TY - JOUR UR - https://doi.org/10.4103/2321-1407.190741 DO - 10.4103/2321-1407.190741 TI - Management of skeletal Class III malocclusion with reverse pull headgear in a growing individual AU - Afzal,Ambreen AU - Sakrani,Hasnain AU - Mahmood,Norisha Ehsan AU - Mehershahi,Kamellia AU - Burney,Fatima AB - Skeletal Class III malocclusion is considered to be one of the most difficult orthodontic problems to treat. This malocclusion is associated with the retrognathic maxilla or prognathic mandible or sometimes a combination of both. The treatment of such cases requires an integrated approach and a comprehensive treatment plan including growth modification, dental camouflage, or orthognathic surgery. In a growing patient, orthopedic correction of skeletal Class III malocclusion with the help of a reverse pull headgear is crucial as it can reduce the chances of further surgical treatment to correct the skeletal discrepancy. This case report describes the management of skeletal Class III malocclusion in a 12-year-old female child with a retrognathic maxilla. The patient did not have any other genetic abnormality or significant known comorbidity. The treatment plan involved fixed orthodontic appliance therapy in combination with a reverse pull headgear for an orthopedic effect. This treatment was continued for 3 years, and well-aligned dental arches with a positive over jet were achieved at the conclusion of treatment. Using facemask therapy in conjunction with fixed orthodontic appliances has been a successful treatment option in growing children. Treatment should be carried out as early as possible to correct the skeletal discrepancy nonsurgically and achieve better results. VL - 6 T2 - APOS Trends in Orthodontics JO - APOS Trends in Orthodontics J2 - APOS Trends in Orthodontics SN - 2321-4600 SN - 2321-1407 ER -