Orthopedic and orthodontic treatment options in skeletal class II patients in mixed dentition. Literature review

Abstract

Foundations: Class III is considered as a malocclusion of complex treatment, presenting several treatment options related to age, this type of malocclusion brings with it a series of skeletal and dental compensations of the cervico-cranio maxillofacial region. According to studies, this malocclusion is present in a very small group of the population, and its affectations are marked, and its complexity increases with age. Objective: To know the different orthopedic/orthodontic treatment options for skeletal class III in mixed dentition. Methods: The literature was selected through a search in electronic databases: Pubmed, Cochrane, Lilacs, LILACS, and other electronic databases. Pubmed, Cochrane, Lilacs, Google Academic, Springer, Taylor & Francis. The information search was performed with temporality from January 2012 to January 2023, including all languages. Results: After applying the inclusion criteria, a total of 280 articles were obtained and reviewed, then the selection of articles for analysis was made according to the selection criteria, leaving twenty selected articles. Conclusions: The available literature revealed that early intervention may lead to somewhat lengthy treatments, however, knowing how to start at an early age could prevent the establishment of anomalies and decrease their severity. In such a case, the patient would benefit from early treatment, which would decrease the psychological burden of possible facial variations and dental alterations during the formative period of the malocclusion; likewise, the combination of various fixed and removable appliances is adequate for the clinical management and control of the growth and development of the structures of the cervico-cranio maxillofacial region.