The elastics create the force that will tend to move the upper jaw forward and the lower jaw downward and backward with treatment. The following sequence of study that supports substantial maxillary advancement with RPE treatment. However, many orthodontists still believe that RPE combined with face mask The purpose of this study was to evaluate the skeletal and dentoalveolar effects of facemask therapy and to compare the anchorage of a bonded expander in View PDF. American Journal of Orthodontics and Dentofacial Orthopedics Early class III facemask treatment with the hybrid hyrax and Alt-RAMEC protocol. Treatment success in this kind of cases depends largely on the age of the patient since if not treated timely, the only alternative is a surgical-orthodontic