ObjectiveTo evaluate the effects of facemask therapy, which was anchored from the zygomatic buttresses of the maxilla by using two miniplates, in skeletal Class III patients with maxillary deficiency.MethodsEighteen skeletal Class III 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 III control group (9 girls and 9 boys; mean age, 10.6 ± 1.12 years). Two I-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).ResultsIn the treatment group, the maxilla moved 3.3 mm forward, the mandible showed posterior rotation by 1.5°, 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.ConclusionsSkeletally anchored facemask therapy is an effective method for correcting Class III malocclusions, which also minimizes the undesired dental side effects of conventional methods in the maxilla.

Turkish Journal of Orthodontics (Turk J Orthod) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of Turkish Orthodontic Society and it is published quarterly on March, June, September and December. Turkish Journal of Orthodontics publishes clinical and experimental studies on on all aspects of orthodontics including craniofacial development and growth, reviews on current topics, case reports, editorial comments and letters to the editor that are prepared in accordance with the ethical guidelines. The journal's publication language is English and the Editorial Board encourages submissions from international authors.

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Özİskeletsel sınıf 3 anomalilerin geç dönem tedavilerinde sıklıkla başvurulan yöntem cerrahi destekli ortodontik tedavidir. Ancak, anomalinin şiddetli olmadığı durumlarda fasiyal görünümünden ziyade dental estetiğinden rahatsız olan hastalarda ortodontik kamuflaj tedavisi alternatif bir yaklaşımdır. Kamuflaj tedavisinin amacı, iskeletsel uyumsuzluğun göz ardı edilerek dentoalveolar kompenzasyon ile alt arkın distalizasyonu, maksiller keserlerin proklinasyonu ve mandibular keserlerin retroklinasyonu ile kabul edilebilir bir oklüzyon, fonksiyon ve estetik sağlanmasıdır. Bu amaçla sıklıkla başvurulan yöntem, Sınıf III elastiklerin kullanımıdır. Bunun yanında, son yıllarda popülarite kazanan iskeletsel ankraj destekli tedaviler de alt molar distalizasyonu elde etmek amacıyla sıklıkla uygulanmaktadır. Sınıf 3 anomalilerin kamuflaj tedavisi planlanırken iskeletsel düzensizliğin şiddeti, yüzün dik yön boyutları, keser dişlerin konumları ve periodontal sağlık göz önünde bulundurulmalıdır. Hafif ve orta şiddetteki Sınıf 3 anomalilerin ortodontik kamuflaj tedavisini tercih eden hastalarda tedavi daha çok fonksiyon ve dental estetiğe yönelik, yumuşak doku ve iskeletsel değişikliklerin daha az görüldüğü uygulamalardır. Bu derlemede sınıf III maloklüzyonların geç dönem kamuflaj tedavi yöntemleri anlatılacaktır. AbstractOrtognatic surgery is the common treatment option for adult patients with skeletal Class 3 anomalies. In borderline cases, if the patient cares about dental esthetics more than facial esthetics, orthodontic camouflage treatment could be a good option. The aim of the camouflage treatment is to achieve an acceptable occlusion, function and aesthetic with dentoalveolar compensation by protrusion of the maxillary incisors, retrusion of the mandibulary incisors and distalization of the lower arch, ignoring skeletal incompatibility. The method frequently used for this purpose is the use of Class 3 elastics, while skeletal anchorage-assisted treatments, which have gained popularity in recent years, are also frequently used to obtain lower molar distalization. The severity of skeletal irregularity, the vertical dimension of the face, the location of the incisor teeth, and periodontal health should be considered when planning camouflage therapy for Class 3 anomalies. Treatment in patients who prefer orthodontic camouflage treatment of mild to moderate Class 3 anomalies is a practice that is more functional and aims more for dental aesthetic and less for soft tissue and skeletal changes. This rewiew is about orthodontic camouflage treatment of Class III malocclusions.