Clear Aligner Combined with Orthognathic Surgery for Skeletal Class Ⅲ Malocclusion in Adult: A Case Report

doi:10.13701/j.cnki.kqyxyj.2026.06.016

Journal of Oral Science Research ›› 2026, Vol. 42 ›› Issue (6): 545-550.DOI: 10.13701/j.cnki.kqyxyj.2026.06.016

Clear Aligner Combined with Orthognathic Surgery for Skeletal Class Ⅲ Malocclusion in Adult: A Case Report

HUANG Jiaxin^1,2,3, WANG Yunlei^1,4, HE Hong^1,2,3,4*, DU Mingyuan^1,2,3*

1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
2. Department of Orthodontics, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
3. Hubei Provincial Clinical Research Center for Dentofacial Deformities in Children, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
4. Center for Orthodontics and Pediatric Dentistry at Optics Valley Branch, School and Hospital of Stomatology, Wuhan University, Wuhan, 430000, China

Received:2026-05-28 Online:2026-06-28 Published:2026-06-23

Abstract

Abstract: This paper systematically reports the complete diagnosis and treatment process of an adult patient with skeletal Class Ⅲ malocclusion treated by clear aligner orthodontics combined with orthognathic surgery. Based on the patient’s skeletal and dental problems in three dimensions, as well as the concurrent dental caries and periapical periodontitis, combined with the patient’s chief complaint, clear aligner technology combined with orthognathic surgery significantly improved the patient’s tooth arrangement, occlusal relationship, facial aesthetics, and periodontal health.

Key words: skeletal class Ⅲ malocclusion, clear aligner orthodontics, mesial movement of molar

HUANG Jiaxin, WANG Yunlei, HE Hong, DU Mingyuan. Clear Aligner Combined with Orthognathic Surgery for Skeletal Class Ⅲ Malocclusion in Adult: A Case Report[J]. Journal of Oral Science Research, 2026, 42(6): 545-550.

References

[1] Brunelle JA, Bhat M, Lipton JA. Prevalence and distribution of selected occlusal characteristics in the US population, 1988-1991[J]. J Dent Res, 1996, 75 Spec No:706-713.
[2] Uysal T, Usumez S, Memili B, et al. Dental and alveolar arch widths in normal occlusion and class Ⅲ malocclusion[J]. Angle Orthod, 2005, 75(5): 809-813.
[3] Eslami S, Faber J, Fateh A, et al. Treatment decision in adult patients with class Ⅲ malocclusion: surgery versus orthodontics[J]. Prog Orthod, 2018, 19(1): 28.
[4] 田雪,韩向龙.成人骨性Ⅲ类错??畸形的正畸正颌联合治疗研究进展[J].临床口腔医学杂志,2022,38(10): 636-639.
[5] Stellzig-Eisenhauer A, Lux CJ, Schuster G. Treatment decision in adult patients with class Ⅲ malocclusion: orthodontic therapy or orthognathic surgery?[J]. Am J Orthod Dentofacial Orthop, 2002, 122(1): 27-37; discussion 37-38.
[6] Chen HH, Chen G, Su H. Orthodontic treatment of substituting third molars for missing permanent molars[J]. Am J Orthod Dentofacial Orthop, 2023, 163(2): 173-180.
[7] Chan AS, Jiang L, Ch'ng J, et al. Clear aligner therapy combined with orthognathic surgery: a scoping review[J]. Am J Orthod Dentofacial Orthop, 2025, 168(3): 273-284.
[8] Wang Y, Long H, Zhao Z, et al. Expert consensus on the clinical strategies for orthodontic treatment with clear aligners[J]. Int J Oral Sci, 2025, 17(1): 19.
[9] 邹明媛.正畸影响下颌第三磨牙自发性近中移动的相关性分析[J].中华口腔正畸学杂志,2021,28(3): 131-135.
[10] Baik UB, Jung JY, Jung HJ, et al. Alveolar bone changes after molar protraction in young adults with missing mandibular second premolars or first molars[J]. Angle Orthod, 2022, 92(1): 64-72.
[11] Ghaleb O, Al-Gumaei W, Wen S, et al. Clinical effectiveness of cantilever arms in the protraction of mandibular molars with clear aligners: a prospective controlled study[J]. Eur J Orthod, 2026, 48(2): cjag007.

Clear Aligner Combined with Orthognathic Surgery for Skeletal Class Ⅲ Malocclusion in Adult: A Case Report

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 10

Recommended Articles

Metrics

[1]	WANG Yunlong, JIAN Ming. Camouflage Orthodontic Treatment for Adult Patient with Skeletal Class Ⅲ Malocclusion and Posterior Crossbite [J]. Journal of Oral Science Research, 2026, 42(1): 80-84.
[2]	LI Jingyi, WAN Shujun, LV Xin, ZHANG Qian, WANG Yuxin. Comparative Analysis of Sagittal Maxillary Positioning Reference in Orthognathic Surgical Design of Skeletal Class Ⅲ Malocclusion [J]. Journal of Oral Science Research, 2025, 41(9): 806-813.
[3]	ZHANG Maoqi, WU Jing, HE Hong, CAO Zhengguo, WANG Xiaoxuan. Bilateral Periodontally Accelerated Osteogenic Orthodontics as Adjuvant Therapy for Patient with Skeletal Class Ⅲ Malocclusion: A 4-Year Follow-Up Case Report [J]. Journal of Oral Science Research, 2025, 41(11): 1009-1014.
[4]	HU Xiaobei, ZHANG Kun, ZHANG Jianyun, WANG Yuxin. Preliminary Research on Tongue Morphology Changes in Skeletal Class Ⅲ Patients after Bimaxillary Orthognathic Surgery [J]. Journal of Oral Science Research, 2024, 40(12): 1054-1058.
[5]	CAI Andong, WANG Xiaoxia, WANG Tiejun, DU Pinggong, LIU Zhonghao. Preliminary Construction and Verification of Mandibular Movement Interaction Module in Orthognathic Surgery Planning Software [J]. Journal of Oral Science Research, 2024, 40(10): 873-877.
[6]	YU Miao, XU Yishan, LI Zhenzhen, WU Yao, LIU Jia, CAO Yu, ZHANG Huichao, YANG Luyi. Analysis on Morphological Characteristics of Crown and Root of Mandibular Central Incisors with Skeletal Class Ⅲ Malocclusion Based on CBCT [J]. Journal of Oral Science Research, 2021, 37(6): 523-527.
[7]	LIU Lingxia, GUAN Yuxin, WU Xiuping. Soft and Hard Tissue Changes in Adults with Skeletal Class Ⅲ Malocclusion Before and After Camouflage Therapy [J]. Journal of Oral Science Research, 2020, 36(11): 1074-1078.
[8]	CHEN Lulu, LU Haiping. Research Progress in Early Treatment in Skeletal Class Ⅲ Malocclusion [J]. Journal of Oral Science Research, 2019, 35(10): 922-924.
[9]	YAN Ming, WANG Hong-wei, LI Li-yan. Long-term Evaluation of Airway Changes by Cone-beam Computed Tomography in Patients with Skeletal Class Ⅲ Malocclusion Treated by Orthodontic-bimaxillary Surgery. [J]. Journal of Oral Science Research, 2016, 32(12): 1319-1322.
[10]	YANG Yi-ming, CHEN Lin-ling, ZHANG Zhe-chen, Liao Qian.. Cephalometric Analysis for Skeletal Angle Class Ⅲ Malocclusion Patients in Retruded Contact Position. [J]. Journal of Oral Science Research, 2015, 31(12): 1247-1250.