scholarly journals Adequacy of molar distalization after second and third molar eruption- a case report

2018 ◽  
Vol 6 (2) ◽  
pp. 50
Author(s):  
Sarath Babu Balina ◽  
Durga Harsha G V ◽  
Padmapriya C V ◽  
Varma DPK ◽  
Goutham C V

Adult patients with class II malocclusion can be treated routinely by extraction therapy. In the recent decades there was increasing popularity towards non-extraction treatment. Distalization of maxillary molars is one of the prime treatment modality to correct mild to moderate class II malocclusion cases with esthetically acceptable profile. A 16 years old female patient reported with irregularly placed upper front teeth and was diagnosed as Angle’s Class II malocclusion with orthognathic maxilla and mandible, average growth pattern. Treatment was planned to distalize the entire maxillary arch using mini implants as skeletal anchorage. 4.0 mm of maxillary molars were distalized, class I molar and canine relation were achieved bilaterally within span of 10 months without altering the patient’s existing profile.  

2021 ◽  
Vol 2 (1) ◽  
pp. 14-19
Author(s):  
Ahmed K. Afify ◽  
Amr E. El-Dakroury ◽  
Sherif A. El-Kordy ◽  
Mostafa M. El-Dawlatly

Objective: The aim of the present randomized clinical study was to evaluate the distalization and intrusion effect of an Infra-zygomatic mini-screws supported appliance and compare it with high pull headgear appliance in treatment of growing patients with class II malocclusion. Methodology: 22 growing boys aged between (10 to 12 years) with class II div 1 malocclusion randomly divided to 2 equal groups. The first group treated with high pull headgear with acrylic splint and the second one treated with an Infra-zygomatic mini-screws supported appliance. The treatment duration was 8 months for both groups. Lateral cephalometric radiographs were taken before and after the treatment for each patient to be analyzed. Results: The maxillary first molar distalization was 2.58±2.31 mm in head gear group and 1.53±2.83 mm in mini-screws group. There was no significant maxillary first molar intrusion in both groups. There were no significant differences between the two groups. Conclusions: the mini-screws supported appliance can be used as the fixed replacement of the removable high pull headgear appliance with no need for patient cooperation.


2019 ◽  
Vol 9 (1) ◽  
pp. 15-18
Author(s):  
Bashu Dev Pant ◽  
Anjana Rajbhandari ◽  
Resina Pradhan ◽  
Manju Bajracharya

Introduction: Teeth eruption is important for the development of alveolar process which increases vertical height of the face and third molar is the last tooth to erupt in the oral cavity after birth. The aim of this study was to determine relationship between skeletal malocclusion and dental anomalies in Nepalese population. Materials & Method: A sample of 170 patients with agenesis of at least one third molar was divided into four groups according to the third-molar agenesis pattern. Panoramic radiographs, lateral cephalograph and cast models were used to determine the skeletal malocclusion and associated dental anomalies. The Pearson chi-square test was used for stastical analysis. Result: Among 170 patients more than half of the patients were female with the average age being 18.15 ± 3.64 years. Majority of the patients had Class I skeletal malocclusion followed by Class II and III but on group wise comparison of patients with different skeletal patterns Class I skeletal malocclusion had highest prevalence of dental anomalies followed by Class III and Class II malocclusion. Conclusion: Prevalence of third-molar agenesis was more in skeletal class I malocclusion followed by class II and III but skeletal Class I malocclusions had more dental anomalies followed by class III and class II malocclusion.


2020 ◽  
Vol 8 (1) ◽  
pp. 26
Author(s):  
Vincenzo Quinzi ◽  
Enrico Marchetti ◽  
Luigi Guerriero ◽  
Floriana Bosco ◽  
Giuseppe Marzo ◽  
...  

Dentoskeletal class II malocclusion due to a protruded upper dental arch is a major reason for an orthodontic treatment. In these cases, the correction of class II can be hindered by molar distalization, obtained with ‘no-compliance therapy’ that involves the use of appliances which minimize the need for such co-operation and attempt to maximize the predictability of results. The aim of this review was to outline the effectiveness of no-compliance fixed orthodontic devices in the molar distalization. After selection according to the inclusion/exclusion criteria, 16 articles from 2000 to 2019 were qualified for the final analysis. The literature shows various no-compliance fixed devices whose effect is to distalize the maxillary molars. The present revision allows to conclude that there is a need to increase the number of studies, especially with regard to the most recently introduced devices in the literature. The analysed studies allow to hypothesize that these appliances act with a minimal variability of molar distalization and disto-inclination among them, although different effects among the appliances can be observed as regards to the anchorage.


2012 ◽  
Vol 06 (03) ◽  
pp. 302-310 ◽  
Author(s):  
Mehmet Oguz Oztoprak ◽  
Didem Nalbantgil ◽  
Ayhan Uyanlar ◽  
Tulin Arun

ABSTRACTObjectives:The purpose of this clinical prospective study was to compare the dentofacial changes produced by the Sabbagh Universal Spring (SUS²) and Forsus FRD appliances in late adolescent patients with Class II malocclusion, and quantify them in comparison with an untreated group.Methods: The study was carried out on 59 patients with skeletal and dental Class II malocclusion due to retrognatic mandible. Among these, 20 were treated with SUS², 20 were treated with FRD, and no treatment was done to 19 subjects as the control group. 36 cephalometric landmarks were identified on each lateral cephalometric radiograph.Results:The effects of both appliances were dentoalveolar and no significant vertical and sagittal skeletal effect on maxilla and mandible was achieved. The retrusion and extrusion of the maxillary incisors as well as the protrusion and intrusion of mandibular incisors were found to be statistically significant in both treatment groups. Soft tissue profile improvement was limited in both treatment groups.Conclusions: Both appliances corrected Class II discrepancies through dentoalveolar changes; however lower incisor proclination was more prominent with the Forsus FRD. (Eur J Dent 2012;6:302- 310)


2020 ◽  
Vol 54 (3) ◽  
pp. 240-247
Author(s):  
Snigdha Pattanaik

PK, a 12-year-old female patient, was diagnosed with skeletal Class II due to retrognathic mandible, average growth pattern, Angle’s Class II, Division I malocclusion with Class II canine relation, mild upper anterior spacing, upper anterior proclination, uprighted lower anterior, lingually tipped 35, increased overjet and overbite, scissor bite Irt 24, 25, acute nasolabial angle, tongue thrust habit, incompetent lips, and lower lip trap. The nonextraction approach to orthodontic treatment was involved. The skeletal malocclusion was corrected using the twin-block appliance, followed by upper and lower pre-adjusted edgewise appliances (0.022 × 0.028 slot) with the MBT prescription.


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