Single-phase orthopaedic and orthodontic correction

Example appliance: Class III elastics on Bollard miniplates for bone-anchored maxillary protraction

Level of evidence: Weak
Suitable for ages: 12-14 years old
Indications: Maxilla retrognathic Class III skeletal base, high-angle mandibular plane, Class III dental malocclusion
Contraindications: Mandible prognathic Class III skeletal base, low-angle mandibular plane, low-density basal bone at sites of bone plates

Treatment Objectives and Biomechanics

  • Orthopaedic protraction of maxilla
  • Restraint of mandible forward growth

Appliances

  • Skeletal anchorage – Bollard miniplates, TADS
  • Fixed appliances

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