Treatment of skeletal class III malocclusion with the Alt-RAMEC protocol and intermaxillary elastics: A retrospective cohort study
JOURNAL OF OROFACIAL ORTHOPEDICS-FORTSCHRITTE DER KIEFERORTHOPADIE, cilt.87, sa.2, ss.140-147, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 87 Sayı: 2
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/s00056-024-00562-x
- Dergi Adı: JOURNAL OF OROFACIAL ORTHOPEDICS-FORTSCHRITTE DER KIEFERORTHOPADIE
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, Biomedical Reference Collection: Corporate Edition (EBSCO)
- Sayfa Sayıları: ss.140-147
- Anahtar Kelimeler: Anterior crossbite, Fixed orthodontic appliances, Growth patterns, Mandibular excess, Maxillary deficiency
- Gazi Üniversitesi Adresli: Evet
Özet
Purpose This study aimed to evaluate the effects of the use of class III elastics with fixed appliances and the Alt-RAMEC procedure on dentofacial structures in patients diagnosed with skeletal class III malocclusion. Methods The retrospective cohort study was performed on lateral cephalometric radiographs of 20 individuals (7 girls, 13 boys; mean chronological age 12.41 years) with skeletal class III malocclusion because of maxillary deficiency or maxillary deficiency and mandibular excess which were treated by using the Alt-RAMEC protocol and class III elastics. The patients were chosen from the archive of Gazi University Faculty of Dentistry, Department of Orthodontics. In order to distinguish between growth-related changes and the effects of treatment, results were compared with a control group consisting of 20 individuals (8 girls, 12 boys; mean chronological age 12 years) with similar skeletal characteristics. Results In the treatment group, there were significant increases of 2.2 degrees, 4.2 degrees and 1 degrees in the SNA, ANB and SN/GoGN angles, respectively, in contrast to the control group (p < 0.001). There was also a significant decrease of 1.9 degrees in the SNB angle within the treatment group in contrast to the control group (p < 0.001). While the U1/SN angle increased by 1.4 degrees in the treatment group, the L1-NB distance decreased by 0.7 mm (p < 0.01). Conclusions The results of this study showed that application of the Alt-RAMEC protocol and class III elastics with fixed appliances showed successful results in the management of skeletal class III malocclusions, while avoiding undesirable dental effects, such as excessive lingual tipping of the lower incisors.