Management of skeletal class III malocclusion treated by manifold approach: 5 year follow-up.

The goal of early treatment of Class III malocclusion isfocused on providing a more favourable environment for normal growth and on improving the psychosocial development of the child by improving the facial appearance. Rapid palatal expansion with maxillary protraction and face mask has provided a predictable and effective approach to managing the treatment. We are presenting a case report of a growing Class III treated using maxillary protraction therapy, (Rapid maxillary expansion using bonded RME appliance, to loosen the nasomaxillary sutures and Petit face mask with bonded occlusal splint to unlock the maxilla). With early intervention, patient compliance is much better, most of them achieving overcorrection in less than a year. Close monitoring and follow up was done for 5 years to ensure stability of the treatment, and there was no relapse tendency.