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Indeed, clinicians may sometimes opt to perform maxillary protraction with or without expansion.
According to that study, maxillary protraction with palatal expansion has the potential to treat pediatric OSA patients.
(D) Maxillary protraction with facemask and elastics; anterior-caudally angulated force direction of 20° to 30° with respect to occlusal plane.
This forward and downward displacement of the nasomaxillary complex with maxillary protraction with expansion more closely approximates the natural growth direction of the maxilla [10].
A sample of 16 patients (10 males, 6 females, mean age of 9.5 ± 1.3 years) treated with RME with hybrid hyrax and maxillary protraction with facemask was evaluated.
Maxillary protraction with the novel N2 mini-implant and micro-implant-assisted rapid palatal expander (MARPE) can potentially provide significant skeletal effects without surgery, even in older patients where conventional facemask therapy has limited skeletal effects.
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A recent systematic review suggested that maxillary protraction anchored with a bone-anchorage device induces more maxillary advancement with minimal dental side effects when compared with tooth-anchored appliances [17].
Hence, biomechanically, maxillary protraction combined with maxillary expansion appears to be a superior treatment modality for maxillary retrognathia than maxillary protraction alone.
To date, no literature has been presented comparing the results of the Hybrid Hyrax bone-anchored protraction facemask with the tooth-borne protraction facemask treatment.
Hence, biomechanically, maxillary protraction combined with maxillary expansion appears to be a superior treatment modality for the treatment of maxillary retrognathia than maxillary protraction alone, in agreement with the present study.
An example would be decreased retraction, lower arch of swing phase in protraction combined with abduction and medial rotation.
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