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Main Authors: Domenico Aiello, Riccardo Nucera, Stefania Costa, Michele Mario Figliuzzi, Sergio Paduano
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2021/3883187
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author Domenico Aiello
Riccardo Nucera
Stefania Costa
Michele Mario Figliuzzi
Sergio Paduano
author_facet Domenico Aiello
Riccardo Nucera
Stefania Costa
Michele Mario Figliuzzi
Sergio Paduano
author_sort Domenico Aiello
collection DOAJ
description Monolateral and bilateral crossbites are amongst the most frequent forms of malocclusion in the world population. The lack of early correction of this type of malocclusion leads to the partial or total ossification of the sutures which then require surgical treatment in adult patients. In recent years, devices on minipalatal screws have noticeably increased the time window in which it is possible to correct these types of alterations. In this case report, we show how it is possible to correct a third-class skeletal malocclusion associated with a posterior bilateral crossbite in a young woman using a rapid expander on miniscrews and fixed orthodontic device to finalise the process. The procedure for the insertion of the palatal screws was aided by the use of a digitally printed surgical guide, and the appliance was applied in the same sitting thanks to the use of a digital flow software and a systematic easy driver. The CBCT scans show how the orthopaedic expansion of the upper maxilla was obtained without any important alterations that damaged the permanent teeth. This case report wishes to demonstrate how easy and predictable it can be to resolve cases of this type with optimal aesthetic and functional results even when body growth has ended.
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spelling doaj-art-729ae9e86c154755addbf8d11fc57d672025-02-03T01:26:59ZengWileyCase Reports in Dentistry2090-64472090-64552021-01-01202110.1155/2021/38831873883187A Simplified Digital Approach to the Treatment of a Postpuberty Patient with a Class III Malocclusion and Bilateral CrossbiteDomenico Aiello0Riccardo Nucera1Stefania Costa2Michele Mario Figliuzzi3Sergio Paduano4Department of Health, University Magna Graecia of Catanzaro, Viale Europa, Loc Germaneto, 88100 Catanzaro, ItalyDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, University of Messina, ItalyDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, University of Messina, ItalyDepartment of Health, University Magna Graecia of Catanzaro, Viale Europa, Loc Germaneto, 88100 Catanzaro, ItalyDepartment of Health, University Magna Graecia of Catanzaro, Viale Europa, Loc Germaneto, 88100 Catanzaro, ItalyMonolateral and bilateral crossbites are amongst the most frequent forms of malocclusion in the world population. The lack of early correction of this type of malocclusion leads to the partial or total ossification of the sutures which then require surgical treatment in adult patients. In recent years, devices on minipalatal screws have noticeably increased the time window in which it is possible to correct these types of alterations. In this case report, we show how it is possible to correct a third-class skeletal malocclusion associated with a posterior bilateral crossbite in a young woman using a rapid expander on miniscrews and fixed orthodontic device to finalise the process. The procedure for the insertion of the palatal screws was aided by the use of a digitally printed surgical guide, and the appliance was applied in the same sitting thanks to the use of a digital flow software and a systematic easy driver. The CBCT scans show how the orthopaedic expansion of the upper maxilla was obtained without any important alterations that damaged the permanent teeth. This case report wishes to demonstrate how easy and predictable it can be to resolve cases of this type with optimal aesthetic and functional results even when body growth has ended.http://dx.doi.org/10.1155/2021/3883187
spellingShingle Domenico Aiello
Riccardo Nucera
Stefania Costa
Michele Mario Figliuzzi
Sergio Paduano
A Simplified Digital Approach to the Treatment of a Postpuberty Patient with a Class III Malocclusion and Bilateral Crossbite
Case Reports in Dentistry
title A Simplified Digital Approach to the Treatment of a Postpuberty Patient with a Class III Malocclusion and Bilateral Crossbite
title_full A Simplified Digital Approach to the Treatment of a Postpuberty Patient with a Class III Malocclusion and Bilateral Crossbite
title_fullStr A Simplified Digital Approach to the Treatment of a Postpuberty Patient with a Class III Malocclusion and Bilateral Crossbite
title_full_unstemmed A Simplified Digital Approach to the Treatment of a Postpuberty Patient with a Class III Malocclusion and Bilateral Crossbite
title_short A Simplified Digital Approach to the Treatment of a Postpuberty Patient with a Class III Malocclusion and Bilateral Crossbite
title_sort simplified digital approach to the treatment of a postpuberty patient with a class iii malocclusion and bilateral crossbite
url http://dx.doi.org/10.1155/2021/3883187
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