“Skeletal class iii malocclusion is an hourglass, once the child porn the clock begins to count down. Actually skeletal class iii malocclusion can be the cause of deviation in the skeleton, dental, and soft tissue development in children. Defining the etiology of malocclusion and dominant orthodontic problems as well as early detection the causes can help in future effective treatment, management, and public health planning. Unfortunately, Egypt has a good number of skeletal class 3 patients ranges from 7 to 12 % of total population, and this percentage consider high to some extent, This is due to lack of awareness and education and the doctor’s inability to diagnose and treat appropriately”