Orthotown July/August 2024 - 37

side eff ects of extrusion of anchorage
teeth, mandibular rotation and the
increase in lower anterior face height
when treating skeletal Class III
malocclusions.13
A successful
camoufl age treatment should
camoufl age both the skeletal and softtissue
discrepancies, achieve a good
and acceptable facial aesthetic result
and establish a stable occlusion.
Signifi cant changes were seen in
the anterior-posterior dental position,
skeletal sagittal and vertical position,
and upper molar vertical position and
position of lower lips.
Class III malocclusion can benefi t
from the use of Class III elastics
running from TADs placed in the
posterior maxilla to the anterior
mandibular dentition, typically to the
canines. Maxillary TADs can prevent
undesirable proclination of incisors
and extrusion of maxillary posterior
teeth, which is a common side eff ect
of the conventional Class III elastic
usage. Specifi cally, these mechanics are
adequate for Class III patients having a
high mandibular plane angle and/or a
long face tendency.
Conclusion
Strategic use of TADs, coupled with a
thorough grasp of the biomechanical
principles at play, has the potential to
broaden treatment horizons for severe
Class III malocclusions. Paramount
to this approach is a meticulous
initial case analysis to ascertain
treatment limitations, eff ectively
communicating these boundaries
to the patient to obtain informed
consent and proactively anticipating
potential side eff ects. By doing so, the
correction strategy can be streamlined
and reversible measures readily
implemented as necessary. OT
References
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8. Venugopal A, Vaid NR. Interarch Traction Strategy for
Palatal Cuspid Impactions. J Contemp Dent Pract. 2020 Dec
1; 21(12):1408-1411.
Meeran NA. Iatrogenic possibilities of orthodontic
treatment and modalities of prevention. J Orthod Sci. 2013
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2. Venugopal A, Flores-Mir C, Vaid NR. Autonomy and consent
in this era of unconscious priming. Am J Orthod Dentofacial
Orthop. 2022 Apr; 161(4):e297-e302.
3. Venugopal A, Hatami A, Ghosh A. Optimizing treatment
outcomes in transfer patients with severe roller-coaster
eff ects. J Clin Orthod. 2024 Jan; 58(1):37-43.
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orthodontische therapie [Iatrogenic eff ects of orthodontic
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Treating a severe iatrogenic gingival exposure and lip
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10. Venugopal A, Manzano P, Vaid NR. TAD driven Class III
camouflage: Eight point protocol to optimize eff iciency,
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11. Kim SH, Cha KS, Lee JW, Lee SM. Mandibular skeletal
posterior anatomic limit for molar distalization in patients
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patterns. Korean J Orthod. 2021 Jul 25; 51(4):250-259.
12.
Jing WD, Xu L, Li XT, Xu X, Jiao J, Hou JX, Wang XX.
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13. Yagci A, Veli I, Uysal T, Ucar FI, Ozer T, Enhos S. Dehiscence
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Lu CL, Li BW, Yang M, Wang XQ. Relationship between
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Dr. Adith Venugopal is a senior lecturer
of orthodontics in the faculty of dentistry
at the University at Otago, Dunedin,
New Zealand. Venugopal has published
several scientific studies and clinical
reports in international peer-reviewed
scientific journals, and has been the
keynote speaker at many international
orthodontic congresses.
Email: adith.venugopal@otago.ac.nz
Dr. Can-Florian Keles earned his
dental license at JMU in Wurzburg,
Germany, where he also completed his
first doctoral degree focusing on genetic
variations. Keles obtained a master's
degree in orthodontics from DBU in
Krems, Austria, with a special interest
in enhancing patient compliance in
orthodontic treatments. He is pursuing
a second PhD in medical science at
PMU in Salzburg, Austria, investigating
postural dysfunctions in orthodontics.
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