Skeletal class III malocclusion is one of the most complex, with severe complications including deterioration of function and aesthetics. The aim of this paper is to report the versatility of skeletal anchorage (SA) during the treatment of a skeletal class III hyperdivergent patient with anterior crossbite with severe space discrepancy due to the mesial movement of the maxillary first permanent molar. The patient was 12.8 years old and in the late mixed dentition stage. Treatment began with bone-borne maxillary expansion with 4 palatal mini-screws. After expansion, a mandibular plate was inserted, and class III elastics were attached to the hooks incorporated in the maxillary expansion appliance. At the subsequent visit, a molar band was bonded on the first permanent molar on the left with a distalizing spring. Nine months later, all the permanent teeth erupted, and fixed orthodontic treatment was initiated.<\/p>\n","protected":false},"template":"","meta":{"_acf_changed":false},"categories":[3326],"tags":[3366,3368,3367,3365],"affiliation":[],"contributor":[3346,3344,3364,3345],"journalissue":[3324],"class_list":["post-24168","article","type-article","status-publish","hentry","category-ann-stomatol-2025-vol-51-january-april","tag-malocclusion","tag-maxillary-expansion","tag-skeletal-anchorage","tag-skeletal-class-iii","contributor-b-m-gravina","contributor-e-kongo","contributor-f-annarumma","contributor-g-m-gravina","journalissue-ann-stomatol-2025-vol-51-january-april"],"acf":[],"yoast_head":"\n