Class III malocclusion: an argument for early orthodontic treatment
DOI::
https://doi.org/10.5195/d3000.2017.77کلمات کلیدی:
malocclusion, Angle Class III, orthodontics, genetics, craniofacial, patient educationچکیده
Class III malocclusion is a complex multifactorial condition with many genetic and environmental influences. Most often the condition is inherited in a Mendelian autosomal dominant pattern. Early referral and treatment can lead to better outcomes in orthodontic therapy. The subject presented for an early orthodontic referral at age 5.5 and showed signs of future Class III malocclusion. A rapid maxillary expander was given as interventional treatment for one year. At age 11.5 the subject was treated with braces for 2 years. The outcome was a normal Class I occlusion. The subject’s mother had Class III malocclusion but was not evaluated early and was only able to establish an edge-to-edge Class III malocclusion as the best treatment outcome without orthognathic surgery. The subject’s grandmother was also Class III, establishing an autosomal dominance pattern of inheritance in the family. This case demonstrates the importance of the general dentist educating families about malocclusion and making orthodontic referrals as early as possible so the best treatment outcomes can be reached through orthodontic therapy.
مراجع
Moreno Uribe LM, Miller SF. Genetics of the dentofacial variation in human malocclusion. Orthod Craniofac Res. 2015 Apr;18 Suppl 1:91-9. doi: 10.1111/ocr.12083. PubMed PMID: 25865537; PubMed Central PMCID: PMC4418210.
Nikopensius T, Saag M, Jagomägi T, Annilo T, Kals M, Kivistik PA, Milani L, Metspalu A. A missense mutation in DUSP6 is associated with Class III malocclusion. J Dent Res. 2013 Oct;92(10):893-8. doi: 10.1177/0022034513502790. Epub 2013 Aug 21. Erratum in: J Dent Res. 2016 Jul;95(8):955. PubMed PMID: 23965468.
Moreno Uribe LM, Vela KC, Kummet C, Dawson DV, Southard TE. Phenotypic diversity in white adults with moderate to severe Class III malocclusion. Am J Orthod Dentofacial Orthop. 2013 Jul;144(1):32-42. doi: 10.1016/j.ajodo.2013.02.019. PubMed PMID: 23810043; PubMed Central PMCID: PMC3964133.
Xue F, Wong RW, Rabie AB. Genes, genetics, and Class III malocclusion. Orthod Craniofac Res. 2010 May;13(2):69-74. doi: 10.1111/j.16016343.2010.01485.x. Review. PubMed PMID: 20477965.
Yamaguchi T, Park SB, Narita A, Maki K, Inoue I. Genome-wide linkage analysis of mandibular prognathism in Korean and Japanese patients. J Dent Res. 2005 Mar;84(3):255-9. PubMed PMID: 15723866.
Frazier-Bowers S, Rincon-Rodriguez R, Zhou J, Alexander K, Lange E. Evidence of linkage in a Hispanic cohort with a Class III dentofacial phenotype. J Dent Res. 2009 Jan;88(1):56-60. doi: 10.1177/0022034508327817. PubMed PMID: 19131318; PubMed Central PMCID: PMC2777651.
Li Q, Li X, Zhang F, Chen F. The identification of a novel locus for mandibular prognathism in the Han Chinese population. J Dent Res. 2011 Jan;90(1):53-7. doi: 10.1177/0022034510382546. Epub 2010 Nov 1. PubMed PMID: 21041550.
Woon SC, Thiruvenkatachari B. Early orthodontic treatment for Class III malocclusion: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2017 Jan;151(1):28-52. doi: 10.1016/j.ajodo.2016.07.017. Review. PubMed PMID: 28024779.
##submission.downloads##
چاپ شده
شماره
نوع مقاله
مجوز
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.