Example appliance: Class III elastics with fixed appliances
Level of evidence: Moderate
Suitable for ages: 12+ years old
Indications: Class III dental malocclusion, upper incisors retroclined, Class I or mild Class III skeletal base, up to moderate maxilla retrognathia skeletal base, up to mild mandible prognathic skeletal base
Contraindications: Proclined upper incisors, retroclined lower incisors, severe Class III skeletal base, moderate to severe maxilla retrognathia, mandible prognathic Class III skeletal base
This treatment option can be used in conjunction with lower arch retraction orthodontics and other orthopaedic corrections.
Treatment Objectives and Biomechanics
- Dentoalveolar compensation of Class III malocclusion
- Procline upper incisors
Appliances
- Fixed appliances
- Clear aligners
- Functional appliances – Reverse Twin Block, fixed functional appliances
- Skeletal appliances – TADS
- Headgear – reverse pull headgear
