Maxillary protraction using miniscrews in a Class III patient: case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i2.12759

Keywords:

Angle class III malocclusion; Orthodontic anchorage procedures; Orthodontics interceptive.

Abstract

An already established alternative to conventional orthopedic treatment with palatal expansion and face mask for growing patients with skeletal Class III due to maxillary deficiency is the use of skeletal anchorage for protraction of the maxilla. Its use eliminates the adverse dental effects of conventional therapy, such as extrusion and mesialization of upper molars, projection of upper incisors and retroinclination of lower incisors. In addition, it eliminates the need to use an extra-oral device, which contributes to patients' motivation. Mini-plates are the most commonly used skeletal anchorage for this type of therapy, however the need for a surgical step for installation and another for removing plaques represents a disadvantage for this technique, and thus the use of miniscrews was proposed to perform maxillary protraction eliminating the surgical step. This work aims to describe the technique of maxillary prostration supported by orthodontic miniscrews, illustrated through a clinical case of a patient treated with this therapy, showing the positive facial and occlusal results achieved.

References

Baccetti, T., Franchi, L., McNamara, J. A. Jr. (2000) Treatment and posttreatment craniofacial changes after rapid maxillary expansion and facemask therapy. Am J Orthod Dentofac Orthop, 118(4), 404–13.

Cevidanes, L., Baccetti, T., Franchi, L., McNamara, J. A. Jr, & De Clerck, H. (2010). Comparison of two protocols for maxillary protraction: bone anchors versus face mask with rapid maxillary expansion. Angle Orthod, 80(5), 799–806.

De Clerck, H. J., Cornelis, M. A., Cevidanes, L. H., Heymann, G. C., & Tulloch, C. J. (2009). Orthopedic traction of the maxilla with miniplates: a new perspective for treatment of midface deficiency. J Oral Maxillofac Surg, 67(10), 2123–9.

De Clerck, H., Cevidanes, L., & Baccetti, T. (2010). Dentofacial effects of bone anchored maxillary protraction: a controlled study of consecutively treated Class III patients. Am J Orthod Dentofacial Orthop, 138(5), 577–81.

De Clerck, H., Nguyen, T., de Paula, L. K., & Cevidanes, L. (2012). Three-dimensional assessment of mandibular and glenoid fossa changes after bone-anchored Class III intermaxillary traction. Am J Orthod Dentofacial Orthop, 142(1), 25-31.

Delaire, J. 1971Confection dur masque orthopedique. Rev Stomatol, 72: 579-84.

De Toffol, L., Pavoni, C., Baccetti, T., Franchl, L., & Cozza, P. (2008). Orthopedic treatment outcomes in Class III malocclusion. A systematic review. Angle Orthod, 78(3), 561–73.

Favero, L., Winkler, A., & Favero, V. (2012). Non-compliant maxillary protraction by orthodontic micro-implants. Eur J Paediatr Dent, 13(3), 244-8.

Franchi, L., Baccetti, T., & McNamara, J. A. Jr. (2004). Postpubertal assessment of treatment timing for maxillary expansion and protraction therapy followed by fixed appliances. Am J Orthod Dentofacial Orthop, 126(5), 555-68.

Heymann, G. C., Cevidanes, L., Cornelis, M., De Clerck, H. J., & Tulloche, J. F. C. (2010) Three-dimensional analysis of maxillary protraction with intermaxillary elastics to Miniplates. Am J Orthod Dentofacial Orthop, 137(2), 274-84.

Hino, C. T., Cevidanes, L. H., Nguyen, T. T., De Clerck, H. J., Franchi, L, & McNamara, J. A. Jr. (2013). Three-dimensional analysis of maxillary changes associated with facemask and rapid maxillary expansion compared with bone anchored maxillary protraction. Am J Orthod Dentofacial Orthop, 144(5), 705–14.

Jeevarathan, J., Koora, K., Sudhakar, V., Muthu, M. S., & Prabhu, R. V. (2013). Correction of class III malocclusion using modified tandem appliance-two case reports. J Indian Soc Pedod Prev Dent, 31(4), 286-91.

Kapust, A. J., Sinclair, P. M., & Turley, P. K. (1998). Cephalometric effects of face mask/expansion therapy in Class III children: a comparison of three age groups. Am J Orthod Dentofacial Orthop, 113(2), 204-12.

Kircelli, B. H., & Pektas, Z. O. (2008). Midfacial protraction with skeletally anchored face mask therapy: a novel approach and preliminary results. Am J Orthod Dentofacial Orthop, 133(3), 440-9.

Nanda, R. (1978). Protraction of maxilla in rhesus monkeys by controlled extraoral forces. Am J Orthod, 74(2), 121-41.

Nartallo-Turley, P. E., & Turley, P. K. (1998). Cephalometric effects of combined palatal expansion and facemask therapy on Class III malocclusion. Angle Orthod, 68(3), 217–24.

Ngan, P., Hägg, U., You, C., Merwin, D., & Wei, S.H. (1996). Soft tissue and dentoskeletal profile changes associated with maxillary expansion and protraction headgear treatment. Am J Orthod Dentofacial Orthop, 109(1), 38-49.

Ngan, P., Hägg, U., You, C., & Wei, S. H. (1997). Treatment response and long-term dentofacial adaptations to maxillary expansion and protraction. Semin Orthod, 3(4), 255-64.

Ngan, P., You, C., Hu, A., Hagg, U., We, S. H., & Gunel, E. (1998). Cephalometric and occlusal changes following maxillary expansion and protraction. Eur J Orthod, 20(3), 237-54.

Nguyen, T., Cevidanes, L., Cornelis, M. A., Heymann, G., de Paula, L. K., & De Clerck, H. (2011). Three-dimensional assessment of maxillary changes associated with bone anchored maxillary protraction. Am J Orthod Dentofacial Orthop, 140(6), 790-8.

Pangrazio-Kulbersh, V., Berger, J., & Kersten, G. (1998). Effects of protraction mechanics on the midface. Am J Orthod Dentofacial Orthop, 114(5), 484–91.

Saadia, M., & Torres, E. (2000). Sagittal changes after maxillary protraction with expansion in Class III patients in the primary, mixed, and late mixed dentitions: a longitudinal retrospective study. Am J Orthod Dentofacial Orthop, 117(6), 669-80.

Souza, R. A., Neto, J. R., & Paiva, J. B. (2019). Maxillary protraction with rapid maxillary expansion and facemask versus skeletal anchorage with mini-implants in class III patients: a non-randomized clinical trial. Prog Orthod, 20(1),35. 10.1186/s40510-019-0288-7.

Published

27/02/2021

How to Cite

SOUZA, R. A. de; DOURADO, G. B. .; ALMEIDA, I. S. de .; PAIVA, J. B. de . Maxillary protraction using miniscrews in a Class III patient: case report. Research, Society and Development, [S. l.], v. 10, n. 2, p. e51910212759, 2021. DOI: 10.33448/rsd-v10i2.12759. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/12759. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences