Orthodontic Treatment for a Class III Malocclusion Growing Patient by Using RME and Chin-cup Appliance – Case Report

Authors

Po-Yuan Hsueh, Graduate Institute of Dentistry, College of Oral Medicine, Taipei Medical University; Department of Orthodontics, Wan Fang Hospital, Taipei, Taiwan
Li-Hsiang Lin, Graduate Institute of Dentistry, College of Oral Medicine, Taipei Medical University; Department of Orthodontics, Wan Fang Hospital, Taipei, TaiwanFollow

Abstract

The early treatment of skeletal Class III malocclusion is one of the most challenging problems that orthodontists may encounter. These patients often combine maxillary deficiency with anterior crossbite. In this report, an 8-year-old female patient with Class III malocclusion, anterior crossbite and protrusive lower lip. (SNA: 83.5°, SNB: 83°, ANB: 0.5°, overjet: -1.5mm, overbite: +2.5mm, mandibular plane to SN: 26.7°), received orthodontic treatment with rapid maxillary expansion and chin cup appliance. We used RME 2 turns (0.5mm) per day, and wore the chin cup at least 21 hours per day, to force mouth closure and enhance nasal breathing. Active orthodontic treatment time was 4 weeks. The retention period of RME was 3 months. The treatment results showed that maxilla was pushed forward by RME. and mandibular clockwise rotation, which improve anterior crossbite and facial profile. The treatment outcome were stable after 3 years follow up.

Recommended Citation

Hsueh, Po-Yuan and Lin, Li-Hsiang (2013) "Orthodontic Treatment for a Class III Malocclusion Growing Patient by Using RME and Chin-cup Appliance – Case Report," Taiwanese Journal of Orthodontics: Vol. 25: Iss. 4, Article 5.
https://doi.org/10.30036/TJO.201312_25(4).0005
Available at: https://www.tjo.org.tw/tjo/vol25/iss4/5

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