Treatment effect of combined maxillary protraction and

chincap appliance in severe skeletal Class III cases

Hideshi Ishii, D.D.S., D.D.Sc. Correspondence information about the author D.D.S., D.D.Sc.
Hideshi Ishii∗
, 
Shuichi Morita, D.D.S., D.D.Sc.∗∗
, 
Yutaka Takeuchi, D.D.S., D.D.Sc.∗∗∗
, 
Shinji Nakamura, D.D.S., D.D.Sc.∗∗∗∗
Hokkaido, Japan

PlumX Metrics
DOI: https://doi.org/10.1016/0889-5406(87)90331-3
 Abstract
 References

Abstract
The present study was designed to evaluate the true treatment effects of the maxillary protracting appliance with chincap for

skeletal Class III cases and to evaluate the difference of true treatment effects between the cases in which the maxilla was

protracted from the first molars and the cases protracted from the first premolars. Cephalograms of 63 cases (the first molar

protraction group—27 cases protracted from the first molars, the first premolar protraction group—36 cases protracted from

the first premolars) treated with the combined maxillary protraction and chincap appliance were used. Template analysis was

performed to evaluate the estimated treatment effects without growth change. Forward movement of the maxilla and

backward rotation of the mandible were characteristic features of the estimated treatment effects in 63 cases. In comparing

the two groups, the maxilla was displaced more anteriorly and rotated more upward and forward in the first molar

protraction group. Therefore, the intraoral site of protraction should be selected by considering vertical dimensions of

skeletal and dental structures, and the amount of forward displacement of the maxilla required in the treatment of the
individual patient.

Shanghai Kou Qiang Yi Xue. 2011 Apr;20(2):201-3.

[Soft tissue profile changes by Frankel-III appliance on

correcting Angle Class III malocclusion in mixed
dentition].
[Article in Chinese]

Zhao G1, Li S, Chang BB.

Author information
Abstract
PURPOSE:
The purpose of this study was to evaluate the soft tissue profile changes of functional Angle
Class III malocclusion in mixed dentition, and to evaluate the effectiveness of treatment with
Frankel-III appliances.

METHODS:
Fifteen cases of Angle Class III malocclusion in mixed dentition, 8 males and 7 females, were
selected. The mean age of the patients was 9.5 years old, ranging from 7 to 12 years old. Lateral
cephalometric radiograph was taken before and after the treatments and analyzed. The data was
analyzed by paired t test with SPSS17.0 software package.

RESULTS:
After the patients were treated with Frankel-III appliances in mixed dentition, Sn-Ns-Si, Ns-Sn-
Pos , LiSi-Sn increased, S-Ns-Si, S-Ns-Pos,LL-EP decreased with significant difference
(P<0.01). S-Ns-Sn, LsSn-Sn,Sn-Me,Ns-Me,Ul-EP increased with significant difference (P<0.05).

CONCLUSIONS:
All findings indicate that functional Angle Class III malocclusion can be corrected with Frankel-
III appliances. The relationship among nose, upper lip, lower lip and chin become harmonious
after treatment. The maxillary and mandibular soft tissue changes are distinct and soft tissue
profile changes from Class III to Class I.

[Skeletal Class Ⅲ patients treated with Fränkel function

regulator type Ⅲ in the early and late mixed dentition].
[Article in Chinese]

Du Y1, Huang S2, Rao N2, Xu S2, Li X2.

Author information
Abstract
OBJECTIVE:
To investigate the outcome of skeletal Class Ⅲ patients treated with Fränkel function regulator
type Ⅲ (FR Ⅲ)in the early mixed and late mixed dentition.

METHODS:
The samples consisted of 45 mild and moderate skeletal Class Ⅲ patients(26 males, 19 females;
meanage, [7.9±1.3] years) treated with FR Ⅲ. According to Hellman's dental developmental
stages, these samples were divided into early-treated group(n=24) and late-treated group(n=21).
Lateral cephalograms were taken at the beginning and the end of treatment. Twenty-one
measurements on hard and soft tissue were included.
RESULTS:
After treatment, SNA, ANB, NA-Apo, Wits, U1-SN, U1-NA, Overjet, UL-EP were significantly
increased (1.0±1.9)°, (1.2±1.6)°, (2.6±4.2)°, (1.8±2.7) mm, (4.2±7.6)°, (2.6±7.5)°, (3.6±2.3) mm
and (0.8±2.2) mm(P<0.05). OP-SN and IMPA were significantly decreased (1.5±3.7)°and
(1.4±4.2)°(P<0.05). There were significant differences in SNA, ANB, UL-EP, IMPA, L1-NB
between early-treated group and late-treated group(P<0.05).

CONCLUSIONS:
FR Ⅲ was suitable for the treatment of mild and moderate skeletal Class Ⅲ patients. The result
was better in the early-treated patients than in late-treated ones.