Protraction Facial Mask for Early Correction of Midfacial Retrusion: The Bergen Rationale

  • Rolf S. Tindlund


Since 1978, patients with cleft lip and palate with maxillary deficiency already at young age had an interceptive orthopedic treatment phase to correct anterior and/or lateral crossbites during the deciduous and mixed dentition periods. A modified quad-helix soldered to four bands (on deciduous canines and 2 molars) are used in combination with a protraction mask at ages 6–7 years. Favorable maxillomandibular response, i.e., ANB change (mean increase 3.3°), was found in 63 % of the cases. Favorable response of forward movement of maxilla alone was found in 44 %. A combined fair response of maxillomandibular change as well as forward movement of the maxilla was found in 35 % of the cases.


Orthognathic Surgery Transverse Expansion Permanent Incisor Deciduous Dentition Posterior Crossbite 
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© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Department of Orthodontics and Facial Orthopedics, Faculty of Medicine and DentistryUniversity of BergenBergenNorway

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