**7.3. Summary of treatment sequencing for mixed dentition stage**

Evaluation CBCT–maxillary expansion and/or ortho-tooth movement–fistula closure and alveolar graft–maxillary protraction if needed.

Maxillary protraction protocol: 350–450 gram per side protraction force is adequate 14–15 hours a day for 6–12 months. MP can be started 4–6 weeks after SABG.

Part of this force should be transmitted as intermittent force to the maxillary anterior teeth through oral appliances such as an arch wire and/or lingual arch.
