Introduction: One of the most difficult types of malocclusion to cure is Class III malocclusion. Maxillary protraction is a common component of orthodontic/surgical treatments for Class III individuals since maxillary retrognathia is the primary factor contributing to their condition. Objective: A Vietnamese girl of 16 years old presented with severe symptoms of anterior crossbite and Class III malocclusion of the skeletal and dental structures. Among the dental characteristics were a prognathic mandible, retrognathic maxilla, and proclined lower incisors. The medical history revealed no abnormalities. Methods: Since the patient refused to undergo orthognathic surgery, we suggested using multiloop edgewise archwire (MEAW), which combines temporary anchorage devices (TADs) with modified Class III elastics for camouflage treatment of Class III malocclusion. Results: This case illustrated the use of TADs. MEAW combines TADs with modified Class III elastics for camouflage therapy. It is a potentially effective treatment option for adolescents diagnosed with Class III skeletal malocclusion.

Background: Treating skeletal Class III malocclusions characterized by mandibular deviation, facial asymmetry, and other complex orthodontic issues is among the most demanding orthodontic procedures. Orthognathic surgery is not recommended to everyone due to the dangers involved. Hence, it is considered to be very difficult to correct face asymmetry with orthodontics alone, much less without surgery. Objective: The goals of this case study were to decrease crowding in the upper teeth, manage the vertical dimension, and treat the patient's primary complaints of crossbite in the anterior teeth and facial asymmetry. Case Presentation: A female patient, aged 21, came in with many concerns, including an incisor crossbite, facial asymmetry, and an insecurity that manifested only when she smiled. An adult patient with a mandibular deviation to the right and an incisor crossbite received orthodontic treatment for these issues. The patient had asymmetric molar extraction in both the lower and upper jaws to retract the lower incisors and correct the midline of the teeth using intermaxillary elastic. Fixed appliances were utilized in conjunction with overbearing lower anterior braces to manage the torque on the lower anterior teeth. As a result, she had a pleasant smile, a harmonious face, and stable dental and skeletal connections. The whole therapeutic period lasted 30 months. As a result, asymmetric molar extraction may be an acceptable option for retracting mandibular incisors in Class III malocclusion with facial asymmetry. Conclusion: The most important step in treating the severe skeletal Class III malocclusion in this patient without surgery was to retract the lower arch. After using the MEAW approach, Class III elastics, posterior bite turbos, and orthopedic splint treatment, the patient reported a satisfactory achievement.

This article aims to report a case of face mask therapy and comprehensive orthodontic treatment for skeletal class III malocclusion in a 16-year-old girl. Treating skeletal class III malocclusion in a growing patient is crucial, as it can help avoid the need for additional surgery. Early treatment also lessens the negative impacts of the patient's facial abnormality on their social life because surgery is only done later. In this case report, a 14-year-old female patient presented with skeletal class III malocclusion with primary complaints of anterior crossbite. There was no relevant medical history. Face mask therapy and fixed appliance therapy were components of the treatment approach that successfully corrected the malocclusion. The total period of treatment was 20 months. The treatment resulted in a harmonious face, a well-aligned smile arch, stable dental and skeletal relationships, and significant esthetic improvements, including improved facial symmetry and profile. A growing teen who has a skeletal class III malocclusion and a maxillary deficit may be helped by a combination of face mask therapy and thorough orthodontic treatment. This case report outlines the use of the aforementioned technique to successfully treat a 14-year-old child with class III malocclusion and maxillary deficiencies. Early management of skeletal class III malocclusion in developing adolescents is vital as it can potentially eliminate the necessity for future surgical intervention, leading to improved treatment outcomes. Careful case selection, patient cooperation, and long-term stability enable a successful, stable, and esthetically pleasing treatment outcome. Le LN, Do TT, P Le KV. Face Mask Therapy and Comprehensive Orthodontic Treatment for Skeletal Class III Malocclusion: A Case Report. Int J Clin Pediatr Dent 2024;17(3):368–376.

Objective — to evaluate the effectiveness of injectable platelet-rich fibrin (i-PRF) in accelerating orthodontic tooth movement (OTM) and reducing treatment duration. Materials and methods. This study used a split-mouth randomized clinical trial with 31 patients (14—31 years old, 9 males and 22 females) with Angle Class I malocclusion indicated bilateral maxillary first premolar extraction with a double-blind design. The i-PRF was obtained from each patient‘s blood and then injected into the buccal and palatal areas of the extraction sites right before the canines were retracted. The i-PRF was used on the left side, and physiological saline was used on the right side of the patients with even numbers. On the other hand, the i-PRF was used on the right side for patients with an odd number, whereas physiological saline was used on the left side. After the leveling and alignment phases, the canines were retracted with 150 g of force. Digital models were obtained at five time points: before tooth extraction, in the fourth, eighth, twelfth, and sixteenth week from the beginning of distalization. Results. In the current study, the rate of canine tooth movement was higher in the study group (PRF injection) than in the control group at all time points (p<0.001). PRF injection increased orthodontic tooth movement during the early stage (first 2 months). The average acceleration of canine movement in the PRF injection group was 1.21 times. There was no statistically significant difference between the male and female genders. Conclusion. i-PRF can be an effective method for accelerating orthodontic movement with minimal invasion, safety, and being autogenous.

Implants offer superior physiological and functional outcomes; however, their success depends on the availability of adequate local bone volume. In cases o