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Case Reports in Dentistry
Volume 2017, Article ID 4652685, 9 pages
Case Report

Treatment of Class III Malocclusion: Atypical Extraction Protocol

1Cora-Vilhena, Vilhena, RO, Brazil
2Sagrado Coração University, Bauru, SP, Brazil
3Department of Orthodontics, Sagrado Coração University, Bauru, SP, Brazil

Correspondence should be addressed to Maiara da Silva Goulart; moc.liamtoh@traluog__araiam

Received 25 November 2016; Accepted 12 January 2017; Published 6 February 2017

Academic Editor: Andrea Scribante

Copyright © 2017 Fernando Pedrin Carvalho Ferreira et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The treatment of Angle Class III malocclusion is rather challenging, because the patient’s growth pattern determines the success of long-term treatment. Early diagnosis and treatment are still highly discussed issues in orthodontic literature. This type of early intervention has been indicated more frequently in order to eliminate primary etiological factors and prevent an already present malocclusion from becoming severe. However, when a patient is diagnosed in adulthood, manipulation of the bone bases becomes extremely limited, as there is no longer any potential for growth. Treatments are restricted to dental compensations when possible or orthognathic surgery. However, owing to the high cost and inherent risk of the surgical procedure, this treatment option is often denied by the patient; in such a case, the orthodontist has little choice but to perform, where possible, compensatory treatments to restore a functional occlusion and improve facial esthetics. This article reports a case of Class III malocclusion in a patient who opted for compensatory treatment with lower molar extraction that allowed for correction of the midline and the overjet. Good facial esthetics and functional normal occlusion were achieved at the end of the treatment.