Maxillary protraction after surgically assisted maxillary expansion

this case report describes the orthodontic treatment of a 32-year-old woman with a class iii malocclusion, whose chief compliant was her dentofacial esthetics. the pretreatment lateral cephalometric tracings showed the presence of a class iii dentoskeletal malocclusion with components of maxillary deficiency. after discussion with the patient, the treatment option included surgically assisted rapid maxillary expansion (sarme) followed by orthopedic protraction (sky hook) and class iii elastics. patient compliance was excellent and satisfactory dentofacial esthetics was achieved after treatment completion.