Tratamiento Temprano de la Maloclusión Clase III con aparatología Ortopédica: Reporte de caso con 7 años de control

J Alzate; Emery Álvarez; P Botero

doi:10.47990/alop.v4i1.36

Autores

J Alzate
Emery Álvarez
P Botero

DOI:

https://doi.org/10.47990/alop.v4i1.36

Palavras-chave:

Má oclusao de Angle Classe III, Efetividade, aparelhos ativadores

Resumo

Uma das más oclusoes mais complexas de diagnosticar e tratar é a má oclusao de Classe III. Caracteriza-se por uma alteração na relação sagital dos maxilares, seja por deficiéncia ou retrusao maxilar ou por prognatismo ou macrognatismo mandibular, ou ainda por uma combinação desses eventos. A etiologia é multifatorial e envolve uma interação de fatores hereditários e ambientais.

Este artigo apresenta o caso de uma paciente de 4 anos de idade, do sexo feminino, com padrão hereditário de classe III em sua família materna. Apresentava relação esquelética de classe III, protuída, com rotação posterior e maxila superior retruída. Crescimento vertical, com um perfil reto e mordida cruzada anterior e posterior unilateral esquerda.

Foi instituído tratamento com aparatologia ortopédica na dentição decídua o qual permaneceu até a dentição permanente, com objetivo de equilibrar o crescimento maxilomandibular.

Um dos aspectos clínicos mais complicados do manejo ortopédico da má oclusao de Classe III é a recidiva depois do período de tratamento ativo, entretanto, nesse paciente foram conseguidas modificações a nível esquelético, dentais e estéticos durante o tratamento que se mantiveram estáveis.

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