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Related Experiment Video

Updated: Jan 13, 2026

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Skeletal and Dentoalveolar Effects Using Three Types of Maxillary Protraction Protocols.

Da-In Kim1, Jae Hyun Park2,3, Mo-Hyeon Lee1

  • 1Department of Orthodontics, College of Dentistry, Dankook University, Cheonan, Korea.

Orthodontics & Craniofacial Research
|October 29, 2025
PubMed
Summary

Bone-anchored facemasks (BAFM) and miniscrew-assisted rapid palatal expanders with facemask (MARPE/FM) offer superior orthopedic effects for maxillary protraction compared to rapid palatal expanders with facemask (RPE/FM). MARPE/FM also effectively prevents maxillary molar movement.

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Area of Science:

  • Orthodontics and Dentofacial Orthopedics
  • Craniofacial Growth and Development
  • Biomaterials in Orthodontics

Background:

  • Maxillary hypoplasia is a common orthodontic concern.
  • Facemask therapy is a standard treatment for correcting Class III malocclusion.
  • Different facemask protocols exist, each with potential advantages and disadvantages.

Purpose of the Study:

  • To compare the skeletal and dentoalveolar effects of three facemask protocols in children.
  • To evaluate the efficacy of bone-anchored facemasks (BAFM), MARPE with facemask (MARPE/FM), and RPE with facemask (RPE/FM).

Main Methods:

  • A comparative study involving 48 children divided into three groups: BAFM, MARPE/FM, and RPE/FM.
  • Lateral cephalograms were analyzed before and after treatment to assess skeletal and dentoalveolar changes.
  • Statistical analysis included one-way ANOVA or Kruskal-Wallis tests.

Main Results:

  • BAFM and MARPE/FM groups showed significantly greater maxillary advancement and intermaxillary relationship improvement than the RPE/FM group.
  • BAFM demonstrated superior protraction of the orbitale compared to MARPE/FM and RPE/FM.
  • MARPE/FM and BAFM resulted in less maxillary first molar mesial movement and extrusion than RPE/FM.

Conclusions:

  • BAFM and MARPE/FM yield greater orthopedic effects in maxillary protraction and intermaxillary relationship correction than RPE/FM.
  • MARPE/FM shows less midface traction effect compared to BAFM.
  • MARPE/FM is more effective in preventing undesirable mesial movement and extrusion of maxillary first molars.