Research progress on the structural features, treatments, and association with temporomandibular disorder in patients with skeletal class Ⅲ malocclusion with mandibular deviation

• Published in: Kou qiang ji bing fang zhi = Journal of prevention and treatment for stomatological diseases Vol. 30; no. 1; pp. 63 - 67
• Main Authors: ZHANG Qinlanhui, LIU Fang, WU Lina, LIU Yang, WANG Jun
• Format: Journal Article
• Language: Chinese
• Published: Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases 20.01.2022
• Subjects: esthetics; malocclusion; mandibular deviation; orthodontics; orthognathic surgery; skeletal angle class; temporomandibular disorder; three-dimensional
• ISSN: 2096-1456
• DOI: 10.12016/j.issn.2096-1456.2022.01.011

Skeletal angle class Ⅲ malocclusion with mandibular deviation involves the rotation and translation of the cranial base, maxilla, mandible, and soft tissue. It compromises the patients’ appearance and stomatognathic function. The treatment outcome is not satisfactory, and correct evaluation is of great significance. The causal relationship between skeletal Class Ⅲ with mandibular deviation and TMD remains controversial. This review focuses on the structural alterations of hard and soft tissue, the etiology, the choice of treatment methods, and the association with TMD in patients with skeletal class Ⅲ malocclusion with mandibular deviation. The results show that mandibular deviation is a complex disease with unclear etiology. It involves morphological changes, rotation and displacement of the cranial base, maxilla and mandible, morphological changes of the soft tissue, and occlusal changes, which also compromise the temporomandibular joint and mandibular function. Skeletal Class Ⅲ malocclusion is common in pa