Management of facial symmetry in a severe Class III malocclusion case: A multidisciplinary approach

ABSTRACT In skeletal Class III cases with facial asymmetry, it may be not easy to achieve an excellent occlusal outcome only with orthodontic treatment and maintain a stable posttreatment occlusion. There are three primary treatment modalities for skeletal Class III malocclusion: growth modification, orthodontic compensation, and orthognathic surgery. Growth modification should be initiated before the pubertal growth spurt; afterward, only two options are possible. Thus, skeletal Class III malocclusion treatment in an adult requires orthognathic surgery combined with conventional orthodontic treatment to improve self-esteem, achieve normal occlusion, and improve facial esthetics. There is little doubt that achieving excellent treatment results in adult patients with multiple skeletal and dental problems requires a multidisciplinary approach. Orthodontist plays a critical role in coordinating orthodontic treatment with other treatment performed by a specialist.