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ePaper created 2016-04-19, 11:44:05 | version 1.38.0
Carriere Class III Motion Appliance trends & applications | 13 ortho 1 2016 We are normally confronted with two types of Class III patients, dental and skeletal Class III pa- tients. The Motion Class III Appliance is a treat- ment option for both. Skeletal discrepancies are normally treated with a combination of surgery and orthodontics. Many patients reject the op- tion of maxillofacial surgery for many reasons however and remain as they are. Withthisnewapproach,wecanprovideamin- imally invasive treatment alternative to change their decision and provide them with a substan- tial facial change that still maintains their facial features. We do not change the patient’s face com- pletely, but we move the features into a more aesthetically pleasing position. We seek to achieve facial harmony, bringing self-confi- dence to the patient through compensated oc- clusion, facial improvement and spiritual equi- librium. NoTMJproblemshavebeenfoundatthispoint and not a single patient has had any problem or symptomatology in the TMJ with this approach. In many cases, Class III cases show an additional functional shift of the mandible. While balancing theocclusion,webalancetheTMJanatomicalstruc- tural and functional relations. This achieves har- mony in the area. Are there any studies that have shown the propor tion of the mesialisation effect in the upper jaw and of the distalisation effect in the lower jaw in the total correction of Class III cases? This is a relatively new approach. We have con- ductednostudiesatthispoint,butinrelationtothe effect of the Carriere Motion Class II Appliance, to- getherwithProf.JamesMcNamarafromUniversity ofMichiganandProf.LorenzoFranchifromUniver- sityofFlorence,wearestudyingourrecordsinorder to determine answers to this. They are tracing our cases to establish what is going on. Results are ex- pected very soon. We have observed clinically good and stable oc- clusions over many years. For example, you can see in my lectures several cases that have been out of retention for more than ten years and are com- pletely stable. What we need is an explanation for the experts. Fig.8: Initial profile shot (a) and front shot (b) of patient with mixed dentition. Figs.9a–c: Initial intra-oral shot with integratedMotion™ClassIIIAppliance. Fig.8a Fig.8b Fig.9a Fig.9b Fig.9c 12016