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KMID : 1149720230130030176
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Clinical Journal of Korean association of Orthodontists
2023 Volume.13 No. 3 p.176 ~ p.186
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Camouflage Treatment of a Skeletal Class III Asymmetry Patient with Missing Mandibular Second Premolars
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Kim Young-Dae
Chae Hwa-Sung
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Abstract
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This case report highlights how functional and aesthetic outcomes can be achieved through a compromise treatment for adult patients with moderate skeletal Class III malocclusion and missing teeth. The report focuses on the treatment of a 38-year-old male patient with a bilateral mandibular second premolar edentulism, partial crossbites, and mandibular midline deviation to the right. The mandibular left third molar was fully erupted. The treatment primarily focused on molar distalization. The mandibular right second premolar space was gained, followed by dental implant placement, while that of the mandibular left was completed without further prosthesis. After 19 months of treatment, functional occlusion was achieved, and the initial non-aesthetic gingival line and periodontal problems caused by mesially angulated first molars were improved. The retention records demonstrated stable dentition over 3.5 years.
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KEYWORD
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Skeletal Class III, Camouflage treatment, Mandibular missing premolars, Mini-implant, Midline correction
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Listed journal information
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