Early orthopaedic Class III correction

Example appliance: Reverse pull headgear

Level of evidence: Moderate
Suitable for ages: 8-10 years old
Indications: Maxilla retrognathic Class III skeletal base, Class III dental malocclusion
Contraindications: Mandible prognathic Class III skeletal base, high angle mandibular plane, severely proclined upper incisors

Treatment Objectives and Biomechanics

  • Orthopaedic protraction of maxilla
  • Restraint of mandible forward growth

Appliances

  • Headgears – reverse pull headgear, chin cup headgear
  • Functional appliances – reverse Twin Block, Frankel III

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