Early Class III Treatment, from a Functional Point of View

Abstract

Introduction: A simple therapy is shown for the interception of class III malocclusion at an early age, emphasizing the importance of swallowing and breathing for adequate maxillary development, returning to the biological bases of occlusal and skeletal development. Objective: To identify dental or bone disharmonies during development, based on knowledge of what is normal, knowing how to identify alterations early, to intercept and not allow a more serious malocclusion to develop. Case presentation: Two clinical cases are shown, both class III dental and with respiratory problems, the first in a six-year-old girl, and the second detected at three years of age, they are referred and treated by the otorhinolaryngologist, to treat the etiological factor, the correction of the airway, orthodontic treatment focused on achieving an adequate relationship of the incisal guide of the permanent dentition, so that once the respiratory and oral function is corrected, development occurs adequately, every six months radiographic monitoring to evaluate changes and make therapeutic decisions until twelve and fifteen years of age respectively, occlusal stability continues to be monitored without any unfavorable changes at the moment. Conclusions: Detecting alterations in growth and development at an early age helps to intercept both dental and bone malocclusions, knowledge of basic sciences helps the clinician in making timely decisions during the patient's growth, and with simple treatments can avoid unnecessary treatments more invasive.