A clinical case report on the treatment of mesial occlusion in a growing patient Summary using maxillary expansion and facemask therapy

Abstract

Aim: To evaluate the literature and give clinical data on maxillary expansion combined with facemask therapy for the treatment of mesial occlusion in growing patients.

Materials and methods: This paper includes a clinical case analysis of a patient with mesial occlusion and maxillary constriction. The data included clinical examination findings, supplemental diagnostic information, and assessment of treatment progress during orthodontic intervention.

Results: A growing patient with mesial occlusion and maxillary width insufficiency had successful orthodontic treatment employing a mini-implant-supported Fit-free expander in conjunction with facemask therapy for maxillary expansion and sagittal growth modification. The case examination demonstrated favorable dynamics, showing that combined maxillary expansion and facemask therapy is helpful for early orthodontic correction of Class III malocclusion. This treatment method helps to avoid the formation of gnathic malocclusions, lowering the likelihood of future orthognathic surgery to normalize dental arch and jaw connections.

Conclusions: Early comprehensive orthodontic treatment of Class III malocclusion with maxillary expansion appliances and facemask therapy is an effective approach for stimulating maxillary growth, normalizing dental arch relationships, improving facial aesthetics, and preventing the progression of dentoalveolar anomalies.