Associação de protocolos de tratamento para correção da classe iii esquelética com atresia maxilar.

Abstract

Skeletal Class III with maxillary constriction represents a significant challenge in orthodontic practice, particularly in patients who are beyond the optimal age range for conventional orthopedic intervention. This study aims to propose the association of different treatment protocols involving skeletal anchorage—the Manhães Protocol, adapted for use with MARPE (Miniscrew-Assisted Rapid Palatal Expansion), and the De Clerck Protocol, employing mandibular miniplates—in order to expand therapeutic possibilities, simplify clinical procedures, and enable the management of a broader range of cases through modern and predictable methods. This combined approach seeks to minimize undesirable dental effects and, whenever possible, to avoid the need for orthognathic surgery. To illustrate the clinical application of this protocol association, a case compatible with the proposed indications was selected. The treatment was conducted at the Orthodontics Clinic of the Central Navy Dental Clinic (Odontoclínica Central da Marinha). Data analysis was based on orthodontic documentation, photographic and radiographic records, and digital models, with a qualitative assessment of the outcomes and comparison with current scientific literature.