Mesh : Adult Alveolar Bone Loss / complications Dental Implants Esthetics, Dental Female Follow-Up Studies Humans Longitudinal Studies Malocclusion, Angle Class III / therapy Miniaturization Molar / pathology Open Bite / therapy Orthodontic Anchorage Procedures / instrumentation Orthodontic Appliance Design Orthodontic Space Closure / instrumentation Patient Care Planning Tooth Loss / etiology therapy Tooth Movement Techniques / instrumentation Treatment Outcome

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Abstract:
BACKGROUND: The present case report describes the orthodontic treatment and long-term follow-up of an adult female patient (27 years) who was diagnosed with a mild Class III malocclusion characterised by an anterior and lateral open bite and three periodontally-compromised first permanent molars.
OBJECTIVE: The aim of treatment was to provide an acceptable aesthetic and functional occlusion while, at the same time, improving the periodontal prognosis.
METHODS: The patient was treated with fixed orthodontic appliances utilising direct and indirect skeletal anchorage derived from two mini-screws placed in the palate and one mandibular buccal mini-screw.
RESULTS: The objectives of good aesthetics, a functional occlusion, a healthy periodontium and a balanced profile were achieved. The total treatment time was 31 months, which comprised 13 months of maxillary fixed labial appliances and 25 months of mandibular fixed labial appliances. The three-year follow-up records showed stability of the Class ILL correction.
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