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Modified fixed nanobite tandem appliance for rapid correction of developing Class III malocclusion
K C Prabhat1, Maheshwari Sandhya, Kumar Verma Sanjeev
1Department of Orthodontics and Dental Anatomy, Aligarh Muslim University, Aligarh, India. dr.prabhatkc@gmail.com
Summary
The modified fixed nanobite tandem appliance (MFNTA) effectively corrects developing Class III malocclusion in children. This innovative orthodontic approach improves facial aesthetics and reduces patient compliance issues.
Area of Science:
- Orthodontics
- Pediatric Dentistry
Background:
- Class III malocclusion is a common developmental issue in children.
- Traditional treatments often face challenges with patient compliance and comfort.
Observation:
- The modified fixed nanobite tandem appliance (MFNTA) integrates fixed and removable components.
- It utilizes a maxillary expander and Class III elastics, with mandibular nanobites and headgear tubes for facebow attachment.
Findings:
- MFNTA treatment resulted in significant skeletal improvements in pediatric patients.
- No adverse increase in vertical dimension was observed, alongside enhanced facial balance and aesthetics.
Implications:
- The MFNTA shows promise as an effective orthodontic tool for developing Class III malocclusion.
- This appliance may alleviate the psychological distress associated with anterior crossbite in children.

