Skeletal Class III malocclusion in conjunction with early childhood caries increases orthodontic treatment complexity: A case report.

Abstract

Introduction: Many objective indexes of orthodontic treatment complexity and need have been compiled over the years, most of which have been based on the morphological characteristics of malocclusion. Objective: The aim of this paper is to report a clinical strategy for treating multiple early childhood caries in conjunction with skeletal Class III malocclusion. Case report: A 5-year-old female patient sought dental treatment complaining of dental caries, pain, and malocclusion. The treatment plan involved three steps: pain alleviation, carious control and restauration, and, an orthodontic-orthopedic approach. Treatment also involved a behavioral change in eating habits of the family unit preceding the treatment of malocclusion. Results: The complex clinical cases can yield satisfactory outcomes when pediatric dentistry and orthodontic disciplines are integrated. Conclusion: Orthodontic treatment complexity in children should also be determined by remaining craniofacial growth and both patient and parent’s adhesion and compliance.