Understanding Class 3 Malocclusion and Its Treatment

In orthodontics, malocclusion is classified according to the position of the teeth and the relationship of the bones in the jaw. Class 3 malocclusion, also known as a Class III bite, is an abnormal relationship between the upper and lower teeth and jaws. In this condition, the lower teeth and jaw project farther forward than the upper teeth and jaws. Edward Angle, considered the father of modern orthodontics, developed a system for classifying bite problems based on the position of six-year-old molars.

Class II problems are treated by modifying growth to harmonize the upper teeth, lower teeth, and jaw bones. In many cases, class II problems are genetically inherited and can be aggravated by environmental factors such as thumb sucking. If a class II malocclusion is not corrected early in life, or if the mismatch in jaw size is so large that braces alone cannot correct the problem, adults may need orthognathic (mandibular) surgery, an expensive and invasive procedure. The active treatment usually lasts 26 months and ends with the occlusion of the class I oral segment and the closure of the open lateral bite. In patients with class III malocclusions who are not developing with a mild to moderate skeletal discrepancy, non-surgical compensation can be achieved solely with the movement of the orthodontic teeth.

This is often referred to as camouflage treatment strategies. The later stages of the smoothing process may involve different types of appliances or even orthopedic appliances, depending on the individual cases of the patients. While this is often useful for class II correction, this growth pattern is problematic for class III corrections. I have seen a lot of dentists with respect to skeletal class 3 and I get widened teeth after removing my braces. It is important to understand that class 3 malocclusion can be treated with braces or other orthodontic treatments.

However, if it is not corrected early in life or if there is a large mismatch in jaw size, adults may need orthognathic surgery. It is important to consult an experienced orthodontist to determine which treatment option is best for you. With proper diagnosis and treatment plan, you can achieve a beautiful smile and improved oral health.