Wear-time recording during early Class III facemask treatment using TheraMon chip technology

•Compliance is an important element in achieving successful treatment outcomes.•Microelectronic recording devices can provide data on compliance.•A TheraMon sensor was integrated into a facemask worn by a 9-year-old boy.•Use of a sensor allows the treatment to be calibrated to the compliance.

Successful intervention in a developing Class III malocclusion with facemask protraction therapy depends on a patient's ability to adhere to the recommendations for duration of appliance wear. In this article, we report the introduction of a novel approach for tracking of the duration of application of a protraction facemask, with the incorporation of a “FaceMon” sensor (TheraMon, microelectronic system; MC Technology GmbH, Hargelsberg, Austria) to track wear time. A 9-year-old boy with a Class III malocclusion was successfully treated with a modified alternate rapid maxillary expansion and constriction protocol and intermittent application of a hybrid hyrax-protraction facemask combination. The average duration of wear of the facemask was measured at 10.8 hours per day. The use of an objective measuring device may have implications for the development of treatment strategies, since patient responses may be able to calibrated in relation to compliance.