Case Study

Class III Corrected
Without Surgery

Severe crowding, deficient upper jaw, and anterior crossbite — treated entirely with braces and selective extractions. No surgery. No compromise.

The Problem

This patient presented with a Class III malocclusion — a deficient upper jaw causing the lower front teeth to bite in front of the upper (anterior crossbite), combined with severe dental crowding in both arches. The patient was not willing to undergo jaw surgery.

What is Class III Malocclusion?

In a Class III bite, the lower jaw sits forward relative to the upper. This can cause the front teeth to cross over — the lower incisors sit in front of the upper incisors instead of behind them. When the underlying cause is a structurally deficient upper jaw (maxillary hypoplasia), the gold-standard correction is surgical. When a patient declines surgery, orthodontic camouflage — carefully compensating within the teeth alone — can still achieve a functional and aesthetic result.

Before Treatment

Before · Right

Left side before treatment — crowding and crossbite

Before · Left

Upper arch before treatment — severe crowding

Before · Upper Arch

The Treatment Plan

Orthodontic camouflage for Class III: instead of moving the jaw, we compensate by moving the teeth strategically within each arch.

What was done

Full fixed braces on both upper and lower arches
Extraction of 2 lower premolars — removing lower arch volume allows the lower teeth to be retracted, bringing the lower front teeth back behind the upper front teeth and correcting the crossbite
Upper arch alignment and expansion to maximise the available space and create a proper overjet
Finishing to achieve a stable Class I canine relationship with coordinated arches

Why lower extractions only?

In camouflage treatment for Class III, extracting lower premolars allows the lower incisors to tip back and the lower arch to retract, effectively disguising the skeletal discrepancy. Upper extractions are generally avoided as the upper arch already needs to be as full as possible to compensate for the deficient maxilla. The result is a functional bite and an improved aesthetic profile — without surgery.

The Result

Anterior crossbite fully corrected. Upper and lower arches well-aligned. Crowding resolved. Stable Class I canine relationship achieved — all without surgical intervention.

After Treatment · Front & Sides

Right side after treatment — crossbite corrected Doha

After · Right

Front view after treatment — Class III corrected

After · Front

Left side after treatment — aligned bite

After · Left

After Treatment · Arch Views

Upper arch after treatment — aligned and retainer in place

After · Upper Arch

Lower arch after treatment — post extraction alignment

After · Lower Arch

Concerned About Your Bite?

Not every crossbite or jaw discrepancy needs surgery. Book a free consultation and we'll tell you honestly what's possible with braces alone.

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📍 Promise Dental Centre, Madinat Khalifa, Doha | Sat–Thu 9:00–21:30

Class III CorrectedWithout Surgery

The Problem

The Treatment Plan

The Result

Concerned About Your Bite?

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Class III Corrected
Without Surgery