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ORTHODONTICS

CORRECTION OF FUNCTIONAL CLASS III

WITH 3SHAPE ECOSYSTEM AND

IN-HOUSE ALIGNERS

Sagar Dombe

Orthodontic management of skeletal • A reverse bite accompanied by a
asymmetries compounded by eruption functional mandibular shift towards the
disturbances presents a unique clinical left to achieve intercuspation.
challenge. This case study of an 18-year-
old female patient, Samruddhi Gade, Dental findings
demonstrates the strategic application • Tooth number 35 exhibited linguoversion
of aligner therapy not only to correct and was in the erupting phase.
malocclusion but also to address the • Tooth number 13 was horizontally
functional mandibular shifts effectively. impacted.

PATIENT PROFILE Extraoral assessment
• Name: Samruddhi Gade • Profile: An anteriorly divergent profile,
• Age: 18 years with the chin subtly prominent on the left.
• Gender: Female Fig 1a: Initial Intraoral image showing reverse bite
DIAGNOSIS
CHIEF COMPLAINT • Primary: Left-shifted Class III
The patient presented with concerns over malocclusion with skeletal asymmetry.
the alignment and aesthetic appearance • Secondary: Eruption disturbances
of her dentition, specifically noting a involving teeth numbers 13 and 35.
displacement of teeth on the left side of
the dental arch. TREATMENT PLAN AND
EXECUTION
CLINICAL EXAMINATION 1. Orthodontic assessment
Facial symmetry: Midline deviation A comprehensive orthodontic evaluation
towards the left. was undertaken to design a treatment plan
focused on improving the occlusal balance
Occlusion: and aesthetic harmony.
• Superclass I occlusion noted on the right Fig 1b: 5 teeth crossbite
side. 2. Eruption monitoring and management
• Normal occlusal relationship on the left Tooth 35’s eruption path was guided
side. using a custom-fabricated plastic vertical

Fig 1c: Intra oral image indicating a potential Fig 1d: Crowding in the upper arch Fig 1e: Narrowed lower arch
functional shift
60 Dental Practice I March-April 2025 I Vol 21 No 2