Amazing Class III Open Bite

For more information on Dr. Chang's in-clinic, hands-on workshops, please visit iworkshop.beethoven.tw/ and register today!
All cases were treated by Dr. Chris Chang, president of Beethoven Orthodontic and Implant Group in Hsinchu, Taiwan.
For detailed case reports, go to iaoi.pro and select "IJOI" to view and download our Journals.
Enjoy!
For a more systematic review of treatment methods for CI I, II, III, deep bite, open bite, impaction cases, find the Orthodontic book series on iTunes store.
Vol. 1: itunes.apple.com/book/orthodo...
Vol. 2: itunes.apple.com/book/orthodo...
Vol. 3: itunes.apple.com/us/book/orth...

[@Sakshi_94]

Dr is saying only surgery can fix this but after watching this ,it gives me so much hope i dont want surgery😕🥺

[@NeKoLoLLiPoP]

Correct... but it is possible without surgery... i am with a doctor that told me he can do it without surgery

[@Sakshi_94]

@@NeKoLoLLiPoP your age?

[@NeKoLoLLiPoP]

@@Sakshi_94 32

[@SAUF169]

If your jaw is long and not in good shape you will need a surgery. If not i think it will be possible to fix that without surgery. But the best thing is to talk with your orthodontist

[@sharmilaajeet4573]

I was about a month away from jaw surgery(i have a class 3 underbite) until a new dr came approach me and said that i dont actually need the surgery.I trust her and ditch my surgery plan...its worth it😊😊

[@jasonlee9876]

I'm in my last year in dental school in Canada. There are two types of Classes/categories when it comes to orthodontics: 1) dental classification and 2) the skeletal classification. This patient was only able to receive this type of treatment for his Class III malocclusion (a.k.a. underbite) because his skeletal bones are not Class III, it was much closer to a class I ("normal" profile). The issue is with the dental Class III, which means his teeth are in class III position. In other words, his bones are in the right place but his teeth were not. Therefore, it was just being able to move so many teeth in a non-traumatic way to bring the teeth back to where they should be. No doubt, a lot of complexity goes into this type of treatment. In cases like these, I would highly recommend treatment through an orthodontist as opposed to a general practitioner. The reality is that most people who have a Class III malocclusion tend to have the skeletal Class III type, and for that you will require oral surgery, there is no other way around it. I thought I would post this so that people are properly informed. Thanks.

[@chrissywakeup1986]

Jason, what about the M.E.A.W. technique? Does this correct skeletal Class III malocclusions? Used in conjunction with reverse headgear, I thought that one could avoid orthognathic surgery? Please correct me if I am wrong.

[@thandiedawnfabila5424]

Hello but have you checked out orthotropics tho

[@yhwhrevength622]

Thank you very much

[@yhwhrevength622]

@@chrissywakeup1986 grown adults can't use head gear because their bones are already done growing

[@trulylvd8320]

Good point. Often, people are now try to not do surgery and opt out for M.E.A.U.W. or just stopping at braces. If it’s Class 3 with skeletal issues it’s best to get the surgery. I am getting the surgery.

[@AngelaCruzTube]

This gives me so much hope! I have a severe underbite and I do not want surgery.

[@ChrisChangOrtho]

+Angela Cruz Good luck! Thank you! :)

[@ashleymillar3641]

me too and im 11 ;-;

[@AngelaCruzTube]

newtonsa0301 Is Dr. Chang practicing anywhere that I could go to him as a patient?

[@aylarowe61]

+ashley millar same

[@tarshaferguson9155]

all the hurt u go through may as well have surgery because this expander/braces etc is ruff

[@Keith_Hartono]

The patient is my primary school classmate ... LOL

[@user-bq1cc8yx5j]

It's been 2 years. But uhm ur name "hartono" sounds like very javanesse. Ehe

[@iNeverLikedYou]

@@user-bq1cc8yx5j i think she died

[@advanbaru5047]

berapaan kalo gigi pasang semua dok

[@sepandghanouni2271]

1) Amazing work 2) Your ABO certification is truly admirable. 3) The key point in this case is the good profile to begin with, thereby making orthognathic surgery an absolute contra-indication

[@subhash7408]

Jaw surgery only in cases of severe chin retruded ancylosed cases.

[@MrSJayG6]

Oi, I feel you. I've had mine for 4.5 years. Way too long. Best to get it done when young before the bones in the jaw set. Hope yours comes off soon!

[@juanecheverria2907]

I have been studying the specialty of Orthodontics for just five months, thanks for sharing, I am sure it required a lot of study and a deep knowledge of what was happening, to achieve success in that difficult clinical case. My respects. Greetings from Mexico.

[@ChrisChangOrtho]

This case was treated by Dr. Chris Chang at Beethoven Orthodontic Clinic in Hsinchu, Taiwan. A full case report can be downloaded if you'd like to learn more about the details of the treatment. Please find the download link in the video description section.

[@burnbabyburn91]

AMAZING WORK DOC!

[@monamoni3542]

The music cure my depression

[@chadisakr]

Amazing i love the way he used for treatment

[@MrHondagan]

Hi ,Dr Chang.. Honda here. i am so nice to see this video in youtube. That give me a lot of memories. Thank you so much your amazing technique. I am more confident now and always show everyone a bright smile! Cheers!!!!

[@ChrisChangOrtho]

The use of elastics will be based on the molar relationship in every stage. Sometime, we went too far. That is why we changed to class II elastics. Thanks for pointing that out. I do not use Delaire. I trust miniscrews. It is easy to use and more comfortable for patients.

[@richardshin2564]

Dr Chang, this is an amazing case! Do you have any follow-up records of this patient? Also, would you think it would be possible to use removable aligners with buccal screws to correct Cl 3 cases? Thank you! Happy New year!

[@nrutoa7x]

Aprendo mucho de sus videos grande maestro!

[@qkpro09]

Beautiful music and amazing case finish. Thanks for sharing.

[@ChrisChangOrtho]

Maple Dental Care Thank you! Welcome to join us! iaoi.pro

[@ToyangQren]

Thank you Doctor for sharing all this to us.

[@laughtrail]

The key is the Distalization of whole mandibular dentition using buccal shelf screws, widening of Upper arch using broad wires , May be little bit of IPR in the lower anterior.

[@ChrisChangOrtho]

I have updated the link to this case and added another similar case in the video description section. Thanks for asking!

[@ChrisChangOrtho]

The new link is provided in the video description section. Enjoy!

[@drgardygeorgemyrthong9637]

Great work sir

[@RedFooLmfaoSkyBluFAN]

do the screws hurt to apply, cause I've been told I have to have them..

[@alexisovalle208]

Marvelous treatment. Please, send us the final panoramic rx to see the radicular parallelism and its behavior.

[@robertoberridigallegos8467]

you did a great work Dr.....and congratulations also to your patient....his cooperation was great !

[@medzoklife]

Very helpful vid. I subscribed.

[@drdarbro]

I love a Damon cases..... full and nicely developed. How does the TAD respond in the bone on the buccal bone during treatment?

[@Anks206]

Some People in the comments think they might not need surgery after this video , I thought so too and I got confused because my doctor told me that I needed it but now I realized that this case doesn’t have a problem with the jaw itself so it was possible to fix it without surgery , but in other cases in which the jaw is misplaced and needs surgery can be fixed by braces but not for a long period of time the solution is gonna be temporary so the best thing to do is get surgery

[@FadingRosesBluesTristeza]

Mr Paco Wu plays very well. Good job for the two of you.

[@phuongtrieu1835]

Why did you take the button on lingual of T33,35 after 9th month? Thanks for your shares

[@rmg2419]

great work! however I think you should title your videos to something like 'underbite orthodontic treatment without surgery or extraction'. You would get more exposure and more views which would help a lot more people. I wanted to see if you had a video on over bites and it took me a while to find it on your channel. All in all, you are proving that surgery is not necessary, and I thank you for your service Dr. Chang.

[@staytiny94]

great work!

[@ChrisChangOrtho]

Joyi Chantê Thank you! Welcome to join us. iAOI.pro

[@ortholovers]

Dr, havs you already started the treatment installing the miniscrews and already pulling the teeth on the begining??? awesome case.

[@josues572]

gracias Dr mis mas sinceros respetos y admiracion en sus intervenciones muy profesionales soy de peru de la escuela San juan Bautista especialidad de Estomatologia gracias por sus videos atte Dr.Seguil Lima Peru

[@dr.mohammedazeez6146]

Great efforts 👌 💪

[@bassamfarran5970]

very good , I like these cases

[@Mrsaries94]

I had class 3 open bite and mine looks worst than this because my lower jaw is short by 7mm and doctor advised to proceed with surgery. They used buccal screw to fix my upper jaw so that I only have to do one jaw surgery. previously I only had 2 molars on each side biting and the rest are just open. so it was bad. almost 3 years into the treatment and im on my finishing process. I cant wait to be able to chew again.

[@Rosana007]

Please tell me was it done with Damon system? Great work! Thanks for sharing.

[@painless41]

Nice work, i probably had made 2 extrations!

[@megak7079]

Very good work

[@ChrisChangOrtho]

Please go to the video description section and find the new link. Thank you.

[@gerardjeevan7546]

Superb..God bless👌👌

[@wiissaam6498]

Amaaazing work🎉🎉

[@priamoe7584]

Como quisiera tener la plata para hacerme ese tratamiento,pero bien que bueno saber que hay solución para cada problema

[@abelalbujar3324]

Maravillado, puede explicar como distalizó los molares inferiores, solo con elastic? Vi que colocó microtornillos ?

[@ChrisChangOrtho]

I personally never use this devise. I prefer mini-screws. It is easy to put on and easy for patients to maintain as well.

[@innocentwhite2775]

It’s not fully treated without going for surgery, I have my surgery soon

[@MBasha-zk9fe]

It is really amazing! !

[@kazmeensayyed3068]

Great vdos

[@jules_03]

wow it gives me hope im an underbite too.. thank you for this video

[@MrMiz04]

Did you have surgery to decode??

[@OrthoAnchorage]

This is a very informative video. I would like to suggest for it to have a bit of a narration in the background, it's a lot easier to understand that way. But great job nevertheless!

[@ChrisChangOrtho]

***** Thanks for your sharing. If you need more or have any questions, please mail to [e-mail]. We would like to help you as possible as we can. Thank you. For more information on Dr. Chang's in-clinic, hands-on workshops, please visit @ and register today!

[@myrahcharmainemaramara8092]

how much does this treatment cost?

[@Lexyyyy13]

Vaii, ce ma bucur ca te-am intalnit. Chiar as avea nevoie de niste sfaturi. As vrea sa-mi trimiti si poze si as vrea sa imi povestesti mai multe daca vrei, ar fii tare dragut din partea ta. Multumesc tare-tare mult!

[@veronicaperaltacastro2957]

This case its so excellent, in a momento iwas thing that surgery and extraccion

[@OneSecondOneLife]

Good job.

[@subhash7408]

SUPERB. ATRUMATIC CORRECTION.

[@shairavillasor5320]

I also have this problem. I was so upset when i knew that only surgery can fix this kind of case.

[@o0forever0o1]

Shaira Villasor if you are young enough (11-13 years old) you can use this method instead of surgury. I have done mine 22 years ago . But my case was opposite to the one in the video. Mine was deep bite. If you are older than 11-13 years old then only surgery can be done.

[@abelalbujar3324]

excellent dr. Chris. Question: How is the lingual table maintained by the displacement of the lower incisors? What is the secret? Thank you Dr Chris Greetings from the End of the World Argentina

[@rehaba4688]

Good nice case.. but the case from the beginning had procline lower incisors according to lateral ceph

[@-hikikomori-7191]

Hey, is this possible to start fixing underbite at class III at the age of 13?

[@carminecontaldo5268]

nice work!!

[@tuantainguyen6896]

Beauty and great. Thank you

[@akik1506]

I did my tooth's OPG (x-ray) Can anyone tell me what treatment should I take by email?

[@violetstorm117]

And also remember, these bands are required for you to wear everyday. That means day and night, and put them on before you go to sleep. The only time it is ok to take them off is when you're eating, about to brush your teeth, or sports. The bands will come in a small bag, with enough to last you awhile. The surgery part is optional though. You can get it if you want, but it will cost you. The only time it isn't optional is if your doctor is requiring you to do it. Hope this helps(:

[@aileenanderson797]

I have RA my dentist said my teeth are being push out of the gum, from RA, what can I do?

[@ChrisChangOrtho]

You can find the final pano at 2:56. Thank you.

[@brooklynmicole8404]

My teeth rub and push my top teeth. Do I have and underbite

[@gustavogabrovich530]

muy bueno el video y excelente música!!, saludos desde Argentina!!

[@ChrisChangOrtho]

Thank you, my friend!

[@Rk-bq7fb]

newtonsa0301 اود التواصل معكم

[@ChrisChangOrtho]

Yes.

[@inassfayad1633]

I wish to tell us treatment plan in details

[@lazurm]

How was the bone foundation of these teeth after braces? How does one bypass what most consider the inevitable lack of proper foundation when moving adult teeth to this degree, without surgery?

[@piratasdegarden]

hola me gustaria saber que tipo de braquets as llevado,gracias

[@thehomie4630]

amazing job👏

[@ChrisChangOrtho]

Thank you, my friend!

[@helloworld9478]

The music brings me inner peace

[@wasemdds]

Verrrrry good tx......thanx alooot

[@shabutie]

This is my lullaby.

[@enochkao]

I would like to know if it's possible to contact your team directly as I'm also suffering from the same type of malocclusion and my situation is very very similar to this and I'm desperate to get it fixed. Although I don't live in Taiwan it's not a problem for me to travel there frequently. But I'm just not sure where and how I can get this treatment. Thank you very much for the video and looking forward to your reply!

[@minhhop3208]

Please show us how do you treat this case, not only show the result!!!! We need to see the stepsnof treatment !!! Thanks

[@williamrappe8371]

This is a Class III Malocclusion? Mine must be a 4 or 5 then, never got it fixed too old now :(

[@MrsKirika]

Hi! I used to live in Romania and there are some pretty good orthodontists. I started my treatment plan in Romania but had to continue it in the UK, as I live here now. If you want, I can recommend you someone.

[@amigod6883]

this video gave me hope, I have a class 3 and I dont have enough money to pay a surgery

[@TJ_Eats]

He has wonderful teeth though

[@jhe0869]

oh and if there is a site where we can discuss this case, id be glad if you share some link. I would like to know if my treatment plans are right. I can show you my model cast and discuss it with you Dr.. :)

[@lindashila]

I apologize for insisting, but in which moment did you need the class II elastics? Because I carefully checked and the molar/canine relationship was III class. Also, you always insisted in controlling the mandibular dentition, not advancing the maxillar one (except for the use of class III elastics). Could you please, if I am not asking too much, reveal the values from the cephalometric analysis? Also, I believe you used criss-cross elastics, why not, lets say, quad helix? Thank you very much!

[@hoangkhoa926]

Is there any doctor in South California who can treat this? My sister got the same situation and we're hopeless

[@violetstorm117]

The other option you have is getting braces and bands too. The bands will place your bite into a normal position, depending on how simple or bad it is.

[@Sunny-is1hr]

have u fix this bite without surgery?

[@drtubanayyar5036]

How about ciii underbite of -6mm ,maxillary hypoplasia and hypodontia. Need ur advice.

[@GanondorfTM]

How much does this treatment cost? And where is it available?

[@violetstorm117]

I know exactly how you feel. I have an open bite and I don't open my mouth to smile. But don't be afraid of the braces, they help your teeth get back in shape and in no time (be patient it takes a while) you'll have a perfect smile. And with the eating problem, just take your time and chew slowly. Trust me, you're not the only person with this problem.

[@Bethany.bankes019]

WOW! I've had my braces for YEARS and they were no where near that before I got them on. I hate my stupid doctor. -_-

[@kevinpham5826]

I have the same exact bite... where can i go to get it fixed like this? Also which case report is it on the website, there’s alot.

[@stopcontact5010]

I have never experienced so much pain!

[@ChiefLunar]

Braces?

[@lalilali4618]

Can you tell me how old is the patient in this video???thank you🖒

[@lindashila]

I am a little confused: You used class I elastics for the upper jaw? What is the point in that? Don't we want anterior advancement in class III malocc. ? Also, did you use the Delaire for this case? thank you in advance!

[@Hotchelle]

I've had braces about 6yrs now and I don't think mine were as bad as his. Wish mine would be finished already

[@MrHondagan]

I can understand your feeling now...

[@mammal1111]

omg!! i had the same exact problem!! but my dentist whoses a miracle worker fixed it in less than two years!! btw, whoever is having this done, its not as painful as you think it is!!

[@rosemarieseraga659]

how much is the total cost of braces? thanks a lot..

[@sickalligator]

Is there another link you can post regarding this Tx plan? The website you posted is not working! Thanks :) Much appreciated!

[@ladyoonom1]

Is this kind of treatment available in Europe?