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Fig 8c Fig 8d
Fig 8a, 8b, 8c, 8d: Post-treatment intraoral images
A supplementary QR code-linked video
allows viewers to appreciate the mandible’s
adaptive efforts during the treatment, offering
a visual insight into the occlusal stabilization
process. This case reinforces aligner therapy
as an exceptionally effective tool for correcting
functional shifts in addition to achieving
aesthetic orthodontic outcomes.

CONCLUSION Scanning and
treatment
This case reaffirms aligner therapy as a forecasting
powerful tool not only for aesthetic orthodontic
corrections but also for functional rehabilitation
in cases involving mandibular shifts and
Fig 9a: Before Fig 9b: After asymmetry. Clinicians should consider such
biomechanical principles when formulating
4. Patient education treatment plans for similar cases. n
The patient and her guardians were educated about the nature of her
condition, the rationale for the chosen treatment modalities, and the
critical role of maintaining optimal oral hygiene during orthodontic ABOUT THE AUTHOR
therapy.
Dr. Sagar R. Dombe, M.D.S in
PROGNOSIS AND TREATMENT OUTCOME orthodontics, stands as a distinguished
With timely intervention and consistent adherence to the prescribed dental practitioner, excelling in academia
treatment plan, a favourable outcome was anticipated—and and clinical expertise. With extensive
successfully achieved. The patient exhibited marked improvement experience spanning 5 years in bachelor
in occlusion and overall facial symmetry following aligner-based of dental surgery and an additional 3
orthodontic therapy. years in masters of dental surgery. Dr.
A significant factor contributing to this positive result is the unique Dombe has been an integral part of Dr.
biomechanical effect of aligners on the mandibular positioning D.Y. Patil medical university since 2009, serving as a professor.
He embarked on his journey as a consultant orthodontist and
system. Drawing on Petrovic’s servo system theory, the aligners act by clinician in 2008, leveraging his expertise to pioneer shape32,
subtly “decoying” the central engram. The constantly shifting occlusal an aligner manufacturing lab currently producing 100-150
reference from the maxillary teeth effectively deceives the central models per day. His affiliation with 3shape as a key opinion
comparator mechanism, prompting the mandible to repeatedly seek leader (KOL) since 2018 further solidifies his commitment to
an optimal and stable position. This dynamic interaction played a innovation and technological advancements in orthodontics.
pivotal role in resolving the functional mandibular shift. He is the Founder Secretary of the Indian Aligner Society.

ARTICLE CITATION
Dombe Sagar (2025). Correction of functional class III with 3Shape ecosystem and in-house aligners. Dental Practice, 21(2), 60-63
Dental Practice I March-April 2025 I Vol 21 No 2 63