The profile enhancer (reverse-pull headgear).

The purpose of this article is to re-acquaint the reader with the etiology of Class III malocclusions, review the use of the Reverse-Pull Headgear (Profile Enhancer) in Class III patients, understand the limitations in older patients, and provide alternative treatment to finish the case. Often orthodontic treatment of certain patients requires combinations of extra-oral as well as intra-oral appliances. The patient presented in this article was beyond the ideal envelope of skeletal changes with this appliance, however, as an alternative to surgical intervention the results were pleasing.