Abstract

Class III Orthopedics with TADs: A 20 Years Perspectives

by Nguyen Tung

Class III skeletal malocclusions are among the most challenging cases to treat in orthodontics. They often require orthodontics, growth modification, and potentially orthognathic surgery. Bone Anchored Maxillary Protraction (BAMP), introduced by Hugo DeClerck in the early 2000, has been shown to effectively protract the maxilla and limit mandibular growth and, in some instances, reduce the need for orthognathic surgery for Class III patients. However, little is known about the long-term effects of BAMP on the maxilla and mandible? Is it stable? How will continued mandibular growth in Class III patients affect future outcomes? Can it continue to restrain mandibular growth? This lecture will discuss the results of a long-term 3D study evaluating the skeletal and dental stability of BAMP orthopedics. It will review selection criteria selecting successful cases as well discuss challenges and failures. Lastly, this lecture will discuss alternative methods used for the treatment of Class III malocclusion.

Learning Objectives

After this lecture, you will be able to review the long-term skeletal effect of BAMP on the maxilla, mandible and condyle.
After this lecture, you will be able to discuss the retention protocol for Class III patients
After this lecture, you will be able to understand patient selection criteria to insure the best chance of long-term success in Class III patients.