Distalization of the mandibular dentition with a ramal plate for skeletal Class III malocclusion correction

• A ramal plate was placed in the retromolar fossa to distalize the mandibular dentition.
• Procedures and placement site of the ramal plate are described in this report.
• Force vectors and the implemented mechanics are described.
• A ramal plate can provide arch distalization for nonextraction, nonsurgical patients.

The retromolar fossa is an anatomically suitable skeletal anchorage site. The aim of this report was to introduce a novel appliance for the correction of skeletal Class III malocclusions with mandibular dentition distalization. The placement site and the procedure of the ramal plate are described. The resulting force vectors are parallel to the functional occlusal plane leading to efficient molar distalization. This approach is demonstrated with 2 adult patients who refused a surgical treatment option. This ramal plate may be indicated for total arch distalization for nonextraction and nonsurgical cases.