Orthodontic treatment aims to improve the function and aesthetics of a patient’s smile by correcting malocclusions and aligning the teeth. Sometimes, a patient may present with a Class 3 malocclusion, commonly known as an underbite, where the lower teeth protrude beyond the upper teeth. While straightening the teeth may seem like a straightforward solution, orthodontists must consider the overall occlusal harmony and skeletal relationships to ensure optimal treatment outcomes and mitigate potential risks and liabilities.

A Class 3 malocclusion goes beyond simple tooth misalignment and often involves skeletal discrepancies, meaning the upper and lower jaws do not properly align. Therefore, solely straightening the teeth without addressing the underlying skeletal issues can result in suboptimal results and potential long-term complications. The teeth may be forced into an artificially ideal alignment in such cases, but the fundamental skeletal disharmony must be addressed.

Leaving a Class 3 patient with anterior contacts can lead to several risks and complications. First and foremost, occlusal instability may arise, as the patient’s bite may not function properly due to the mismatch between the upper and lower jaws. This can lead to difficulties in chewing, speaking, and even breathing. Additionally, the excessive strain on the front teeth can lead to tooth wear, chipping, or root resorption over time.

From a liability perspective, orthodontists have a duty of care to their patients and must provide treatment that adheres to the standard of care within the profession. Failing to address the skeletal component of a Class 3 malocclusion and solely focusing on tooth alignment may be considered a deviation from the accepted practice norms. If a patient experiences adverse effects or unsatisfactory results due to this approach, the orthodontist could face legal ramifications and potential malpractice claims.

To mitigate these risks and liabilities, orthodontists must thoroughly examine and diagnose Class 3 patients. This may involve radiographic imaging, dental impressions, and comprehensive treatment planning. Orthodontic treatment for Class 3 malocclusions often requires a multidisciplinary approach involving collaboration with oral and maxillofacial surgeons or other specialists to address the underlying skeletal issues and achieve optimal functional and aesthetic outcomes.
Conclusion
Dr. Amanda from StraightSmile Solutions emphasizes the importance of consulting the dental practice act of your state or country to understand the rules. She recommends this best approach in compromised cases due to past experiences and potential legal repercussions. Dr. Amanda warns that even with signed consent forms, patients may still complain and cause financial and legal troubles. Class 3 patients with severe bite issues are particularly risky, and she refuses to straighten teeth without addressing the bite. Dr. Amanda suggests contacting liability insurance for guidance and potentially creating a specialized document. Only proceed with proper legal protection.