scholarly journals Dentoskeletal Class II Malocclusion: Maxillary Molar Distalization with No-Compliance Fixed Orthodontic Equipment

2020 ◽  
Vol 8 (1) ◽  
pp. 26
Author(s):  
Vincenzo Quinzi ◽  
Enrico Marchetti ◽  
Luigi Guerriero ◽  
Floriana Bosco ◽  
Giuseppe Marzo ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Final Analysis ◽  
Class Ii ◽  
Dental Arch ◽  
Class Ii Malocclusion ◽  
Exclusion Criteria ◽  
Molar Distalization ◽  
Maxillary Molars ◽  
Maxillary Molar ◽  
Orthodontic Devices

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.

scholarly journals Class II Division 1 malocclusion treatment using TADs: Case report

2020 ◽  
Vol 67 (3) ◽  
pp. 159-164
Author(s):  
Tina Pajevic ◽  
Jovana Juloski ◽  
Marija Zivkovic
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Dental Arch ◽  
Class Ii Malocclusion ◽  
Posterior Teeth ◽  
Temporary Anchorage Devices ◽  
Division 1 ◽  
Incisor Retraction ◽  
Class Ii Division 1

Introduction. Orthodontic treatment of Class II Division 1 (II/1) malocclusions in adults can be challenging since skeletal effects are limited. Possible treatment options are orthodontic camouflage or orthognatic surgery, in severe cases. The aim of this paper was to present a successful management of Class II malocclusion in an adult patient using temporary anchorage devices (TADs). Case report. After detailed clinical examination, study models and cephalometric analysis, a 26 years old patient was diagnosed with Class II malocclusion, an overjet of 12 mm, congenitally missing tooth 41 and midline shifted to the right in upper dental arch. In prior orthodontic treatment, patient had upper premolars extracted. Posterior teeth in upper left quadrant were shifted mesially. The camouflage treatment was considered, using temporary anchorage devices (TADs) to distalize posterior teeth on the left side, and gain space for incisor retraction and midline correction in upper dental arch. Results. Using TADs as additional anchorage in anterior region and coil spring for molar distalization, the space was made for tooth 23, midline correction and incisor retraction. After 40 months, a satisfactory result was achieved, overjet and midline correction, class I canines occlusion and class II molar occlusion. Conclusion. Class II/1 malocclusion in adults can be successfully treated using TADs. The success depends on the severity of malocclusion and patient cooperation.

scholarly journals Maxillary molar distalization with MGBM-system in class II malocclusion

2013 ◽  
Vol 2 (3) ◽  
pp. 101 ◽  
Author(s):  
Alberto Caprioglio ◽  
Giuliano Maino ◽  
Giovanna Maino ◽  
Lisa Mariani ◽  
Ida Bozzo
Keyword(s):  
Class Ii ◽  
Class Ii Malocclusion ◽  
Molar Distalization ◽  
Maxillary Molar

scholarly journals Intraoral Maxillary Molar Distalization

2006 ◽  
Vol 76 (6) ◽  
pp. 923-929 ◽  
Author(s):  
Ingela Karlsson ◽  
Lars Bondemark
Keyword(s):  
Sample Size ◽  
Orthodontic Treatment ◽  
Treatment Time ◽  
Sample Size Calculation ◽  
Movement Rate ◽  
Molar Distalization ◽  
Maxillary Molars ◽  
Maxillary Molar ◽  
The Mean ◽  
Anchorage Loss

Abstract Objective: To evaluate the maxillary molar distalization and anchorage loss in two groups, one before (MD 1 group) and one after (MD 2 group) eruption of second maxillary molars. Materials and Methods: After a sample size calculation, 20 patients were recruited for each group from patients who fulfilled the following criteria: no orthodontic treatment before distal molar movement, Class II molar relationship defined by at least end-to-end molar relationship, space deficiency in the maxilla, and use of an intra-arch NiTi coil appliance with a Nance appliance to provide anchorage. Patients in the MD 1 group were without any erupted second molars during the distalization period, whereas in the MD 2 group both the first and second molars were in occlusion at start of treatment. The main outcome measures to be assessed were: treatment time, ie, time in months to achieve a normal molar relation, distal movement of maxillary first molars, and anterior movement of maxillary incisors (anchorage loss). The mean age in the MD 1 group was 11.4 years; in the MD 2 group, 14.6 years. Results: The amount of distal movement of the first molars was significantly greater (P < .01) and the anchorage loss was significantly lower (P < .01) in the group with no second molars erupted. The molar distalization time was also significantly shorter (P < .001) in this group, and thus the movement rate was two times higher. Conclusions: It is more effective to distalize the first maxillary molars before the second molars have erupted.

scholarly journals Skeletal and dental effects of molar distalization using a modified palatal anchorage plate in adolescents

2014 ◽  
Vol 85 (4) ◽  
pp. 657-664 ◽  
Author(s):  
Noor Laith Sa'aed ◽  
Chong Ook Park ◽  
Mohamed Bayome ◽  
Jae Hyun Park ◽  
YoonJi Kim ◽  
...  
Keyword(s):  
Treatment Duration ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Treatment Results ◽  
Molar Distalization ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Main Effect ◽  
Skeletal Effects

ABSTRACT Objective:  To evaluate and compare skeletal effects and the amount of molar distalization in maxilla using modified palatal anchorage plate (MPAP) vs headgear appliances in adolescent patients. Materials and Methods:  Pre- and posttreatment lateral cephalograms of 45 Class II malocclusion patients were analyzed; 24 were treated with MPAP appliances (age, 12.4 years) and 21 with headgear (age, 12.1 years). Fixed orthodontic treatment started with the distalization process in both groups. Thirty-two variables were measured and compared between both groups using multivariate analysis of covariates. Results:  There was no significant main effect of the appliance type on the treatment results (P  =  .063). Also, there was no significant main effect of the appliance type on both pre- and posttreatment comparisons (P  =  .0198 and .135, respectively). The MPAP and headgear groups showed significant distalization of maxillary first molars (3.06 ± 0.54 mm and 1.8 ± 0.58 mm, respectively; P < .001). Sagittal skeletal maxillomandibular differences were improved after treatment (P < .001), with no significant differences between the two groups. No significant difference in treatment duration was found between the groups. Conclusions:  The MPAP showed a significant skeletal effect on the maxilla. Both MPAP and headgear resulted in distalization of maxillary first molars. Therefore, it is recommended that clinicians consider the application of MPAP, especially in noncompliant Class II patients.

scholarly journals Maxillary Molar Distalization with Noncompliance Intramaxillary Appliances in Class II Malocclusion

2008 ◽  
Vol 78 (6) ◽  
pp. 1133-1140 ◽  
Author(s):  
Gregory Stylianos Antonarakis ◽  
Stavros Kiliaridis
Keyword(s):  
Clinical Studies ◽  
Literature Search ◽  
Class Ii ◽  
Published Data ◽  
Class Ii Malocclusion ◽  
Inclusion Criteria ◽  
Molar Distalization ◽  
Vertical Movements ◽  
Maxillary Molar

Abstract Objective: To use published data to evaluate quantitatively the dental effects of noncompliance intramaxillary appliances in individuals with Class II malocclusion. Materials and Methods: A literature search was carried out identifing 13 prospective or retrospective clinical studies matching inclusion criteria. Only appliances with conventional anchorage designs were considered for the review. The data provided in these publications were grouped and analyzed in terms of molar distalization, tipping and vertical movements, and incisor and premolar mesialization, tipping, and vertical movements. Results: Maxillary first molars showed distal crown movement and tipping greater than the mesial crown movement and tipping shown by incisors and premolars. Vertical movements of incisors and premolars were in general extrusive, but molars were intrusive or extrusive, depending on the study and the type of appliance used. Appliances that acted palatally seemed to display a smaller distal tipping movement, as well as smaller incisor and premolar mesial tipping movements, when compared with those that acted buccally. Friction-free appliances, namely the pendulum, produced a large amount of mesiodistal movement and tipping, if no therapeutic uprighting activation was applied. Conclusions: Noncompliance intramaxillary molar distalization appliances all act by distalizing molars with a concomitant and unavoidable loss of anchorage, as revealed by incisor and premolar mesial movement. Buccal acting and palatal acting appliances demonstrate almost similar results, with palatal acting appliances showing less tipping. Friction-free palatal acting appliances appear to produce better molar distalizing effects, but with a concomitant notable loss of anchorage.

scholarly journals Distal Driving of Molar by Smart Distal-propeller Appliance

2018 ◽  
Vol 8 ◽  
pp. 51-53
Author(s):  
U. H. Vijayashree ◽  
Siddharth Shashidhar Revankar ◽  
Preema Pinto
Keyword(s):  
Class Ii ◽  
Class Ii Malocclusion ◽  
Molar Distalization ◽  
Popular Method ◽  
Maxillary Molar

In recent years, maxillary molar distalization with noncompliance mechanics has been an increasingly popular method for the resolution of Class II malocclusion. This communication describes one particular molar distalizing appliance, the Smart distal-propeller appliance which is simple, inexpensive, easily fabricated that can be used for unilateral or bilateral molar distalization.

Sign in / Sign up

Export Citation Format

Share Document