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Dentistry · Orthodontics and paediatric dentistry: maxillary protraction
Sample itemAn 8-year-old has a retrusive maxilla with an anterior crossbite and a skeletal Class III pattern from midface deficiency. Which appliance is most suitable?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Face mask for maxillary protraction
A facemask (reverse-pull headgear) applies a forward force on the maxilla, often combined with rapid expansion to loosen the circummaxillary sutures, and is most effective in young children with maxillary deficiency. Cervical headgear restrains the maxilla, which would worsen this pattern.
Option by option
A. Face mask for maxillary protraction (correct)
Correct. A facemask pulls the deficient maxilla forwards.
B. Chin cup used alone
A chin cup restrains the mandible, which is not the problem in midface deficiency.
C. Lower lip bumper
A lip bumper relieves lower lip pressure on the lower arch and does not move the maxilla.
D. Cervical pull headgear
Cervical headgear restricts maxillary growth and is used for Class II maxillary excess.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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