Tratamiento de la maloclusión clase III con máscara facial y hyrax híbrido, protocolo alt-ramec. Reporte de caso

Jesús Alberto Hernández Silva; Carolina Rodríguez Manjarrés; José Manuel Martínez Ávila

doi:10.16925/od.v13i26.2045

Treatment of Class iii Malocclusion with Facial Mask, Hybrid Hyrax and Alt-ramec Protocol

Case Report

https://doi.org/10.16925/od.v13i26.2045

Jesús Alberto Hernández Silva Ver Biografía

Escuela de Odontología Universidad del Valle

Carolina Rodríguez Manjarrés Ver Biografía

Escuela de Odontología Universidad del Valle

José Manuel Martínez Ávila Ver Biografía

Escuela de Odontología Universidad del Valle

Introduction: The difficulties in correcting the bone discrepancies of class iii malocclusions due to the

complexity of existing treatments, the unpredictability of bone growth, the development and treatment

outcomes for young patients, and the evident physical characteristics of the subjects who suffer from

them make them a challenge when considering successful treatment plans for correction.

Case: A 10-year-old male patient attended the maxillary orthopedics clinic of the graduate program

Pediatric Dentistry and Maxillary Orthopedics of the School of Dentistry at the Universidad del Valle

(Cali-Colombia) for re-evaluation. He does not report family history of skeletal or dental anomalies; a

prominent chin is clinically observed.

Aim: To assess the effect of a treatment with hybrid hyrax, protraction mask and mini-implants in a

patient for the correction of class iii malocclusion.

Results and conclusions: The combination of hybrid hyrax, face mask and Alt-ramec protocol responds

to a real skeletal change due to the direct transmission of forces to the bone, thus abolishing the den-

toalveolar camouflages that produce satisfactory results at the dental, facial and even psychological

levels in patients with class iii skeletal malocclusion.

Keywords: Altramec, hybrid hyrax, class iii malocclusion, facial mask, miniimplants

Angle EH. Classification of malocclusion. Dental Cosmos 1899; 41:248-264.

Pithon MM, Santos NL, Santos CRB, Baião FCS, Pinheiro MCR, Matos Neto M, Souza IA, Paula RP. Is alternate rapid maxillary expansion and constriction protocol effective in the treatment of Class III malocclusion? A systematic review. Dental Press J Orthod. 2016 Nov-Dec;21(6):34-42.

Rathi AR, Kumari NR, Vadakkepuriyal K, Santhkumar M. Treatment of skeletal class III malocclusion using face mask therapy with alternate rapid maxillary expansion and constriction (Alt-RAMEC) protocol. J Indian Soc Pedod Prev Dent 2015; 33:341-3.

Lew KK, Foong WC. Horizontal skeletal typing in an ethnic Chinese population with true Class III malocclusions. Br J Orthod. 1993 Feb;20(1):19-23.

Nishitha Joshi, Ahmad M. Hamdan, Walid D. Fakhouri. Skeletal Malocclusion: A Developmental Disorder with a Life-Long Morbidity. J Clin Med Res. 2014 Dec; 6(6): 399–408.

Baccetti T, Reyes BC, McNamara JA Jr. Gender differences in Class III malocclusion. Angle Orthod. 2005 Jul;75(4):510-20.

Cuarto Estudio Nacional de Salud Bucal – ENSAB IV https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENT/abc-salud-bucal.pdf

Thilander B, Pena L, Infante C, Parada SS, de Mayorga C. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogota, Colombia. An epidemiological study related to different stages of dental development. Eur J Orthod. 2001 Apr;23(2):153-67.

Espinar E, Ruiz MB, Ortega H, et. al. Tratamiento Temprano de las Clases III. Rev Esp Ortod. 2011; 41: 79-89.

Jacobson A, Evans WG, Preston CB, Sadowsky PL. Mandibular prognathism. Am J Orthod. 1974 Aug;66(2):140-71.

Rabie AB, Gu Y. Diagnostic criteria for pseudo-Class III malocclusion. Am J Orthod Dentofacial Orthop. 2000 Jan;117(1):1-9.

Primozic J, Farcnik F, Perinetti G, Richmond S, Ovsenik M. The association of tongue posture with the dentoalveolar maxillary and mandibular morphology in Class III malocclusion: a controlled study. Eur J Orthod. 2013 Jun;35(3):388-93.

Velásquez V. Mordida cruzada anterior: diagnóstico y tratamiento con placa progenie. Revista Latinoamericana de Ortodoncia y Odontopediatría. 2005.

Hernández JA, Padilla MR. Tratamiento temprano de la mordida cruzada anterior. Revisión de la literatura. Rev. Estomat. 2011; 19(2): 40-47.

Villegas AS. Relación esquelética clase III combinada por retrusión del maxilar superior y prognatismo mandibular con mordida cruzada anterior y posterior bilateral y hábito de protrusión lingual. CES odontol. 2004;17(1):63- 9.

Raymond JL, Pimentel I, Vignolo R. Tratamiento ortopédico de las maloclusiones de clase III: masticación y plano oclusal. Ortodoncia Clínica 2009;12(4):186-193.

Haas AJ. Palatal expansion: just the beginning of dentofacial orthopedics. Am J Orthod. 1970 Mar;57(3):219-55.

Wilmes B, Ngan P, Liou EJ, Franchi L, Drescher D. Early class III facemask treatment with the hybrid hyrax and Alt-RAMEC protocol. J Clin Orthod. 2014 Feb;48(2):84-93.

Nienkemper M, Wilmes B, Pauls A, Drescher D. Maxillary protraction using a hybrid hyrax-facemask combination. Prog Orthod. 2013 May 20; 14:5. doi: 10.1186/2196-1042-14-5.

Wilmes B, Nienkemper M, Drescher D. Application and effectiveness of a mini-implant- and tooth-borne rapid palatal expansion device: the hybrid hyrax. World J Orthod. 2010 Winter;11(4):323-30.

Franchi L, Baccetti T, Masucci C, Defraia E. Early Alt-RAMEC and facial mask protocol in class III malocclusion. J Clin Orthod. 2011 Nov;45(11):601-9.

Liou E. Rev. Dent. Press Ortodon. Ortop. Facial. 2009 Oct; 14(5): 27-37. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S141554192009000500005&lng=en. http://dx.doi.org/10.1590/S1415-54192009000500005

Jäger A, Braumann B, Kim C, Wahner S. Skeletal and dental effects of maxillary protraction in patients with angle class III malocclusion. A meta-analysis. J Orofac Orthop. 2001 Jul;62(4):275-84.

Sar C, Arman-Özçırpıcı A, Uçkan S, Yazıcı AC. Comparative evaluation of maxillary protraction with or without skeletal anchorage. Am J Orthod Dentofacial Orthop. 2011 May;139(5):636-49.

Ngan P, Yiu C, Hu A, Hägg U, Wei SH, Gunel E. Cephalometric and occlusal changes following maxillary expansion and protraction. Eur J Orthod. 1998 Jun;20(3):237-54.

Treatment of Class iii Malocclusion with Facial Mask, Hybrid Hyrax and Alt-ramec Protocol. (2017). Revista Nacional De Odontología, 14(26). https://doi.org/10.16925/od.v13i26.2045

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Treatment of Class iii Malocclusion with Facial Mask, Hybrid Hyrax and Alt-ramec Protocol. (2017). Revista Nacional De Odontología, 14(26). https://doi.org/10.16925/od.v13i26.2045

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Treatment of Class iii Malocclusion with Facial Mask, Hybrid Hyrax and Alt-ramec Protocol

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