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Non-compliant maxillary protraction by orthodontic micro-implants.

L Favero1, A Winkler, V Favero

  • 1University of Padova, Italy. lorenzo.favero@unipd.it

European Journal of Paediatric Dentistry
|September 14, 2012
PubMed
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A novel Fixed Maxillary Protractor offers an effective alternative for treating paediatric Class III malocclusion. This implant-supported device improves maxillary deficiency in non-compliant children, overcoming aesthetic issues of traditional facemasks.

Area of Science:

  • Orthodontics
  • Paediatric Dentistry
  • Craniofacial Development

Background:

  • Delaire-type facemasks are standard for paediatric Class III treatment but have compliance and aesthetic drawbacks.
  • A new monomaxillary, fixed, implant-supported appliance, the Fixed Maxillary Protractor, was developed to address these limitations.

Observation:

  • A 4-year-old non-compliant patient with Class III malocclusion and maxillary deficiency was treated for 10 months.
  • The appliance utilized micro-implants, an acrylic plate, TMA springs, and bite-raising splints.
  • Significant skeletal and dento-alveolar changes were observed, including corrected anterior crossbite and improved incisal relationship.

Findings:

  • The Fixed Maxillary Protractor demonstrated effectiveness in correcting mild-moderate Class III malocclusion with maxillary deficiency.

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  • Skeletal changes included a 3° increase in ANB angle and a 4 mm improvement in Wits appraisal.
  • The appliance achieved a 7 mm increase in overjet and corrected anterior crossbite.

    • Implications:

    • This fixed appliance offers a viable, aesthetically pleasing solution for non-compliant paediatric patients with Class III malocclusion.
    • It provides an alternative to traditional facemasks, enhancing treatment outcomes and patient acceptance.
    • Further research can explore long-term stability and broader applications in paediatric orthodontics.