Class III Non-Surgical Management: Eight-Point Protocol to Optimise Efficiency, Aesthetics and Stability

with Dr Adith Venugopal


Although Class III malocclusions are the least frequent, they are frequently harder to treat and more likely to need orthognathic surgery for the best treatment. The reported incidence of this malocclusion ranges from 1% to 18%, with Asian groups experiencing the greatest prevalence and Caucasian populations experiencing the lowest.

Generally speaking, Class III malocclusions can be divided into two groups: developing and non-developing. Early intervention utilizing two phases of therapy is frequently recommended for Class III malocclusions that are still developing, with children (ages 7 to 9) showing more orthopedic benefit. Several approaches have been suggested for treating adult Class III patients who are not developing, including multi-brackets with Class III elastics, extraction treatment, full arch distalization, and multi-loop edgewise therapy.

These procedures aid in secure occlusions and appropriate interincisal relationships, but often require either intraoral or extraoral anchorage to retract the mandibular incisors. The patient’s compliance is frequently crucial to the effectiveness of the treatment.

This lecture will focus on identifying and comprehending the aspects that play a critical part in strategizing non-surgical treatment options for Class III malocclusions, as well as demonstrating the concepts utilizing an eight-point protocol to increase the efficacy, aesthetics, and stability.


Dr Adith Venugopal is an Associate Professor and Clinical instructor of Orthodontics and Dentofacial Orthopedics at the University of Puthisastra, Phnom Penh, Cambodia & an Adjunct Associate Professor of Orthodontics at Saveetha Dental College and Hospitals, Chennai, and Narsinhbhai Patel Dental College & Hospital, Visnagar, Gujarat, India.
He holds a private practice at Pachem Dental Clinic, Phnom Penh where he practices exclusive Labial, Lingual & Aligner therapy.

Dr Adith Venugopal has completed his Ph.D. in Orthodontics from Kyungpook National University, South Korea under the eminent Prof Hee-Moon Kyung. He has completed his Clinical M.S. with an Outstanding Graduate Student Award in Orthodontics from the University of the East (2014), Manila. He earned a bachelor’s degree in Dentistry (B.D.S.) (Honors) from Rajiv Gandhi University of Health Sciences, India.

He has published several scientific studies and clinical reports in international peer reviewed scientific and has been an invited keynote speaker at many orthodontic congresses. He has held courses and workshops on TAD based biomechanics all around the globe to reach high standards in clinical, research and teaching skills. He is an Associate editor for the Seminars in Orthodontics, Contributing editor for the Journal of Clinical Orthodontics, Co-editor for the Kieferorthopadie and Assistant editor for the APOS trends in Orthodontics. He is currently the youngest fellow of two prestigious institutions, namely the International College of Dentists & the Pierre Fauchard Academy. He is also a fellow and member of the Royal College of Surgeons of England, Glasgow & Edinburgh.