A fixed reverse labial bow for moderate Class III interceptive treatment.

JCO/JANUARY 2003 T treatment of skeletal Class III malocclusion, particularly in the late deciduous or early mixed dentition, is one of the most challenging problems confronting the orthodontist. These patients frequently exhibit anterior or posterior crossbites, in addition to some combination of maxillary skeletal retrusion and mandibular skeletal protrusion. Although good treatment results have been achieved with either reverse-pull headgears1-11 or functional appliances,12-16 the results can be compromised by poor patient cooperation, since such Class III appliances tend to be uncomfortable and unesthetic. This article presents a new approach to the management of mild-to-moderate dental and skeletal Class III malocclusions in growing patients, without relying on special patient cooperation.17