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Class III
malocclusio
n
Definition
1. According to Angle class III molar
relationship refers to:
condition where the mesio-buccal
cusp of permanent maxillary first
molar occluding in the interdental
space between the mandibular first
and second molars.
Definition
2. According to British standards definition
of class III incisor relationship refers to:
lower incisor edge occludes anterior to
the cingulum plateau of the upper
incisors.
Etiology
 Heredity
 Age linked
 Functional factor and soft tissue
- tongue posture
- enlarged tonsils and naso-respiratory
difficulties.
- excessive epi pharyngeal lymphoid
tissue
 occlusal forces created by abnormal eruption.
 premature loss of deciduous molars.
 lack of eruption of maxillary buccal segments.
 cleft lip and palate.
 compulsive habits of protruding the mandible.
 trauma to the mid face during growth phase.
A 25 y/o female patient with c/o of an unesthetic
facial and dental appearance
Lateral view of the patient’s face shows prominent
lower jaw with the concave profile. Intra orally the
molars, canine and incisor relationship is class III
with a reverse overjet of 5mm. Mild crowding of
upper and lower anterior teeth is present.
Skeletal malocclusion
Discrepancy in shape, size or position of one or both
jaws
Dental malocclusion
Discrepancy in shape, size or position of tooth.
Skeletal
features
 Retrognathic maxilla (short maxilla)
 Prognathic mandible (long mandible)
 Combination
Intraoral
1. Reverse overjet
2. Unilateral or bilateral posterior
crossbite (due to constricted
maxillary or more forward
positioned mandible)
3. Class III molar and canine
relationship
Extraoral
 Long face
 Concave profile
 Anterior facial divergence
 Prominent chin
 Steep mandibular plane
angle (FMA)
References
 Laura Mitchell, An Introduction to Orthodontics 3rd
edition.
 S.I. Bhalaji, Orthodontics The Art and Sciences.

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1.class 3 occ

  • 2. Definition 1. According to Angle class III molar relationship refers to: condition where the mesio-buccal cusp of permanent maxillary first molar occluding in the interdental space between the mandibular first and second molars.
  • 3. Definition 2. According to British standards definition of class III incisor relationship refers to: lower incisor edge occludes anterior to the cingulum plateau of the upper incisors.
  • 4. Etiology  Heredity  Age linked  Functional factor and soft tissue - tongue posture - enlarged tonsils and naso-respiratory difficulties. - excessive epi pharyngeal lymphoid tissue  occlusal forces created by abnormal eruption.  premature loss of deciduous molars.  lack of eruption of maxillary buccal segments.  cleft lip and palate.  compulsive habits of protruding the mandible.  trauma to the mid face during growth phase.
  • 5. A 25 y/o female patient with c/o of an unesthetic facial and dental appearance Lateral view of the patient’s face shows prominent lower jaw with the concave profile. Intra orally the molars, canine and incisor relationship is class III with a reverse overjet of 5mm. Mild crowding of upper and lower anterior teeth is present.
  • 6. Skeletal malocclusion Discrepancy in shape, size or position of one or both jaws Dental malocclusion Discrepancy in shape, size or position of tooth.
  • 7. Skeletal features  Retrognathic maxilla (short maxilla)  Prognathic mandible (long mandible)  Combination
  • 8. Intraoral 1. Reverse overjet 2. Unilateral or bilateral posterior crossbite (due to constricted maxillary or more forward positioned mandible) 3. Class III molar and canine relationship
  • 9. Extraoral  Long face  Concave profile  Anterior facial divergence  Prominent chin  Steep mandibular plane angle (FMA)
  • 10. References  Laura Mitchell, An Introduction to Orthodontics 3rd edition.  S.I. Bhalaji, Orthodontics The Art and Sciences.