Dr. Susana Palmer

Spain

Dr. Susana Palma received her DDS from the University of Granada and completed her PhD in Orthodontics and Dentofacial Orthopedics at the Complutense University of Madrid. She also holds a postgraduate degree in Lingual Orthodontics from the University of Valencia. She has served as a postgraduate professor at the Complutense University of Madrid and the University of Salamanca. Dr. Palma is an international speaker with a clinical and academic focus on aligner biomechanics and treatment of growing patients. She has authored numerous articles in international journals and is co-author of Aligners Technique in Orthodontics (2021) and author of Biomechanics with Aligners: Attachments, Protocols, Features (2024). Dr. Palma has treated more than 2,000 aligner cases and achieved Top 1% provider status in the EMEA region. She has been in private practice in Ciudad Real, Spain, since 2005 and is an active member of leading national and international orthodontic societies.

  • Abstract

    Biomechanics of Treating Skeletal Class III Malocclusions with Aligners: Strategies and Clinical Considerations


    The orthodontic management of skeletal Class III malocclusions remains one of the greatest clinical challenges due to their complex etiology and the limited response of conventional protocols without surgical intervention. Traditionally, correction of this type of malocclusion has required combined treatment with orthopedic appliances or orthognathic surgery. However, advances in clear aligner therapy offer new biomechanical possibilities to address selected skeletal Class III cases. This presentation will analyze the limitations and potential of aligners in treating Class III patients, with emphasis on the underlying biomechanical principles, the design of attachments, strategies for distalization and dental compensation, and anchorage control. Clinical protocols, case studies, and practical recommendations will be presented to optimize outcomes, highlighting the importance of meticulous digital planning and interdisciplinary collaboration when needed. 

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