골격성 III급 비대칭과 하악의 양측 제2소구치 결손을 동반한 부정교합 환자의 절충치료

Camouflage Treatment of a Skeletal Class III Asymmetry Patient with Missing Mandibular Second Premolars

This case report highlights how functional and aesthetic outcomes can be achieved through a compromise treatment for adult patients with moderate skeletal Class III malocclusion and missing teeth. The report focuses on the treatment of a 38-year-old male patient with a bilateral mandibular second premolar edentulism, partial crossbites, and mandibular midline deviation to the right. The mandibular left third molar was fully erupted. The treatment primarily focused on molar distalization. The mandibular right second premolar space was gained, followed by dental implant placement, while that of the mandibular left was completed without further prosthesis. After 19 months of treatment, functional occlusion was achieved, and the initial non-aesthetic gingival line and periodontal problems caused by mesially angulated first molars were improved. The retention records demonstrated stable dentition over 3.5 years.