Aesthetic and functional outcomes using a multiloop edgewise archwire for camouflage orthodontic treatment of a severe Class III open bite malocclusion

ABSTRACT

Occasionally, orthodontists will be challenged to treat malocclusions and skeletal disharmonies, which by their complexity one might think that the only treatment alternative is the surgical-orthodontic approach. A male patient, aged 17 years old, was diagnosed with a skeletal Class III malocclusion, anterior open bite and negative overjet. An unpleasant profile was the patient’s ‘chief complaint’ showing interest in facial aesthetics improvement. Nevertheless, the patient and his parents strongly preferred a non-surgical treatment approach. He was treated with a multiloop edgewise archwire to facilitate uprighting and distal en-masse movement of lower teeth, correct the Class III open bite malocclusion, change the inclination of the occlusal plane and obtain the consequent morphological-functional adaptation of the mandible. The Class III malocclusion was corrected and satisfactory changes in the patient’s profile were obtained. Active treatment was completed in 2 years, and facial result remained stable at 2 years 6 months after debonding.

KEYWORDS:

• Non-surgical orthodontic treatment
• camouflage orthodontic treatment
• Class III open bite malocclusion
• multiloop edgewise archwire

Disclosure statement

No potential conflict of interest was reported by the author(s).

ORCID

Guido Artemio Marañón-Vásquez http://orcid.org/0000-0001-7029-0347

Fábio Lourenço Romano http://orcid.org/0000-0003-1419-3520