{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T15:06:12Z","timestamp":1780067172418,"version":"3.54.0"},"reference-count":46,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>In this case report, we describe the successful camouflage treatment of a 53-year-old female with dental and skeletal Class III malocclusion combined with anterior crossbite, gingival recession, and mobility of the lower incisors, using clear aligners. The treatment involved periodontal debridement followed by orthodontic treatment. The mandibular posterior teeth were distalized to correct the anterior crossbite and to establish Class I molar relationships. During treatment, the mandibular incisors were intruded, and the mandibular occlusal plane underwent a clockwise rotation due to slight extrusion of the maxillary buccal segments and distalization of the mandibular posterior teeth. Following treatment, all objectives were achieved, including resolution of the anterior crossbite, significant reduction of gingival recession and tooth mobility, and improved functional occlusion. The dental and skeletal Class III malocclusion was corrected, and the marginal alveolar bone dehiscence was significantly reduced. The results remained stable over a 3-year retention period, with enhanced molar intercuspation and gingival growth progression. This case adds to the evidence supporting the adaptability and effectiveness of clear aligners in treating orthodontic patients with compromised periodontium. The treatment outcomes support that orthodontic treatment using clear aligners, combined with periodontal monitoring, can assist in managing alveolar bone defects, gingival recession, and tooth mobility.<\/jats:p>","DOI":"10.2319\/020524-91.1","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T20:00:15Z","timestamp":1724788815000},"page":"452-463","source":"Crossref","is-referenced-by-count":4,"title":["Class III correction and enhanced periodontal health with aligner treatment in a 53-year-old patient"],"prefix":"10.2319","volume":"95","author":[{"given":"Ibtehal","family":"Almagrami","sequence":"first","affiliation":[{"name":"PhD Student, Department of Orthodontics, Faculty of Dentistry, The First Affiliated Hospital of Zhengzhou University, Henan, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Almaqrami","sequence":"additional","affiliation":[{"name":"Private practice, Sana\u2019a, Republic of Yemen."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LingSu","family":"Zhu","sequence":"additional","affiliation":[{"name":"Masters Student, Department of Orthodontics, Faculty of Dentistry, The First Affiliated Hospital of Zhengzhou University, Henan, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiqiang","family":"Qiao","sequence":"additional","affiliation":[{"name":"Professor, Department of Orthodontics, Faculty of Dentistry, The First Affiliated Hospital of Zhengzhou University, Henan, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"issue":"4","key":"i1945-7103-95-4-452-b01","series-title":"Clin Oral Investig","first-page":"1587","article-title":"Genetic factors contributing to skeletal Class III malocclusion: a systematic review and meta-analysis","volume":"25","author":"Dehesa-Santos","year":"2021","unstructured":"Dehesa-Santos A,Iber-Diaz P,Iglesias-Linares A. Genetic factors contributing to skeletal Class III malocclusion: a systematic review and meta-analysis. Clin Oral Investig. 2021;25(4):1587\u20131612."},{"issue":"2","key":"i1945-7103-95-4-452-b02","series-title":"Am J Orthod Dentofac Orthop","first-page":"106","article-title":"Genetic and environmental factors in the development of so-called pseudo-and true mesioclusions","volume":"90","author":"Nakasima","year":"1986","unstructured":"Nakasima A,Ichinose M,Nakata S. Genetic and environmental factors in the development of so-called pseudo-and true mesioclusions. Am J Orthod Dentofac Orthop. 1986;90(2):106\u2013116."},{"issue":"1","key":"i1945-7103-95-4-452-b03","series-title":"Taiwan J Orthod","first-page":"6","article-title":"The orthodontic treatment of Class III malocclusion with anterior cross bite and severe deep bite","volume":"31","author":"Yang","year":"2019","unstructured":"Yang C,Tseng Y-C. The orthodontic treatment of Class III malocclusion with anterior cross bite and severe deep bite. Taiwan J Orthod. 2019;31(1):6."},{"issue":"3","key":"i1945-7103-95-4-452-b04","series-title":"Int Orthod","first-page":"259","article-title":"Severe periodontitis and orthodontics: evaluation of long-term results","volume":"9","author":"Boyer","year":"2011","unstructured":"Boyer S,Fontanel F,Danan M,Olivier M,Bouter D,Brion M. Severe periodontitis and orthodontics: evaluation of long-term results. Int Orthod. 2011;9(3):259\u2013273."},{"issue":"6","key":"i1945-7103-95-4-452-b05","series-title":"J Periodontol","first-page":"859","article-title":"Pathologic tooth migration","volume":"76","author":"Brunsvold","year":"2005","unstructured":"Brunsvold MA. Pathologic tooth migration. J Periodontol. 2005;76(6):859\u2013866."},{"issue":"7","key":"i1945-7103-95-4-452-b06","series-title":"Quintessence Int","first-page":"481","article-title":"Integrated periodontal, orthodontic, and prosthodontic treatment in a case of severe generalized aggressive periodontitis","volume":"44","author":"Castellanos-Cosano","year":"2013","unstructured":"Castellanos-Cosano L,Machuca-Portillo G,Mendoza-Mendoza A,Iglesias-Linares A,Soto-Pineda L,Solano-Reina E. Integrated periodontal, orthodontic, and prosthodontic treatment in a case of severe generalized aggressive periodontitis. Quintessence Int. 2013;44(7):481\u2013485."},{"issue":"6","key":"i1945-7103-95-4-452-b07","series-title":"Am J Orthod Dentofac Orthop","first-page":"828","article-title":"Spontaneous improvement of gingival recession after correction of tooth positioning","volume":"145","author":"Machado","year":"2014","unstructured":"Machado AW,MacGinnis M,Damis L,Moon W. 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