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"Class III malocclusion which caused by disharmonious growth of maxilla and mandible are considered as a complex and difficult case to be treated. Although there are many debates concerning the result and stability of the treatment, class III malocclusion is still a challenge to be handled. Many orthodontists agreed that treatment should be done since early ages to prevent malocclusion becoming worst which at the end will need a surgical treatment. This paper will describe the treatment of class III malocclusion on growing patients with variable of difficulties cases. Facemask as orthopedics appliance is chosen to stimulate the growth of maxilla and to modify the growth direction of mandible."

"Pendahuluan : Pasien maloklusi kelas III skeletal hiperdivergen memiliki tulang alveolar simfisis mandibula yang tipis. Perawatan ortodonti pada kasus maloklusi kelas III skeletal memiliki pergerakan gigi anterior yang terbatas. Retraksi anterior insisif bawah yang terbatas merupakan perawatan kamuflase untuk mengatasi maloklusi kelas III skeletal. Tujuan : Menganalisis perubahan ketinggian dan ketebalan tulang alveolar simfisis mandibula sebelum dan sesudah perawatan ortodonti cekat maloklusi kelas III hiperdivergen. Metode : Desain penelitian ini berupa observasional analitik dengan desain potong lintang. Sampel pasien ini terdiri dari 34 sefalometri lateral pasien maloklusi kelas III skeletal hiperdivergen yang telah selesai dirawat ortodonti cekat di Kinik Ortodonti RSKGM FKG UI. Pengukuran ketinggian dan ketebalan tulang alveolar simfisis mandibula menggunakan perangkat lunak Winceph versi 11 English Edition, Rise Coorporation 3-8-15 Sendai, Japan. Hasil : Ketinggian tulang alveolar simfisis mandibula sebelum dan sesudah perawatan ortodonti menunjukkan tidak ada perbedaan yang berbeda bermakna. Ketebalan tulang alveolar sebelum dan sesudah perawatan ortodonti menunjukkan perbedaan bermakna berupa penurunan pada 1/3 servikal tualng alveolar sisi labial dan 1/3 apikal tulang alveolar sisi lingual (p<0.05). Kesimpulan : Ketebalan tulang alveolar regio simfisis bagian labial dan lingual sebelum dan sesudah perawatan ortodonti cekat mengalami penurunan namun tidak menimbulkan efek samping yang tidak diinginkan yaitu dehisensi maupun fenestrasi.

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Introduction : Patient with Class III Skeletal Hiverdivergent have a thin alveolar bone thickness in symphisis region. Anterior teeth movement in orthodontic treatment in this Class III malocllusion case is limited. Retraction of lower incisors in orthodontic camouflage treatment in class III skeletal malocclusion become limited. Aim : Analyze alveolar bone height and thickness in symphisis region before and after fixed orthodontic treatment in Class III skeletal malocclusion Hyperdivergent. Methods : This research is analitic observasional study with cross sectional design. Sample are 34 cephalomatric lateral radiographs before and after fixed orthdootnics treatment in classs III hyperdivergent patients in RSGKM FKG UI. Alveolar bone height and thickness were measured using Winceph 11 English Edition Esoftware by Rise Coorp Rise Coorporation 3-8-15 Sendai, Japan. Results : There was no difference in alveolar bone height before and after orthodontic treatment. Significant decreased was found in the alveolar bone thickness in 1/3 servical on labial side and 1/3 apical on lingual side (p<0.05). Conclusion : Alveolar bone thickness was decreased before and after orthodontic treatment, however there was no undesireable effects, such as dehiscence or fenestration found."