RESUMEN
The purpose of this case report is to introduce a custom made frontal high pull head gear for the management of vertical excess in cases with bimaxillary Hypoplasia. The need, technique and results of phase 1 treatment relating to orthpaedic effect of frontal high pull headgear is described. Conventional means include the use of high pull headgear during growth spurt, orthognathic surgery [for vertical dysplasia of skeletal origin] intrusion of upper buccal segments with titanium, mini screws or plates. Treating this condition during growth period is a problem with existing head gears. This article reports on two cases, treated with custom made frontal high pull headgear using three of 500g per side, for six months. Results showed a significant improvement in the vertical dimension. An added advantage was an acceptable advancement of the maxilla and mandible