detstomСтоматология детского возраста и профилактикаPediatric dentistry and dental prophylaxis1683-30311726-7218RPA10.33925/1683-3031-2021-21-1-57-59detstom-342Research ArticleОРИГИНАЛЬНАЯ СТАТЬЯORIGINAL ARTICLEMaxillary sagittal expansion in an adult patientMaxillary sagittal expansion in an adult patienthttps://orcid.org/0000-0002-6840-6061ЯакубД. Дж.YakoubD. J.

Яакуб Дани Джанботович, врач-стоматолог ортодонт, аспирант кафедры профилактики и коммунальной стоматологии

Москва

Yakoub Danny J., Orthodontist, Postgraduate student of the department of Preventive and communal dentistry

Moscow

danny_yakoub@outlook.comhttps://orcid.org/0000-0002-5626-2961АдмакинО. И.AdmakinO. I.

Адмакин Олег Иванович, заслуженный врач РФ, доктор медицинский наук, профессор, заведующий кафедрой Профилактики и коммунальной стоматологии

Москва

Admakin Oleg I., Ph.D. Doctor of science, professor, Head of the department of Preventive and communal dentistry

Moscow

admakin1966@mail.ruhttps://orcid.org/0000-0001-8537-6354СолопИ. А.SolopI. A.

Солоп Иван Александрович, кандидат медицинских наук, доцент кафедры Профилактики и коммунальной стоматологии

Москва

Solop Ivan A., PhD, Associate Professor of the department of Preventive and communal dentistry

Moscow

solopivan@outlook.comhttps://orcid.org/0000-0001-9312-6427СтарцеваИ. В.StartcevaI. V.

Старцева Инна Владимировна, врач-стоматолог, студент

Москва

Startceva Inna V., Dental Doctor, student

Moscow

inna.aries@mail.ruПервый Московский государственный медицинский университет имени И.М. Сеченова; Институт стоматологии им. Е.В. БоровскогоРоссияFirst Moscow State Medical University (Sechenov University); E.V. Borovsky Institute of DentistryRussian Federation2021150420212115759Copyright © Яакуб Д.Д., Адмакин О.И., Солоп И.А., Старцева И.В., 20212021Яакуб Д.Д., Адмакин О.И., Солоп И.А., Старцева И.В.Yakoub D.J., Admakin O.I., Solop I.A., Startceva I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.detstom.ru/jour/article/view/342

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Relevance. Skeletal Class III malocclusion is known to be one of the most difficult malocclusions to correct. Nonsurgical treatment of Class III in adults is a challenge; however, this patient refused surgery. A treatment method with Fixed Anterior Growth Guidance Appliance (FAGGA) was investigated in the study.Materials and methods. This case report presents a 37-year-old woman with skeletal Class III malocclusion for maxillary deficiency. As the patient didn’t agree to surgery, she was treated by Fixed Anterior Growth Guidance Appliance, followed by 3D SMILE® clear aligners. Fixed Anterior Growth Guidance Appliance was used initially. After 4 months, the appliance was removed and clear aligner treatment was initiated. Post-treatment radiographs showed improvement.Results. Intraorally, in the upper arch, a total of 4.00 mm of space were gained (about 2.00mm distal to each canine). The post-treatment cephalometric analysis showed a skeletal A-P Class I, the Upper incisor inclination to the optic plane was not significantly altered, ANS — antArc was improved by 1.5mm, the Effective Length of the Premaxilla increased by 2.6mm, U1 — ANS’ decreased by 1.7mm, Incisor mandibular plane angle (IMPA) autonomously improved by 11 degrees.Conclusions. Maxillary deficiency was corrected successfully with the Fixed Anterior Growth Guidance Appliance. The treatment is being continued by 3D SMILE® clear aligners. The goal was achieved despite the patient’s age and nonsurgical treatment.

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The authors declare that there are no conflicts of interest present.