Do you use a maxillary protraction device and, if so, how do you diagnose the need for it? Ninety-six percent of the respondents reported that they used maxillary protraction appliances. Only two clinicians said they never used such devices. Diagnostic criteria centered around evidence of maxillary deficiency, determined by cephalometric analysis, clinical appraisal (as with anterior crossbites), or both. The cephalometric analyses most frequently mentioned were Steiner, Wits, and Downs.A pertinent comment was: "We consider three elements: the patient's profile, the cephalometric evaluation of the A-P skeletal relationships, and the A-P and transverse dental relationships."
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