Nonextraction treatment of a skeletal Class III malocclusion

Vladimir León-Salazar, Guilherme Janson, Marcos Roberto de Freitas, Renato Rodrigues de Almeida, Rubén León-Salazar

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


This case report describes the nonsurgical, nonextraction therapy of a 16-year-old boy with a skeletal Class III malocclusion, a prognathic mandible, and a retrusive maxilla. He was initially classified as needing orthognathic surgery, but he and his parents wanted to avoid that. The Class III malocclusion was corrected with a rapid palatal expander and a maxillary protraction mask followed by nonextraction orthodontic treatment with fixed appliances, combined with short Class III and vertical elastics in the anterior area. The height of the maxillary alveolar process and the vertical face height were slightly increased with treatment. Class I molar and canine relationships were achieved, and the facial profile improved substantially.

Original languageEnglish (US)
Pages (from-to)736-745
Number of pages10
JournalAmerican Journal of Orthodontics and Dentofacial Orthopedics
Issue number5
StatePublished - Nov 1 2009

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