INTRODUCTION: Protraction therapy for maxillary deficiency in the treatment of skeletal class III malocclusion involves the use of facemask. Conventionally facemask has been anchored to the maxillary dentition, which is responsible for some of the counter-productive effects of facemask therapy including backward and downward rotation of the chin, increase in the lower anterior facial height, proclination of maxillary incisors, retroclination of mandibular incisors apart from mesialization of maxillary molars with extrusion and decreased overbite. AIM: The aim of this article is to highlight the nuances of Bone-Anchored Maxillary Protraction (BAMP) including a literature review, which is comprehensive and narrative and comparing the different techniques involved such as type 1 BAMP versus type 2 BAMP and BAMP versus facemask. MATERIALS AND METHODS: A computerized search was performed in electronic databases such as PubMed, PubMed Central, Cochrane, Embase, DOAJ, and Google scholar using key words such as “bone-anchored maxillary protraction” and “BAMP.” The search was confined to articles in English published till March 2021. Forty-seven case-controlled, cross-sectional, retrospective and prospective studies, as well as systematic reviews and meta-analysis were included in this article, which were limited to human subjects. A hand search of the reference lists of the included articles was also carried out to include missed out articles. CONCLUSION: To overcome these drawbacks, BAMP was introduced, which causes both maxillary protraction, restraint of mandibular growth with minimal dentoalveolar changes. BAMP is used widely nowadays in the treatment of skeletal class III malocclusion.

Aim: The aim was to evaluate the antimicrobial efficacy of herbal extracts of Origanum vulgare (Oregano) and Vaccinium (Cranberry) for disinfection of gutta-percha (GP) and their effects on surface of GP. Methods: A total of 84 GP points were divided into three groups. Group A (36 cones) was artificially contaminated by Staphylococcus aureus (SA), Group B (36 cones) by Enterococcus faecalis (EF), and Group C (12 cones) by both the organisms each. After the contamination of all the groups, all the points in Groups A and B were divided into three groups of 12 each and were disinfected by four different concentrations of Origanum vulgare and Vaccinium extracts, contaminated but not disinfected and was used as control. The Group C GP points were all disinfected by 3% sodium hypochlorite (NaOCl). All the disinfected and the control group samples were then incubated to detect bacterial growth. Minimum inhibitory concentration and minimum bactericidal concentration were determined for all the groups of O. vulgare and Vaccinium at all the concentrations. P < 0.05. Results: The present study showed a significantly higher bacteriostatic and bactericidal activity with O. vulgare extract followed by NaOCl as compared to Vaccinium extract against SA and EF. Furthermore, higher surface alterations were seen on GP disinfected with NaOCl and the least with O. vulgare. Conclusion: Considering the amount of surface changes caused by NaOCl on GP when used as a disinfecting solution, O. vulgare extract is a suitable herbal substitute for the same which shows comparatively much lesser topographic changes.

Aim- To compare and correlate between antegonial notch depth, symphysis morphology and ramus morphology in different skeletal patterns in Class I, Class II and Class III relationships. Methodology: 72 lateral cephalogram and orthopantomograms were be divided into three groups according to the skeletal parameters. Each group is subdivided into three groups based on Y axis: average skeletal pattern Horizontal skeletal pattern and Vertical skeletal pattern. Cephalometric linear and angular measurement and antegonial measurement using OPG were taken. Results and conclusion: The antegonial notch depth, symphysis height, symphyseal ratio was found to be highest in Class III Vertical skeletal pattern. Symphysis depth, ramal width was found to be highest in Class II Horizontal skeletal pattern. The symphysial angle was highest in Class I Horizontal skeletal pattern. The ramal height was more in Class III Horizontal skeletal pattern and least in Class II Vertical skeletal pattern. Antegonial notch shows strong positive corelation with symphysis height in Class III Horizontal skeletal pattern, and ramal height in Class III Average skeletal pattern. Symphysis height shows strong positive correlation with ramal height in Class I Average skeletal pattern, Class II Horizontal skeletal pattern, Class II Average skeletal pattern and Class III Horizontal skeletal pattern. Symphysis depth shows strong positive correlation with ramal height in Class II Horizontal skeletal pattern and Class III Average skeletal pattern, symphysis angle shows strong positive correlation with Class III Horizontal skeletal pattern.

Functional appliances are widely used for regulating and directing growth in which commonly used are Frankel regulator and twinblock. Frankel regulator expands the orofacial arena for allowing growth by passive expansion, whereas twin block aids sagittal correction in retrusive mandible. Heres, an attempt to bring about both the changes in a single appliance where sagittal correction as well as keeping away constricted musculature is desired. In this appliance, passive and active expansion has been used simultaneously for better results. In the hindsight of the results, we could get in this case using Twinkle R 3D appliance, we hope that this appliance will be helpful in many more similar cases and act as adundum in clinician's armamentarium.

Class III malocclusion is associated with a sagittal malrelationship of the maxilla and the mandible, characterized by a deficient maxilla, retrognathic mandible, or a combination of both. The early treatment of Class III malocclusions provides facial balance, modifies the maxillofacial growth and development, and prevents future surgical treatment by increasing the stability. Many treatment approaches can be found in the literature regarding orthopedic and orthodontic treatment of Class III malocclusion, including intra‑ and extra‑oral appliances. The major problem with extraoral anchorage has been of patient compliance due to its physical appearance. The case report presents an intraoral modified tandem appliance for maxillary protraction that has been used clinically to achieve successful results without relying much on patient co‑operation.