This case report describes a 19-year-old man with borderline skeletal Class III malocclusion who declined surgery. Buccal-shelf miniscrews and proactive torque control were used for en-masse mandibular dentoalveolar distalisation.
Key findings
- The case achieved bilateral Class I relationships, space closure and positive overjet, with approximately 4–5 mm of mandibular dentoalveolar distalisation. The authors caution that Wits improvement may reflect rotation and dental effects rather than true basal skeletal correction.
Why this matters globally
The approach may offer camouflage for carefully selected borderline adult Class III patients who decline surgery, but anatomy, risks and expectations require specialist case-by-case assessment.
Thai researcher contribution
Viet Hoang, affiliated with Kasetsart University, contributed to the report. The accessible record does not establish that the patient or treatment setting was Thai, so this is a Thai-affiliated authorship contribution rather than evidence from a Thai population.
Limitations to consider
This is one uncontrolled case, unable to isolate component effects or establish generalisability. Long-term stability, root resorption, temporomandibular outcomes and complete patient-reported outcomes are not established, and soft-tissue change remains limited relative to surgery.