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ANALYSIS OF MINIMALLY INVASIVE TREATMENT OF AN ADULT WITH SEVERE PSEUDO CLASS III MALOCCLUSION

Dr Aiza Rehman, Dr Areeba Talib, Dr Sheikh Muhammad Awais Ali

Introduction: Pseudo class III malocclusion is reverse anterior occlusion or anterior cross‐bite with first molars and canines in a class I relationship. Aims and objectives: The basic aim of the study is to analyse the minimally invasive treatment of an adult with severe pseudo class III malocclusion. Material and methods: This descriptive study was conducted in Demontmorency College of Dentistry, Lahore during January 2019 September 2019. The data was collected from 50 patients. The camouflage group comprised of 36 patients (15 males and 21 females) with the mean age of 23.5 years. Treatment of the camouflage patients included treatment with fixed orthodontic appliances in both jaws. Results: The data was collected from 50 patients. Mann-Whitney test showed that significant differences (P < 0.05) were found in eight measurements. The camouflage group centroid was 0.637, and the surgery group centroid was − .791. The threshold score, the mean centroid of the two groups, was − 0.077 which corresponded to Holdaway H angle of 10.3° and Wits appraisal − 5.8. Conclusion: It is concluded that class III malocclusion patients who have a Holdaway angle greater than 10.3° would be treated successfully by camouflage alone, while surgery should be the treatment of choice in borderline class III malocclusion patients with a Holdaway angle of less than 10.3°.

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