Miniscrew-anchored maxillary protraction in growing Class III patients

Area of Science:

• Orthodontics and Dentofacial Orthopedics
• Craniofacial Growth Modification

Background:

• Class III malocclusion is characterized by deficient maxillary growth and/or excessive mandibular growth.
• Maxillary hypoplasia in Class III malocclusion often requires orthopedic intervention for optimal correction.
• Early intervention in growing patients can significantly influence skeletal outcomes.

Purpose of the Study:

• To present a case series on the efficacy of miniscrew-anchored maxillary protraction (MAMP) therapy.
• To evaluate the skeletal and dental changes associated with MAMP in Class III malocclusion.
• To assess MAMP as a treatment option for growing patients with Class III malocclusion.

Main Methods:

• The study included two male patients with Class III malocclusion.
• Treatment involved a hybrid expander and two mandibular miniscrews.
• Class III elastics were used with the miniscrews for maxillary protraction.

Main Results:

• Significant increases in effective maxillary length were observed.
• Improvements in the ANB angle and Wits appraisal indicated skeletal correction.
• Minimal dental side effects were noted, with substantial skeletal changes achieved.

Conclusions:

• Miniscrew-anchored maxillary protraction (MAMP) therapy demonstrated significant skeletal effects in correcting Class III malocclusion.
• MAMP therapy is a viable and effective treatment option for Class III malocclusion in growing patients.
• The use of miniscrews provides stable anchorage for effective maxillary protraction.