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Year : 2015  |  Volume : 3  |  Issue : 1  |  Page : 65-69

Bone-anchored maxillary protraction followed by fixed appliances in skeletal Class III malocclusion: A report of two cases

1 Department of Orthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey
2 Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gazi University, Ankara, Turkey

Correspondence Address:
Emine Kaygisiz
Department of Orthodontics, Faculty of Dentistry, Gazi University, 8, Cad. 82. Sok No: 4, Emek, Ankara 06510
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2321-3825.146362

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Maxillary protraction is recommended for patients with skeletal Class III malocclusion diagnosed with maxillary deficiency. The major goal of the protraction is to correct maxillary discrepancy with a skeletal alteration rather than dental movements. However, loss of the dental anchorage has been reported beside the skeletal effects with facemask therapy using tooth-borne anchorage. The use of miniscrews and miniplates became popular as an anchorage instead of conventional tooth-borne appliances. Studies evaluating the second-phase treatment results and stability of bone-anchored maxillary protraction are needed in literature. This case report presents the treatment of 11 and 12-year-old two boys with Class III malocclusion due to maxillary deficiency. Both cases were treated with fixed appliances subsequent to maxillary protraction with miniplates. Maxillary skeletal effects were increased, and undesired dentoalveolar effects were reduced by the facemask therapy with skeletal anchorage. The occlusion and the facial profile were effectively improved, with good stability after fixed appliances.

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