Class III Malocclusion with Anterior Crossbite｜【Chris Chang Ortho】CC419

Abstract
A 24 year-old male sought consultation for his protrusive chin and crowded teeth. The diagnosis was a bilateral skeletal and dental class III relationship, anterior crowding complicated by an anterior crossbite. The Discrepancy Index was 42 points, indicating a difficult Class III malocclusion. Orthognathic surgery was proposed and declined by the patient. The 3-Ring diagnosis showed that treatment without orthognathic surgery was a viable approach. A non-surgical treatment plan was selected to correct this challenging Class III malocclusion by extracting all 1st premolars to relieve crowding, correcting anterior crossbite with bite turbos and closing extraction spaces with power chains and intermaxillary elastics. After 31 months of treatment his profile was significantly improved. The anterior crowding was relieved and the anterior cross bite was corrected. Bilateral Class I occlusions was achieved. The post treatment evaluation CRE score was 30 points and the Pink & White Esthestics score was 4 points.
摘要
一名24歲的男性前來求診，主訴為下巴太凸，牙齒亂。經過臨床檢查與分析，診斷為雙側骨性三級咬合、安格氏三級咬合、前牙擁擠與錯咬。在Discrepancy Index的得分為42分，屬於相當困難的三級咬合不正。由於患者前牙錯咬的差距達5 mm且合併骨性三級咬合，一般可以以手術有效改善。但是病人希望使用不手術的方式治療。根據3-Ring Diagnosis的分析結果，不手術是可行的方案。因此我們決定採用不手術的方式進行治療。首先拔除四顆第一小臼齒來緩解擁擠的齒弓，接著使用前牙Bite-turbo加上Class III elastics來改正前牙錯咬，最後再關閉上下拔牙空間。經過31個月的治療後，病人的側臉輪廓獲得大幅的改善，原本前凸的下巴回到了正常的位置，口內原本擁擠且錯咬的牙齒也排整齊，雙側安格氏咬合都達到穩定的一級咬合，最後在CRE得分為30分，Pink & White Esthestics的得分為4。

[@mampuiavanchhawng7616]

iv'e had my surgery last year,and my lower jaw was like 11mm longer.. im so glad i did it. and also congrats to him.. i can feel how he will think bout' his look before his surgery... i mean like.. i have gone through, more worse.. and shoutout to all the doctors (maxillofacial surgeon).. thankyou

[@MagicMotionZone]

hi. what changed on your face? I feel dissonance between lip and nose. did you feel same? and it fixed?

[@helviafrikaner915]

I have an underbite and have braces for 9 months now ,yet there’s NO improvement,but this gives me hope,thank you so much

[@farisilmih.496]

18months now, any progress, sir?

[@btothea5641]

Yes, I would like to know if you’ve had progress too!

[@yair7227]

What about now?!

[@Mewing-f5t]

Still a live ??

[@rajugeetha7523]

This is fabulous without surgery it's done so well

[@agz4370]

Wow he looks sooo much better after. This is unbelievable.

[@LoloOnBattlefield]

So why wasn’t reverse pull headgear used to help advance the maxilla forward so it can catch up to the mandible INSTEAD of recessing the whole mandible to follow the already incorrect position of the maxilla? The problem lies within the maxilla and not the mandible. Instead of extractions which proves to negatively affect airway, exacerbate any TMJ issues and also make a flatter face, why don’t you get some expansion and arch development to fit all the teeth? This is routinely done without major surgery in adults his age.

[@zigsaw7161]

I think reverse pull headgear dont work on adults

[@georgimihaylov5432]

He's 25 years old, not 12, hello?

[@jeffrman777]

Headgear on an adult is a complete waste of time. Stop listening to those Mewing looksmaxxing people. If a patient doesn’t want to do surgery, then this is the best way to go about it.

[@ValhallaGuild]

Who the hell thought you about it? 😢

[@drrwin]

treated and presented to perfection

[@ChrisChangOrtho]

Thank you, my friend! Welcome to join us! Please go to orthobonescrew.com to get more information!

[@aalfiyashamnad5723]

@@ChrisChangOrtho to

[@verticalmeans]

Amazing 🔥...only thing that could make this video better would be if a doctor narrated it with further explanation😀

[@abeldental9685]

Increíble dar solución a estos casos quirúrgicos

[@impodds]

My Dentist looked at me like I was stupid when I mentioned this treatment. Do you know anywhere in the U.S where I could get this treatment with BS? I have had under bite since I was a kid and dont want to do surgery.

[@mariajesussanchezboye849]

What's the name of this treatment?

[@El_Elis]

Uh there is one place Eline orthodontics

[@El_Elis]

And some more but i'm not sure where

[@rosalinda4360]

Try looking orthodontist practising Damon System (like this video) and OrthoBone Screw

[@albertourcia6354]

muy buen trabajo doctor, eso estaba como para cirujia, pero usted solo lo hizo con brakets

[@drvalechasorthodonticdenta9636]

Thanks Doctor for sharing the case.. 😊

[@xdemgeo3581]

You are so amazing. I wish I can get ortho treatment from you.

[@mayaagallegos]

wait so what exactly do i have to do or ask for to get similar results??

[@berebarrera935]

Amazing!!!, Doctor why you didn't use TAD's in this case?

[@timschulze4162]

Maybe because through extraction of 8 teeth he had enough room to move the occlusion. Extraction sites are more malleable and not as rigid. The outcome was so good actually 🤩

[@thangnguyen-hj6mz]

Bác sỹ đã sang giảng dạy ở Việt Nam chưa .?

[@aimeebelinda6288]

And the word camouflage doesn’t sit right with me, it’s like the problem isn’t really being addressed

[@ChrisChangOrtho]

Thank you!

[@abelalbujar3324]

Dr. Muy buen caso, pero como hizo el camuflaje no lo ví? Ppr wue sino los.molares se mesializan, cuanto tiempo se realizó el tratamiento?.

[@khadaradam6601]

I have underbite like this man, i thout this is me because how his mouth look like mine, I go to dentist he told he will make me extraction, four first gums removed am still under extraction.

[@tonyhuarcayachilet4364]

Felicidades,, muy buen trabajo con excelentes resultados..

[@annyk.marreiro6577]

Tenho fé q os meus irão ficar assim tb🙌

[@chhavannlao5956]

|

[@BLACKrr7]

Conseguiu??

[@dondydrgspperio2474]

thx u for ur knowledge,allah bersamamu untuk amal jariahmu ilmu yng bermanfaat

[@Rothbardy]

Beautiful case!

[@drvalechasorthodonticdenta9636]

Awesome.. 😊

[@wellaninamerino3166]

If no teeth how to be aligned if only gums???

[@JordanJSparks]

wow you did such a great job!!

[@hamamamadrid1798]

I have the same problem

[@uniquedentallabpvtltdahmed1012]

Excellent

[@ShahabSheikhzadeh]

at 0:49 what are all the measurements and angle information? I never did that when I had braces...

[@edwincancelii2917]

Awesome results.

[@ricardoorozco3437]

REALLY WELL DONE JOB

[@christophersale7696]

Could you just extract lower 4s and leave the upper complete?

[@timschulze4162]

Then the last upper molars might extrude and over erupt. It’s better to keep the relationship

[@anjualex1651]

I have retruded maxilla and protruded mandible and also my upper teeth are not visible, doctor advised me to take surgery on both jaw.Can surgery solve my problems?

[@irynatyshko9156]

Yes

[@rachelfebiya2472]

Cool

[@mainettizak]

Great music

[@PenebarMusik]

agree

[@duhsunnyday8590]

Where are you located ?

[@labirent07]

What is the maximum age for such treatment?

[@avagray_24]

Any

[@annisamuharromah2761]

How many cost to do this?

[@subramanian6067]

❤❤❤❤❤❤❤❤❤❤

[@beth16440]

If your doctor tells you to do the surgery... DO THE DAMN SURGERY. 'Camouflage Orthodontics' will not fix the underlying problem and you will need to deal with it later on in life.

[@djonkdudes3190]

??? So a patient can not decide whether he wants to do a esthetical surgery or not?

[@girlsuckmydick]

@@djonkdudes3190 it's not really just for looks, more often than not the patients have severe jaw pain/issues as they age if not corrected :(

[@Daniel-xy3os]

@@girlsuckmydick Pero el dolor temporo mandíbular es efecto de que los dientes no esten alineados Ya que al no poder morder correctamente esforzamos demasiado las muelas y esto genera el dolor en una mayoría de los casos

[@kjnazari4734]

some doctors tell you to get the surgery when you dont need it! and they ruin people face! so no just because your doctor says it doesn't mean you have to get it!

[@georgimihaylov5432]

Yes, let's cut off my face in half just because some Bethany on KZbin said so or a random ortho that doesn't give a flying fuck. You do realize that the world is not black and white, right?

[@muchtartidakbahagia]

Trump pict caught me off guard lmao

[@ferrarafad9508]

Amazing....

[@raymedrano]

👏🏼 👏🏼👏🏼👏🏼👏🏼

[@aimeebelinda6288]

I feel like he should have still gotten orthognathic surgery.

[@ChrisChangOrtho]

Thank you!

[@arielwossa7855]

Why waste more money on unnecessary surgery?

[@amitsrivastava5743]

I dont agree with the Diagnosis of this being a True Class III malocclusion, its a pseudo Class III with a functional , crossbite, therefore the case is actually a simple one of extraction and de-crowding, yes the selection of brackets with the right torque and use of Bite Turbos definitely are noteworthy.

[@jeffrman777]

It is a true class 3. What are you talking about?

[@ValhallaGuild]

ANB -3 😅