Journal Article

Maxillary development revisited: relevance to the orthopaedic treatment of Class III malocclusions

Jean Delaire

in The European Journal of Orthodontics

Published on behalf of European Orthodontics Society

Volume 19, issue 3, pages 289-311
Published in print June 1997 | ISSN: 0141-5387
Published online June 1997 | e-ISSN: 1460-2210 | DOI:
Maxillary development revisited: relevance to the orthopaedic treatment of Class III malocclusions

More Like This

Show all results sharing this subject:

  • Restorative Dentistry and Orthodontics


Show Summary Details


Normal development of the maxilla results not only from movements of its constituent skeletal units and bony apposition-resorption superficially, but also from the specific development of the antero-lateral regions. In Class III cases, correction of the skeletal dysmorphosis requires not only that the maxilla is in a correct position (in relation to the mandible) and that the correct occlusion is achieved, but also that there is good development of the exo-peri-premaxilla. This requires normalization of muscular posture (labio-mental, lingual, velo-pharyngeal) and of orofacial functions (nasal ventilation, swallowing, mastication). Postero-anterior traction using an orthopaedic mask can only accomplish part of the treatment of Class III. The action must always be complimented by other therapy aimed at correcting the underdevelopment of the antero-lateral regions. Facemask therapy is not only simple sagittal distraction, but is truly a method for treatment of Class III which is well understood and achieves ellent results. Taking into account the great diversity of anatomical forms of Class III malocclusion, it is not surprising that extra-oral postero-anterior traction gives widely varying results. The quality, however, depends principally on the method used. Orthodontists must not hesitate to call for the assistance of a surgeon each time the functional treatment is insufficient, particularly in cleft patients where the results depend more on surgical procedures, both primary and secondary, than on dentofacial orthopaedics.

Journal Article.  0 words. 

Subjects: Restorative Dentistry and Orthodontics

Full text: subscription required

How to subscribe Recommend to my Librarian

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content.