ESTHETIC IMPROVEMENTS WITH MAXILLARY PROTRACTION APPLIANCE IN CLASS III MALOCCLUSIONS

Abstract

Sameer Ahmed, Jahnavi R, Shireen

INTRODUCTION: This retrospective study was conducted to investigate the effect of treatment with a maxillary protraction appliance (MPA) on the maxilla and mandible. METHODS: Twelve patients (8 male and 4 female; mean age 10.3±1.12 years) with skeletal Class III malocclusion were included in this study and were evaluated by the use of lateral cephalograms obtained before and after treatment. Treatment changes were determined by means of linear and angular measurements. RESULTS: A significant increase in maxillary forward growth, inhibition of mandibular forward growth, and clockwise rotation of the mandible were observed. The maxillary incisors were significantly proclined and the mandibular incisors significantly retroclined. A multiple-regression analysis revealed that maxillary growth had a significant positive effect on the upper-airway dimension. CONCLUSIONS: Facilitation of maxillary growth with a maxillary protraction appliance can contribute to significant changes in the maxillary dimension and also an increase in the upper airway dimensions.

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