Treatment of a Patient with Maxillary Retrognathism and Mandibular Prognathism Using Alt-RAMEC and Facemask Followed by Fixed Orthodontic Therapy: A Case Report

Year 2025, Volume: 12 Issue: 1, 133 - 136, 21.04.2025

Çağan Erkman Şaylan , Mehmet Birol Özel

https://doi.org/10.15311/selcukdentj.1526190

Abstract

This case report presents the treatment of a 10-year and 2-month-old male patient with skeletal Class III malocclusion and anterior crossbite using the Alt-RAMEC protocol combined with facemask protraction followed by fixed orthodontic therapy. The facemask protraction was initiated while the maxillary expansion and constriction phases of the Alt-RAMEC protocol were ongoing. Clinical findings and cephalometric analyses were evaluated before and after treatment. The treatment results showed that Class I canine and molar relationships were achieved on both sides, with normal overjet and overbite. Additionally, improvements were observed in the patient’s profile, occlusion, and aesthetic appearance. This case report demonstrates that the Alt-RAMEC protocol combined with facemask is an effective method for treating skeletal Class III malocclusion.

Keywords

Alt-RAMEC, facemask, anterior crossbite

Maksiller Retrognatik ve Mandibular Prognatik Hastanın Alt-RAMEC ve Yüz Maskesini Takiben Sabit Ortodontik Tedavisi: Vaka Sunumu

Abstract

Bu vaka sunumunda, iskeletsel sınıf III ve anterior çaprraz kapanışlı 10 yıl 2 ay yaşındaki bir erkek hastanın henüz Alt-RAMEC protokolündeki maksiller genişletme ve daraltmalar devam ederken başlatılan yüz maskesi ile protraksiyonu ve takiben yapılan sabit ortodontik tedavisi sunulmaktadır. Tedavi öncesi ve sonrası klinik bulgular ile sefalometrik analizler değerlendirilmiştir. Tedavi sonucunda, sağ ve sol kaninler ve molarların sınıf I ilişkiye getirildiği, normal overjet ve overbite sağlandığı ve hastanın profilinin, oklüzyonunun ve estetik görünümünün iyileştirildiği gözlenmiştir. Bu vaka sunumu, Alt-RAMEC ile birlikte yüz maskesi protokolünün iskeletsel sınıf III maloklüzyon tedavisinde etkili bir yöntem olduğunu göstermektedir.
Anahtar Kelimeler
Alt-RAMEC, yüz maskesi, anterior çapraz kapanış

Keywords

Alt-RAMEC, yüz maskesi, anterior çapraz kapanış

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