Delaire Facemask therapy of Class III malocclusion

Objective: Angle Class III malocclusion has been a challenge and one of the most difficult malocclusions concerning diagnosis, prognosis and treatment. Diagnosis, treatment planning and prognosis depend on patient age, growth potential and severity of malocclusion.
Aim: The aim of this case report was to describe and discuss the treatment of a patient with skeletal Class III malocclusion with Facemask as orthopedic appliance.
Material and Method: Female patient, age 9 years with skeletal Class III malocclusion was treated with the Facemask as a specialized orthodontic appliance, which applies controlled, continuous forces to the facial structure, aiding and promoting optimal jaw development.
Results: The SNA angle had increased while SNB decreased resulting in a normal jaw relationship (ANB = 2°), permitting growth redirection, mainly when the maxilla is the primary etiologic factor.
Conclusion: Maxillary intramembranous growth has a better response to orthopedic treatment, based on growth control and redirection, thus contributing for early intervention success. Early intervention, adequate indication of appliances, and patient compliance are key factors for good outcomes.