Alternate rapid maxillary expansion and constriction (Alt-Ramec) — A review

Authors : Sanjana Shetty, Sanjana Shetty, Shilpa Pharande, Shilpa Pharande, Naazia Shaikh, Naazia Shaikh

DOI : 10.18231/j.jsas.2021.009

Volume : 3

Issue : 2

Year : 2021

Page No : 30-33

Treating Class III malocclusion is a challenge for orthodontists. It is best to treat it at growing stage with Dentofacial Orthopedics. Alt-RAMEC protocol was introduced by Liou in the year 2005. It allows for sutural mobilisation by opening and closing the RME screw for 7-9 weeks. Maxillary protraction after the use of Alt-Ramec protocol is an efficient method for early treatment skeletal Class III malocclusion. The objective of this review is to explain to the clinicians a modified and efficient method for treatment of skeletal Class III malocclusion in growing patients.


Keywords: Alt­ Ramec, RME, Facemask


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