{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T14:04:45Z","timestamp":1773929085660,"version":"3.50.1"},"reference-count":14,"publisher":"Pensoft Publishers","issue":"2","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FM"],"abstract":"<jats:p>This case report emphasizes the role of a customized chin cup in the management of Class III malocclusion in pediatric patients, emphasizing its contribution to improved compliance and treatment outcomes. Class III malocclusion, often characterized by maxillary retrusion and mandibular prognathism, presents unique challenges in orthodontics, particularly in young patients. Reverse pull facemask therapy is a well-established method to correct maxillary retrusion, but the success of this approach heavily depends on patient compliance. Prefabricated chin cups, commonly used in facemasks, frequently lead to discomfort and irritation, negatively affecting adherence. In this report, we present a simple, cost-effective technique to customize chin cups using polyvinyl siloxane (PVS) for enhanced comfort, stability, and compliance. By improving the fit of the chin cup, this method addresses a critical barrier to successful Class III treatment in pediatric cases.<\/jats:p>","DOI":"10.3897\/folmed.68.e147880","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T10:51:58Z","timestamp":1773917518000},"source":"Crossref","is-referenced-by-count":0,"title":["Customized chin cup: enhancing pediatric compliance in Class III orthodontic treatment \u2013 a case report"],"prefix":"10.3897","volume":"68","author":[{"given":"Prema","family":"Anbarasu","sequence":"first","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Chettinad Dental College and Research Institute, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saravana Kumar","family":"Subramanian","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Chettinad Dental College and Research Institute, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Gokilla Priya","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Chettinad Dental College and Research Institute, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhanush","family":"Sakthivel","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Chettinad Dental College and Research Institute, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harini","family":"Saravanan","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Chettinad Dental College and Research Institute, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Pravin","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Chettinad Dental College and Research Institute, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2258","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"key":"147880_B1","doi-asserted-by":"crossref","unstructured":"Faria-Teixeira MC, Tordera C, Salvado e Silva F, et al. Craniofacial syndromes and class III phenotype: common genotype fingerprints? A scoping review and meta-analysis. Pediatr Res 2024; 12:95(6):1455\u201375.","DOI":"10.1038\/s41390-023-02907-5"},{"key":"147880_B2","unstructured":"Guyer EC, Ellis III EE, McNamara Jr JA, et al. Components of Class III malocclusion in juveniles and adolescents. Angle Orthod 1986; 56(1):7\u201330."},{"key":"147880_B3","doi-asserted-by":"crossref","unstructured":"Zere E, Chaudhari PK, Sharan J, et al. Developing Class III malocclusions: challenges and solutions. Clin Cosmet Investig Dent 2018; 10:99\u2013116.","DOI":"10.2147\/CCIDE.S134303"},{"key":"147880_B4","doi-asserted-by":"crossref","unstructured":"Azamian Z, Shirban F. Treatment options for Class III malocclusion in growing patients with emphasis on maxillary protraction. Scientifica (Cairo) 2016; 2016(1):8105163.","DOI":"10.1155\/2016\/8105163"},{"key":"147880_B5","doi-asserted-by":"crossref","unstructured":"Chang HP, Tseng YC, Chang HF. Treatment of mandibular prognathism. J Formos Med Assoc 2006; 105(10):781\u201390.","DOI":"10.1016\/S0929-6646(09)60264-3"},{"key":"147880_B6"},{"key":"147880_B7","doi-asserted-by":"crossref","unstructured":"Parayaruthottam P, Antony V, Francis PG, et al. A retrospective evaluation of conventional rapid maxillary expansion versus alternate rapid maxillary expansion and constriction protocol combined with protraction headgear in the management of developing skeletal Class III malocclusion. J Int Soc Prev Community Dent 2018; 8(4):320\u20136.","DOI":"10.4103\/jispcd.JISPCD_66_18"},{"key":"147880_B8","unstructured":"Mohanakrishnan PJ, Chinnapan V, Pothuri A, et al. Facemask and rapid maxillary expansion with alternative rapid maxillary expansion and constriction protocol in the management of skeletal Class III malocclusion. Cureus 2023; 15(12):e50764."},{"key":"147880_B9","doi-asserted-by":"crossref","unstructured":"Franchi L, Nieri M, Marti P, et al. Clinical management of facemasks for early treatment of Class III malocclusion: a survey among SIDO members. Dent J (Basel) 2024; 12(7):207.","DOI":"10.3390\/dj12070207"},{"key":"147880_B10","doi-asserted-by":"crossref","unstructured":"Rezaei F, Masalehi H, Golshah A, et al. Oral health related quality of life of patients with class III skeletal malocclusion before and after orthognathic surgery. BMC Oral Health 2019; 19:1\u20136.","DOI":"10.1186\/s12903-019-0989-9"},{"key":"147880_B11","doi-asserted-by":"crossref","unstructured":"Gilani R, Kathade A, Singh S, et al. Achieving aesthetics and function in Class III malocclusion through orthodontic camouflage: a clinical case report. Cureus 2024; 16(7):e65063.","DOI":"10.7759\/cureus.65063"},{"key":"147880_B12","doi-asserted-by":"crossref","unstructured":"Jha AK, Chandra S. Early management of Class III malocclusion in mixed dentition. Int J Clin Pediatr Dent 2021; 14(2):331\u20134.","DOI":"10.5005\/jp-journals-10005-1752"},{"key":"147880_B13","doi-asserted-by":"crossref","unstructured":"Sarangal H, Namdev R, Garg S, et al. Treatment modalities for early management of Class III skeletal malocclusion: a case series. Contemp Clin Dent 2020; 11(1):91\u20136.","DOI":"10.4103\/ccd.ccd_393_19"},{"key":"147880_B14","doi-asserted-by":"crossref","unstructured":"Almeida MR, Almeida RR, Oltramari-Navarro PV, et al. Early treatment of Class III malocclusion: 10-year clinical follow-up. J Appl Oral Sci 2011; 19(4):431\u20139.","DOI":"10.1590\/S1678-77572011000400022"}],"container-title":["Folia Medica"],"original-title":[],"link":[{"URL":"https:\/\/foliamedica.bg\/article\/147880\/download\/pdf\/","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article\/147880\/download\/xml\/","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article_preview.php?id=147880&skip_redirect=1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T10:52:03Z","timestamp":1773917523000},"score":1,"resource":{"primary":{"URL":"https:\/\/foliamedica.bg\/article\/147880\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,19]]},"references-count":14,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,3,19]]}},"URL":"https:\/\/doi.org\/10.3897\/folmed.68.e147880","relation":{},"ISSN":["1314-2143","0204-8043"],"issn-type":[{"value":"1314-2143","type":"electronic"},{"value":"0204-8043","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3,19]]},"article-number":"e147880"}}