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Maxillary protraction using skeletal anchorage and intermaxillary elastics in Skeletal Class III patients
Elçin Esenlik1, Cahide Ağlarcı2, Gayem Eroğlu Albayrak1
1Department of Orthodontics, Faculty of Dentistry, University of Süleyman Demirel, Isparta, Turkey.
Korean Journal of Orthodontics
|March 24, 2015
Summary
This case report demonstrates effective maxillary protraction for skeletal Class III malocclusion using skeletal anchorage and elastics. The treatment successfully improved facial profile without adverse dentoalveolar effects.
Area of Science:
- Orthodontics
- Craniofacial Surgery
Background:
- Skeletal Class III malocclusion often presents with maxillary retrognathia, posing complex treatment challenges.
- Traditional methods may have limitations in achieving significant maxillary advancement.
Purpose of the Study:
- To present a case report on treating skeletal Class III malocclusion with maxillary retrognathia.
- To evaluate the efficacy of skeletal anchorage and intermaxillary elastics for maxillary protraction.
Main Methods:
- A 14-year-old male patient with skeletal Class III malocclusion received treatment.
- Miniplates were placed in the mandible, and mini-implants in the maxilla.
- Class III elastics were used between the skeletal anchorage devices for maxillary protraction.
Main Results:
- Significant improvement in facial profile and a 2.7 mm increase in maxillary projection were observed.
- Skeletal anchorage facilitated controlled maxillary movement without dentoalveolar side effects.
- Minor rotational changes in maxillary and mandibular bones occurred.
Conclusions:
- Maxillary protraction utilizing skeletal anchorage and intermaxillary elastics is an effective treatment modality for skeletal Class III malocclusion with maxillary retrognathia.
- This approach offers a viable alternative to conventional methods, achieving desirable skeletal and aesthetic outcomes.

