VERSATILITY OF SKELETAL ANCHORAGE IN SKELETAL CLASS III MALOCCLUSION TREATMENT: A CASE REPORT

E. Kongo¹ , B.M. Gravina² , F. Annarumma¹ , G.M. Gravina³

¹ Dentistry Department, Faculty of Medical Science, Albanian University, Tirana, Albania
² University Vita-Salute San Raffaele, Milan, Italy
³ Dentistry Department, Faculty of Medical Science, Albanian University, 1017 Tirana, ALB, Albania

Correspondence to:

Annals of Stomatology 2025 January-April; 5(1): 60-66
https://doi.org/10.69129/stomatol/2025v5iss1_10

Received: 25 January 2025 Accepted: 3 March 2025

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Abstract

Skeletal class III malocclusion is one of the most complex, with severe complications including deterioration of function and aesthetics. The aim of this paper is to report the versatility of skeletal anchorage (SA) during the treatment of a skeletal class III hyperdivergent patient with anterior crossbite with severe space discrepancy due to the mesial movement of the maxillary first permanent molar. The patient was 12.8 years old and in the late mixed dentition stage. Treatment began with bone-borne maxillary expansion with 4 palatal mini-screws. After expansion, a mandibular plate was inserted, and class III elastics were attached to the hooks incorporated in the maxillary expansion appliance. At the subsequent visit, a molar band was bonded on the first permanent molar on the left with a distalizing spring. Nine months later, all the permanent teeth erupted, and fixed orthodontic treatment was initiated.

Keywords: malocclusion, maxillary expansion, skeletal anchorage, skeletal class III