European Journal of Biomedical and Pharmaceutical Sciences

INTRA-ORAL SKELETALLY ANCHORED MAXILLARY PROTRACTION (I-SAMP) IN SKELETAL CLASS III MALOCCLUSION: AN OVERVIEW

Dhiraj Garg, Priyank Rai*, Tulika Tripathi and Ram Gopal

ABSTRACT

Objective: There is an increasing tendency to prescribe maxillary orthopaedic treatment with skeletal anchorage, with the goal of enhancing the skeletal and minimizing the dentoalveolar effects – offering a management option for skeletal Class III dysmorphoses that otherwise they received surgical treatment in their adulthood. An update is provided to evaluate the effects on maxilla, mandible, dentoalveolar part, soft-tissue and airway of intra-oral skeletally anchored maxillary protraction (I-SAMP) for correction of skeletal Class III malocclusion. Method: A literature review has been made to consolidate the supporting scientific evidence in this field of Intra-oral skeletally anchored maxillary protraction (I-SAMP) in growing children having Class III malocclusion. A Medline (PubMed) search was made using the following MeSH terms: Malocclusion Class III therapy, Intraoral traction appliances, Bone plates, Skeletal anchorage, Maxillary protraction. Results: At present, many articles show that the incorporation of surgically inserted bone anchorage appliances (miniplates and miniscrews) has been seen to afford a lesser relapse rate and greater dentofacial orthopaedic correction due to its lesser dentoalveolar impact. Nevertheless, further randomized clinical studies are needed to firmly establish the quantifiable differences in terms of maxillary advance, mandible and TMJ effects, optimum traction appliance, optimum traction chronological age, and potential side effects.

Keywords: Skeletal anchorage, Bone-anchored, Maxillary protraction, Intermaxillary elastics, Miniplates, Class III, Growth modification, Literature review.