Objective To assess the effect and mechanism of ClassⅢ malocclusions treatment with reverse Twin -block appliance.Methods Twenty subjects of ClassⅢ malocclusions were included in this study(10male,10 female).All patients were treated for all the day and for total of 4.5-11 months.The cephalometric re-cords of these subjects were examined before and after the treatments.The acquired data were processed with SPSS 10.0.Results①the reverse Twin-block could accel-erate the development of the maxillary bone .② the Mandibular showed a rotation of after the downward direction .③mandible teeth occurring compensatory move on . Conclusion Reverse Twin-block appliance could treat effectively angle classⅢ malocclusions.Patients had a significant improve in side of the form ,while the occur-rence of compensatory tooths movement .