Objectives

To examine retrospectively the short-term effects of a compliance-free skeletal Class III corrector (NET3-corrector) compared to rapid maxillary expansion-facemask (RME-FM).

Material and Methods

Records of 20 skeletal Class III patients treated with the NET3-corrector were compared to 20 patients treated with RME-FM, mean age: 11.14 ± 1.17 years and 11.14 ± 2.06, respectively. The NET3-corrector consisted of a hybrid-expander, a lower lingual arch, and a modified PowerScope spring. The RME-FM group received an RME-facemask combination. T2 records were collected when an overjet of at least 2 mm was achieved. Differences between two timepoints within groups and differences between groups were tested using paired samples t-test and independent samples t-test, respectively (P < .05 was considered statistically significant).

Results

The treatment time was 10.5 months with NET3-corrector and 12 months with RME-FM. The NET3-corrector was well tolerated by patients and the Class III malocclusion was corrected in all patients in both groups. The overall maxillary skeletal change was greater with the NET3-corrector, with an additional 2° advancement at SNA (P < .001). Significant differences in maxillary incisor angulation were observed in the RME-FM group in comparison to NET3 (−0.37 ± 3.31 vs 4.96 ± 3.80; P < .001). The mandibular molars tipped significantly more distally in the NET3 group (7.3° more; P < .001).

Conclusions

The compliance-free tooth-bone-borne NET3-corrector, is effective in correcting Class III malocclusion with improved maxillary skeletal outcomes compared to RME-FM in the short term. These results need to be evaluated in the long term with a randomized sample.

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Author notes

a

 Honorary Lecturer, Discipline of Orthodontics and Paediatric Dentistry, Sydney Dental School, Faculty of Medicine and Health, University of Sydney, Sydney Dental Hospital, Sydney Local Health District, Australia.

b

 Professor and Chair, Department of Orthodontics, Faculty of Dentistry, Ankara University, Turkey.

c

 Lecturer, Discipline of Orthodontics and Paediatric Dentistry, University of Sydney, Sydney Dental School, Faculty of Medicine and Health, Sydney Dental Hospital, Sydney Local Health District, Australia.

d

 Professor and Chair, Discipline of Orthodontics and Paediatric Dentistry, University of Sydney, Sydney Dental School, Faculty of Medicine and Health, Sydney Dental Hospital, Sydney Local Health District, Australia.

e

 Senior Lecturer, Discipline of Orthodontics and Paediatric Dentistry, University of Sydney, Sydney Dental School, Faculty of Medicine and Health, Sydney Dental Hospital, Sydney Local Health District, Australia.