• Alessio Danilo Inchingolo, Assunta Patano, Giovanni Coloccia, Sabino Ceci, Angelo Michele Inchingolo, Grazia Marinelli, Giuseppina Malcangi, Chiara Di Pede, Mariagrazia Garibaldi, Anna Maria Ciocia, Antonio Mancini, Giulia Palmieri, Biagio Rapone, Fabio Piras, Filippo Cardarelli, Ludovica Nucci, Ioana Roxana Bordea, Antonio Scarano, Felice Lorusso, Delia Giovanniello, Stefania Costa, Gianluca Martino Tartaglia, Daniela Di Venere, Gianna Dipalma, and Francesco Inchingolo.
• Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.
• Medicina (Kaunas). 2022 Apr 27; 58 (5).

AbstractThe article describes the orthodontically treated case of a 25-year-old patient with skeletal and dental class III malocclusion, anterior crossbite, which caused functional and aesthetic problems, occlusal trauma, and incisor wear. Treatment with transparent aligners was proposed to meet the patient's needs, using the sequential distalization protocol. While sequential distalization is well documented for class II malocclusion treatment in maxillary arch teeth, further investigations are necessary for class III malocclusions. In fact, lower teeth movements are more complex due to mandibular bone density and the presence of the third molars, which are often extracted to perform distalization. In addition, the use of intermaxillary elastics helps control the proclination of the anterior teeth as a reaction to distalizing forces. At the end of the treatment, the patient reached molar and canine class I and positive overjet and overbite. The inclination of lower incisors and the interincisal angle have improved, resulting in aesthetic and functional enhancement.

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