MAXILLARY TRACTION WITH SKELETAL ANCHORAGE USING TITANIUM MINIPLATES AS A SUBSTITUTE FOR FACIAL MASK IN CLASS III TREATMENT - AN INTEGRATIVE LITERATURE REVIEW

Abstract

Until the advent of absolute anchorage with titanium plates, the interceptive treatment of skeletal Class III had ideally been conducted through maxillary traction using facial masks, which led to some resistance from specialists towards alternative methods. Therefore, the objective of this study was to conduct a literature review comparing the two treatment approaches, pointing out the advantages and disadvantages of each modality and considering the possibility of using skeletal anchorage devices with titanium miniplates to definitively replace facial mask therapy in Class III patients. The research was carried out using the search platforms PubMed/MEDLINE and SciELO under the eligibility criteria of the PRISMA-ScR strategy for qualitative analysis. Absolute anchorage does not use teeth for support, minimizing dentoalveolar compensations while promoting remarkable maxillary advancement. Therefore, it can be concluded that the possibility of achieving the necessary correction without extraoral devices is encouraging, justifying the search and organization of studies that demonstrate the acceptance and the real capacity to obtain good results with the new therapeutic modality.