Korean J Orthod.  2015 Jul;45(4):209-214. 10.4041/kjod.2015.45.4.209.

New approach of maxillary protraction using modified C-palatal plates in Class III patients

Affiliations
  • 1Department of Orthodontics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. kook190036@yahoo.com
  • 2Department of Dentistry, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 3Department of Postgraduate Studies, the Universidad Autonoma del Paraguay, Asuncion, Paraguay.
  • 4Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A.T. Still University, Mesa, AZ, USA.
  • 5Graduate School of Dentistry, Kyung Hee University, Seoul, Korea.
  • 6Department of Orthodontics, Center for Advanced Dental Education, Saint Louis University, St. Louis, MO, USA.
  • 7Department of Orthodontics, School of Dentistry, Kyunghee University, Seoul, Korea.
  • 8Department of Orthodontics, Ajou University, Suwon, Korea.

Abstract

Maxillary protraction is the conventional treatment for growing Class III patients with maxillary deficiency, but it has undesirable dental effects. The purpose of this report is to introduce an alternative modality of maxillary protraction in patients with dentoskeletal Class III malocclusion using a modified C-palatal plate connected with elastics to a face mask. This method improved skeletal measurements, corrected overjet, and slightly improved the profile. The patients may require definitive treatment in adolescence or adulthood. The modified C-palatal plate enables nonsurgical maxillary advancement with maximal skeletal effects and minimal dental side effects.

Keyword

Maxillary protraction; Modified C-palatal plate; Class III malocclusion-growing patient

MeSH Terms

Adolescent
Humans
Malocclusion
Masks

Figure

  • Figure 1 Placement of the modified C-palatal plate. A, the plate fixed on the palate; B, the jig-plate assembly; C, the plate connected to the face mask via elastics.

  • Figure 2 Pretreatment and post-treatment facial and intraoral photographs.

  • Figure 3 Pretreatment (A) and post-treatment (B) lateral cephalometric radiographs derived from cone-beam computed tomography images.

  • Figure 4 Superimposed cephalometric tracings (black, pretreatment; red, post-treatment).


Cited by  2 articles

Maxillary protraction using customized mini-plates for anchorage in an adolescent girl with skeletal Class III malocclusion
Shuran Liang, Xianju Xie, Fan Wang, Qiao Chang, Hongmei Wang, Yuxing Bai
Korean J Orthod. 2020;50(5):346-355.    doi: 10.4041/kjod.2020.50.5.346.

Displacement and stress distribution of the maxillofacial complex during maxillary protraction using palatal plates: A three-dimensional finite element analysis
Jusuk Eom, Mohamed Bayome, Jae Hyun Park, Hee Jin Lim, Yoon-Ah Kook, Seong Ho Han
Korean J Orthod. 2018;48(5):304-315.    doi: 10.4041/kjod.2018.48.5.304.


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