Zygomatic miniplates for skeletal anchorage in orthopedic correction of Class 111 malocclusion: A controlled clinical trial

Objective: To evaluate the effects of facemask therapy, which was anchored from the zygomatic buttresses of the maxilla by using two miniplates, in skeletal Class 111 patients with maxillary deficiency. Methods: Eighteen skeletal Class 111 patients (10 girls and 8 boys; mean age, 11.4 +/- 1.28 years) with maxillary deficiency were treated using miniplate-anchored facemasks, and their outcomes were compared with those of a Class 111 control group (9 girls and 9 boys; mean age, 10.6 +/- 1.12 years). Two 1-shaped miniplates were placed on the right and left zygomatic buttresses of the maxilla, and a facemask was applied with a 400 g force per side. Intragroup comparisons were made using the Wilcoxon test, and intergroup comparisons were made using the Mann-Whitney U-test (p < 0.05). Results: In the treatment group, the maxilla moved 3.3 mm forward, the mandible showed posterior rotation by 1.5 degrees, and the lower incisors were retroclined after treatment. These results were significantly different from those in the control group (p < 0.05). No significant anterior rotation of the palatal plane was observed after treatment. Moreover, changes in the sagittal positions of the maxillary incisors and molars were similar between the treatment and control groups. Conclusions: Skeletally anchored facemask therapy is an effective method for correcting Class 111 malocclusions, which also minimizes the undesired dental side effects of conventional methods in the maxilla.