TREATMENT OF ANTERIOR CROSSBITE IN MIXED DENTITION USING MAXILLARY PROTRACTION APPLIANCE : A CASE REPORT

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Journal of the Korean Academy of Pediatric Dentistry 1996;23(3):667-673.
Published online August 31, 1996.

TREATMENT OF ANTERIOR CROSSBITE IN MIXED DENTITION USING MAXILLARY PROTRACTION APPLIANCE : A CASE REPORT

혼합치열기 반대교합자에서 상악골 전방견인장치를 이용한 치료증례

김은영, 최형준, 이제호, 최병재

연세대학교 치과대학 소아치과학교실

Abstract

The prevalence of class III malocclusion is approximately 5~9%, and about one fourth of this malocclusion is due to underdeveloped maxilla. Maxillary protraction appliance is an orthopedic device which promote the growth of a deficient maxilla by applying extraoral force to actively growing patients. The object of using maxillary protraction appliance is to guide a normal growth of maxilla and mandible and improve the occlusal relationship and also improve the facial profile. The author treated three patients whom were diagnosed as a class III malocclusion due to deficient maxilla using maxillary protraction appliance and the followings are the conclusions : 1. In these cases, anterior crossbite was corrected by anterior movement of maxilla and downward backward rotation of mandible and simultaneously, anterior facial height was increased. 2. The amount of dental change compare to skeletal change was greater as the patients got older. 3. When 500gm of force to each side was applied, the treatment period has been decreased. 4. As a result of applying the force between maxillary first primary molar and canine, there was a small degree of changes in palatal plane. So, it can be concluded that the maxillary protraction appliance is effective in treating growing patients with a deficient maxilla.