Management of Skeletal Class III Malocclusion in Permanent Dentition: A Case Report
Keywords:
Skeletal Class III, Anterior crossbite, Alt-RAMEC, Facemask therapyAbstract
Skeletal Class IlI malocclusion, particularly in late-diagnosed patients, presents challenges in achieving optimal facial aesthetics and function. This case report described the successful orthodontic treatment of a young female patient with this condition. The patient presented with an anterior crossbite, deep overbite, and a concave facial profile. Cephalometric analysis confirmed a skeletal Class III pattern due to a retrognathic maxilla. Treatment employed the Alt-RAMEC protocol for four weeks, followed by protraction facemask therapy and fixed appliance mechanics to achieve proper tooth alignment and occlusion. Treatment resulted in significant improvement in the maxilla's position (anteroposterior), masticatory function, and a Class I canine and molar relationship bilaterally. The patient's smile and facial profile also showed noticeable improvement. This case demonstrates the successful application of the Alt-RAMEC protocol for growth modification in a late-diagnosed Class III patient, emphasizing the importance of patient compliance.
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