Sagittal correction of adolescent patients with modified palatal anchorage plate appliances

• Modified palatal anchorage plate appliance (MPAP) was used for correction of sagittal discrepancies in noncompliant patients.
• MPAP produced dental and skeletal changes in the maxilla.
• Both distalization and protraction of the total dental arch were achieved.
• The treatment was achieved through bodily movement of the maxillary molars.

The palate has been reported to be a suitable skeletal anchorage site in adolescents and adults. This article introduces new treatment modalities for correction of sagittal discrepancies by molar protraction and distalization with a modified palatal anchorage plate appliance. The effectiveness and versatility of this method are demonstrated in 2 adolescent patients.