{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:34:48Z","timestamp":1787841288540,"version":"build-2784847793"},"update-to":[{"DOI":"10.4103\/0976-237x.326337","type":"retraction","label":"Retraction","source":"publisher","updated":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000}}],"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:p>Treatment of Class III malocclusion is a challenge for orthodontists. The best time to intercept this malocclusion is as early as in the deciduous dentition. Orthopedic management of Class III individuals with retruded maxilla is by protraction facemask along with rapid maxillary expansion (RME). It results in forward and downward maxillary growth and backward mandibular rotation. Alternate RME and contraction (Alt-RAMEC) produces faster and more efficient results than maxillary protraction alone. The present case report describes the clinical application of Alt-RAMEC protocol for the treatment of a Class III malocclusion.<\/jats:p>","DOI":"10.4103\/ccd.ccd_10_20","type":"journal-article","created":{"date-parts":[[2020,12,20]],"date-time":"2020-12-20T02:48:38Z","timestamp":1608432518000},"page":"376-381","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Treatment of Class III Malocclusion with Activation\u2013Deactivation Rapid Palatal Expansion and Reverse Headgear in a Growing Patient (Alternate-Rapid Maxillary Expansion and Contraction)"],"prefix":"10.4103","volume":"11","author":[{"given":"Hemant","family":"Garg","sequence":"first","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Maharishi Markandeshwar College Dental Sciences and Research, Maharishi Markandeshwar (Deemed to be University), Ambala, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jagjit","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Maharishi Markandeshwar College Dental Sciences and Research, Maharishi Markandeshwar (Deemed to be University), Ambala, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivika","family":"Arya","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Maharishi Markandeshwar College Dental Sciences and Research, Maharishi Markandeshwar (Deemed to be University), Ambala, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahindah","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Maharishi Markandeshwar College Dental Sciences and Research, Maharishi Markandeshwar (Deemed to be University), Ambala, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,12,20]]},"reference":[{"key":"key-10.4103\/0976-237X.304131-1","first-page":"1288","article-title":"Early orthopaedic correction of class III malocclusion with alternate rapid maxillary expansion and constriction (ALT-RAMEC) and face mask: Case report","author":"Patel","year":"2015","journal-title":"Int J Adv Res"},{"key":"key-10.4103\/0976-237X.304131-2","unstructured":"Tweed CH. Clinical Orthodontics. St Louis: Mosby; 1966. p. 715-26."},{"key":"key-10.4103\/0976-237X.304131-3","unstructured":"Moyers RE. Handbook of Orthodontics. 4th ed Chicago: Year Book Medical Publishers; 1988. p. 410-5."},{"key":"key-10.4103\/0976-237X.304131-4","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1093\/ejo\/cjq006","article-title":"Activation-deactivation rapid palatal expansion and reverse headgear in Class III cases","author":"Isci","year":"2010","journal-title":"Eur J Orthod"},{"key":"key-10.4103\/0976-237X.304131-5","first-page":"601","article-title":"Early Alt-RAMEC and facial mask protocol in class III malocclusion","author":"Franchi","year":"2011","journal-title":"J Clin Orthod"},{"key":"key-10.4103\/0976-237X.304131-6","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1590\/2177-6709.21.6.034-042.oar","article-title":"Is alternate rapid maxillary expansion and constriction an effective protocol in the treatment of Class III malocclusion.A systematic review?","author":"Pithon","year":"2016","journal-title":"Dental Press J Orthod"},{"key":"key-10.4103\/0976-237X.304131-7","first-page":"154","article-title":"Effective maxillary orthopedic protraction for growing Class III patients: A clinical application simulates distraction osteogenesis","author":"Liou","year":"2005","journal-title":"Prog Orthod"},{"key":"key-10.4103\/0976-237X.304131-8","first-page":"172","article-title":"Face mask with ALT-RAMEC \u2013 A case report","author":"Krishna","year":"2019","journal-title":"J Med Sci Clin Res"},{"key":"key-10.4103\/0976-237X.304131-9","first-page":"73","article-title":"Rapid expansion of the maxillary dental arch and nasal cavity by opening the midpalatal suture","author":"Haas","year":"1961","journal-title":"Angle Orthod"},{"key":"key-10.4103\/0976-237X.304131-10","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.ijporl.2013.10.011","article-title":"Rapid maxillary expansion in growing patients: Correspondence between 3-dimensional airway changes and polysomnography","author":"Caprioglio","year":"2014","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"key-10.4103\/0976-237X.304131-11","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1016\/S0889-5406(95)70003-X","article-title":"Clinical results of the maxillary protraction in Korean children","author":"Baik","year":"1995","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"key-10.4103\/0976-237X.304131-12","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1067\/mod.2003.44","article-title":", Baccetti T, Franchi L, Sarver DM.Long-term effects of Class III treatment with rapid maxillary expansion and facemask therapy followed by fixed appliances","author":"Westwood","year":"2003","journal-title":"Am J Orthod Dentofacial Orthop"}],"updated-by":[{"DOI":"10.4103\/0976-237x.326337","type":"retraction","label":"Retraction","source":"retraction-watch","updated":{"date-parts":[[2021,9,21]],"date-time":"2021-09-21T00:00:00Z","timestamp":1632182400000},"record-id":"34141"},{"DOI":"10.4103\/0976-237x.326337","type":"retraction","label":"Retraction","source":"publisher","updated":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000}}],"container-title":["Contemporary Clinical Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_10_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:48:28Z","timestamp":1787838508000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_10_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.4103\/ccd.ccd_10_20","relation":{},"ISSN":["0976-237X","0976-2361"],"issn-type":[{"value":"0976-237X","type":"print"},{"value":"0976-2361","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10]]},"assertion":[{"value":"2020-01-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}