Orthodontic Management of Skeletal Class III Malocclusion with Transversal Discrepancy and Multiple Diastemas – A Case Report

Abstract

Introduction: Skeletal Class III malocclusion is the least prevalent type of skeletal malocclusion. It is usually accompanied by transverse discrepancies, resulting in anterior crossbite, midline deviation and spacing issues. This indicates the need for orthodontic treatment. Case Report: An 18-year-old patient presented with a primary concern of spaces between their teeth and uneven teeth. Clinical examination showed upper and lower midline shifted to the right with inadequate overbite and overjet. A crossbite was identified, and microdontia resulted in multiple diastemas. Radiographic examination showed a skeletal Class III malocclusion. The treatment plan included the use of 0.022-inch MBT bracket system along with composite restoration for diastema closure. Discussion: The occlusion was corrected after 18 months of treatment and anterior crossbite and diastema were resolved, overbite and overjet were improved. Extraoral assessment also showed an increase in vertical dimension. Conclusion: The treatment successfully resolved patient’s issues of diastema and uneven occlusion using camouflage orthodontics method and composite resin restoration.