{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:34:46Z","timestamp":1786649686995,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Skeletal Class III malocclusion in adolescents can be effectively managed using the combination of maxillary skeletal expander (MSE) and facemask (FM). An adolescent presented concerns about her lower front teeth positioned ahead of the upper front teeth, difficulty closing the lips, and dissatisfaction with the facial appearance. The patient exhibited a skeletal Class III profile, reverse overjet, a 2 mm overbite, concave facial profile, midface retrusion, mandibular prognathism, chin deviation to the right, and increased lower facial height (LFH). Management involved the use of MSE and protraction FM. After 11 months, maxillary skeletal expansion, midface augmentation, restriction of mandibular prognathism, and stable LFH were observed. Results remained stable at the 1-year follow-up. This approach effectively manages moderate skeletal Class III malocclusion in adolescents by promoting midface augmentation and limiting further mandibular growth, potentially eliminating the need for orthognathic surgery.<\/jats:p>","DOI":"10.4103\/ijdr.ijdr_754_24","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T07:00:09Z","timestamp":1749106809000},"page":"236-239","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Management of Skeletal Class III Malocclusion in an Adolescent Using Maxillary Skeletal Expander and Facemask - A Case Report"],"prefix":"10.4103","volume":"36","author":[{"given":"Nandita","family":"Krishnaswamy","sequence":"first","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Sri Ramachandra Dental College and Hospital, SRIHER (DU), Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,5]]},"reference":[{"key":"R1-20251006","doi-asserted-by":"crossref","first-page":"1587","DOI":"10.1007\/s00784-020-03731-5","article-title":"Genetic factors contributing to skeletal class III malocclusion:A systematic review and meta-analysis","volume":"25","author":"Dehesa-Santos","year":"2021","journal-title":"Clin Oral Investig"},{"key":"R2-20251006","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.ajodo.2015.04.012","article-title":"Evolution of Class III treatment in orthodontics","volume":"148","author":"Ngan","year":"2015","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"R3-20251006","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1111\/ocr.12040","article-title":"Efficacy of orthopedic treatment with protraction facemask on skeletal Class III malocclusion:A systematic review and meta-analysis","volume":"17","author":"Cordasco","year":"2014","journal-title":"Orthod Craniofac Res"},{"key":"R4-20251006","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1179\/14653121043056","article-title":"Is early Class III protraction facemask treatment effective?A multicentre, randomized, controlled trial:15-month follow-up","volume":"37","author":"Mandall","year":"2010","journal-title":"J Orthod"},{"key":"R5-20251006","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/s40510-018-0239-8","article-title":"Early Class III treatment with Hybrid-Hyrax-Facemask in comparison to Hybrid-Hyrax-Mentoplate\u2013skeletal and dental outcomes","volume":"19","author":"Willmann","year":"2018","journal-title":"Prog Orthod"},{"key":"R6-20251006","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1093\/ejo\/cjz086","article-title":"Comparison of skeletal anchorage and tooth-borne maxillary protraction followed by fixed appliance in Class III malocclusion","volume":"42","author":"Lee","year":"2020","journal-title":"Eur J Orthod"},{"key":"R8-20251006","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1590\/2177-6709.21.4.017-023.oin","article-title":"Miniscrew-assisted rapid palatal expander (MARPE):The quest for pure orthopedic movement","volume":"21","author":"Suzuki","year":"2016","journal-title":"Dental Press J Orthod"},{"key":"R9-20251006","doi-asserted-by":"crossref","first-page":"167","DOI":"10.4041\/kjod.2017.47.3.167","article-title":"Maxillomandibular arch width differences at estimated centers of resistance:Comparison between normal occlusion and skeletal Class III malocclusion","volume":"47","author":"Koo","year":"2017","journal-title":"The Korean Journal of Orthodontics"},{"key":"R10-20251006","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/j.ajodo.2009.10.037","article-title":"Dentofacial effects of bone-anchored maxillary protraction:A controlled study of consecutively treated Class III patients","volume":"138","author":"De Clerck","year":"2010","journal-title":"Am J Orthod Dentofacial Orthop"}],"container-title":["Indian Journal of Dental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijdr.ijdr_754_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:57:03Z","timestamp":1786647423000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijdr.ijdr_754_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijdr.ijdr_754_24","relation":{},"ISSN":["0970-9290","1998-3603"],"issn-type":[{"value":"0970-9290","type":"print"},{"value":"1998-3603","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2024-11-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}