Int J Stomatol ›› 2022, Vol. 49 ›› Issue (3): 249-254.doi: 10.7518/gjkq.2022056

• Expert Forum •     Next Articles

Clinical diagnosis and strategies for early orthodontic treatment of Class Ⅲ malocclusion with tonsillar hypertrophy in children

He Hong.()   

  1. The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatolgy, Wuhan University; Dept. of Orthodontics 1, College of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2022-01-27 Revised:2022-02-24 Online:2022-05-01 Published:2022-05-09
  • Contact: Hong. He


Adenotonsillar hypertrophy is the most frequent cause of upper airway obstruction and related dentofacial abnormalities in children. Its clinical symptoms, including sleep snoring, mouth breathing, and restless sleep, have been increasingly noticed by the children’s parents. Adenotonsillar hypertrophy does not only cause prognathism or retrognathism malocclusion in children but also pediatric obstructive sleep apnea (OSA), the clinical diagnosis and treatment of which often requires multidisciplinary collaboration. To our knowledge, most of the existing studies have paid more attention to Class Ⅱ malocclusion caused by adenoid hypertrophy in children, and only a few have investigated Class Ⅲ malocclusion associated with tonsillar hypertrophy. With the aim of providing reference for orthodontic treatment, this paper examines the clinical diagnosis and treatment strategies of Class Ⅲ malocclusion with tonsillar hypertrophy in children based on a literature review and actual clinical experience.

Key words: children, tonsillar hypertrophy, adenotonsillar hypertrophy, Class Ⅲ malocclusion

CLC Number: 

  • R 783.5


Fig 1

The Brodsky grading scale of tonsil size"

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