Alternative treatment strategies for pseudo-Class III malocclusion with mild asymmetry

A pseudo-Class III patient often displays the presence of premature contacts that direct the mandible to slide forward in such a manner that the posterior teeth may occlude; otherwise, in an endon anterior position, the posterior teeth most often do not contact each other. Early intervention, apt diagnosis, and formulating a case-specific treatment plan are necessary to appropriately treat pseudo-Class III malocclusions. This early intervention in mixed dentition may prevent the dental discrepancy from evolving into a true Class III skeletal discrepancy with possible skeletal asymmetries. The patient cases presented in this article demonstrate a successful alternative approach to correct pseudo-Class III malocclusions by employing a combination of ‘rounded’ bite turbos, accentuated NiTi archwires and intermaxillary elastics.