Dr. Carlo Bosoni

Orthopedic protraction plays a crucial role in the early intervention of skeletal Class III malocclusion, particularly in growing patients with maxillary deficiency. Facemask therapy has been extensively proposed to correct anteroposterior discrepancies, utilizing standardized appliances and force vectors. Although effective, these conventional approaches are associated with limitations, including size and adaptability, dental effects, and challenges related to patient compliance and long-term acceptance.

The advent of digital technologies has introduced significant advancements in the individualization of orthopedic treatment modalities. Innovations such as 3D photography and face scanning, CAD/CAM design, and virtual planning now facilitate the fabrication of customized facemask appliances tailored to the patient’s facial anatomy. These advancements contribute to improved comfort, treatment acceptance, and clinical efficiency.

To overcome facemask limitations the Miniscrew Anchored Maxillary Protraction (MAMP) protocol was proposed, and it integrates skeletal anchorage for maxillary advancement with mandibular control, thereby minimizing undesirable dentoalveolar compensatory effects.

Aim of this lecture is to illustrate the latest scientific evidence, clinical rationale, digital workflow, and therapeutic outcomes of customized facemask therapy and the MAMP protocol, highlighting their advantages over conventional approaches in early Class III treatment.