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Non-Extraction Orthodontic Camouflage Treatment Using Novel Maxillary Skeletal Expander Protocol for Skeletal Class III Patient with Severe Crowding and Facial Asymmetry

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À̽·Ġ( Lee Seung-Ryeol ) - Dankook University College of Dentistry Department of Orthodontics
Â÷°æ¼® ( Cha Kyung-Suk ) - Dankook University College of Dentistry Department of Orthodontics
ÀÌÁø¿ì ( Lee Jin-Woo ) - Dankook University College of Dentistry Department of Orthodontics
Á¤µ¿È­ ( Chung Dong-Hwa ) - Dankook University College of Dentistry Department of Orthodontics
ÀÌ»ó¹Î ( Lee Sang-Min ) - Dankook University College of Dentistry Department of Orthodontics

Abstract


This case report describes a case in skeletal Class III malocclusion with asymmetry, maxillary skeletal expander (MSE) can be a compromised treatment option that successfully improves the occlusion. A 14-year-old female patient with facial asymmetry visited our orthodontic department, exhibiting left displacement of the mandible, severe crowding of the maxillary arch, shallow overjet and maxillary transverse deficiency. At the beginning of treatment, MSE was installed to expand maxillary transverse width. For unilateral expansion, the arm on the right side was removed after expansion to induce relapse. Afterwards, the rear arm was left without removing the MSE and was used for distal movement of the molars with the horseshoe application. In the mandible, the bi-dimensional wire and MEAW was applied. Appropriate use of MSE can achieve both unilateral expansion and distal movement of the molars.

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Asymmetry; Camouflage treatment; Maxillary skeletal expander; Asymmetry; Non-extraction

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