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Correction of late adolescent skeletal Class III using the Alt-RAMEC protocol and skeletal anchorage

Korean Journal of Orthodontics 2023³â 53±Ç 1È£ p.54 ~ 64
Buyukcavus Muhammed Hilmi, Sari Omer Faruk, Findik Yavuz,
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 ( Buyukcavus Muhammed Hilmi ) - Suleyman Demirel University Faculty of Dentistry Department of Orthodontics
 ( Sari Omer Faruk ) - Suleyman Demirel University Faculty of Dentistry Department of Orthodontics
 ( Findik Yavuz ) - Suleyman Demirel University Faculty of Dentistry Department of Oral and Maxillofacial Surgery

Abstract


This case report describes skeletal anchorage-supported maxillary protraction performed with the Alternate Rapid Maxillary Expansion and Constriction (Alt-RAMEC) protocol over a treatment duration of 14 months in a 16-year-old female patient who was in the late growth-development period. Miniplates were applied to the patient's aperture piriformis area to apply force from the protraction appliance. After 9 weeks of following the Alt-RAMEC protocol, miniplates were used to transfer a unilateral 500-g protraction force to a Petit-type face mask. A significant improvement was observed in the soft tissue profile in measurements made both cephalometrically and in three dimensional photographs. Subsequently, the second phase of fixed orthodontic treatment was started and the treatment was completed with the retention phase. Following treatment completion, occlusion, smile esthetics, and soft tissue profile improved significantly in response to orthopedic and orthodontic treatment.

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Face mask; Class III treatment; Miniplate; Alt-RAMEC

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SCI(E)
KCI
KoreaMed