The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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Correction of late adolescent skeletal Class III using the Alt-RAMEC protocol and skeletal anchorage

  • Muhammed Hilmi Buyukcavus (Department of Orthodontics, Faculty of Dentistry, Suleyman Demirel University) ;
  • Omer Faruk Sari (Department of Orthodontics, Faculty of Dentistry, Suleyman Demirel University) ;
  • Yavuz Findik (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Suleyman Demirel University)
  • Received : 2022.01.06
  • Accepted : 2022.08.29
  • Published : 2023.01.25
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Abstract

This case report describes skeletal anchorage-supported maxillary protraction performed with the Alternate Rapid Maxillary Expansion and Constriction (AltRAMEC) 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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References

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