Abstract

Non-Surgical Correction of Class III Patients in Adolescence: a Sutural Midface Manipulation Protocol Based on Severity of the Discrepancy

by Meazzini Maria Costanza

Non-surgical correction of class III patients in adolescence: a sutural midface manipulation protocol based on severity of the discrepancy. Introduction: Maxillary hypoplasia is a frequent problem in cleft and non-cleft patients. The literature has shown that early treatment rapidly recurs. Long-term results of the application of maxillary protraction techniques applied closer to the peak of growth, have been shown to be more stable. Materials and Methods: We subdivided this study in 2 groups. 1) Late adolescence treatment group with mild to moderate hypoplasia (<8mm) treated with a modified Alternate Rapid Maxillary Expansion-Constriction technique (MART) with TADs, at an average age of 13.5 years (11.1-14.6 years) before protraction. 2) Late adolescence extremely severe hypoplasia (>10mm) treatment group: A small group of 14 extremely severe patients, of which 5 UCLP patients, was treated at a later stage with MART supported by an initial traction with an extraoral fixed distraction device (RED) to accelerate the sutural distraction process at an average age of 14.7 years (13.3-14.6 years) before protraction.

Learning Objectives

After this lecture, you will be able to know the importance of circum-maxillary sutures
After this lecture, you will be able to know the importance of skeletal anchorage
After this lecture, you will be able to know limitations and possibilities of facial orthopaedics