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.