Tratamiento de la maloclusión clase III con máscara facial y hyrax híbrido, protocolo alt-ramec. Reporte de caso

Jesús Alberto Hernández Silva; Carolina Rodríguez Manjarrés; José Manuel Martínez Ávila

doi:10.16925/od.v13i26.2045

Treatment of Class iii Malocclusion with Facial Mask, Hybrid Hyrax and Alt-ramec Protocol

DOI: https://doi.org/10.16925/od.v13i26.2045

Vol. 14 No. 26 (2018)

Published: 2017-10-13

Jesús Alberto Hernández Silva

Carolina Rodríguez Manjarrés

José Manuel Martínez Ávila

Introduction: The difficulties in correcting the bone discrepancies of class iii malocclusions due to the

complexity of existing treatments, the unpredictability of bone growth, the development and treatment

outcomes for young patients, and the evident physical characteristics of the subjects who suffer from

them make them a challenge when considering successful treatment plans for correction.

Case: A 10-year-old male patient attended the maxillary orthopedics clinic of the graduate program

Pediatric Dentistry and Maxillary Orthopedics of the School of Dentistry at the Universidad del Valle

(Cali-Colombia) for re-evaluation. He does not report family history of skeletal or dental anomalies; a

prominent chin is clinically observed.

Aim: To assess the effect of a treatment with hybrid hyrax, protraction mask and mini-implants in a

patient for the correction of class iii malocclusion.

Results and conclusions: The combination of hybrid hyrax, face mask and Alt-ramec protocol responds

to a real skeletal change due to the direct transmission of forces to the bone, thus abolishing the den-

toalveolar camouflages that produce satisfactory results at the dental, facial and even psychological

levels in patients with class iii skeletal malocclusion.

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Treatment of Class iii Malocclusion with Facial Mask, Hybrid Hyrax and Alt-ramec Protocol. (2017). Revista Nacional de Odontología, 14(26). https://doi.org/10.16925/od.v13i26.2045

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Author Biographies

Jesús Alberto Hernández Silva

Especialista.
Carolina Rodríguez Manjarrés

Especialista.
José Manuel Martínez Ávila

Odontólogo.