'TRIPLET APPROACH'- COMBINATION OF ORTHOPEDIC, MYOFUNCTIONAL AND FIXED MECHANOTHERAPY

A 13 year old female patient came to our department with chief complain of excessive gum show. On Clinical examination patient presented with convex facial profile, obtuse nasolabial angle, mesocephalic, mesoprosopic, incompetent lips and increased interlabial gap. Intraorally she had class II canine and molar relation bilaterally with crowding irt 31, 32, 33, 41, 42, 43. Patient was really concerned about her facial profile. So we decided to manage the same with triplet approach i.e the combination of orthopedic, myofunctional and fixed mechanotherapy. The total treatment time was 28 months which include 13 month phase I therapy and 15 months phase II therapy and the results were exuberant.