Miniscrews Anchorage for Distalization of Maxillary Molars

2021 ◽  
pp. 128-133
Author(s):  
A. Houb-Dine ◽  
F. Zaoui
Keyword(s):  
Maxillary Molars

scholarly journals Comparison of one versus two maxillary molars distalization with iPanda: a finite element analysis

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Kamontip Sujaritwanid ◽  
Boonsiva Suzuki ◽  
Eduardo Yugo Suzuki
Keyword(s):  
Finite Element ◽  
Stress Distribution ◽  
Alveolar Bone ◽  
Vertical Direction ◽  
Minimal Amount ◽  
Element Analysis ◽  
Molar Distalization ◽  
Second Molar ◽  
Maxillary Molars ◽  
Displacement Patterns

Abstract Background The purpose of this study was to compare the stress distribution and displacement patterns of the one versus two maxillary molars distalization with iPanda and to evaluate the biomechanical effect of distalization on the iPanda using the finite element method. Methods The finite element models of a maxillary arch with complete dentition, periodontal ligament, palatal and alveolar bone, and an iPanda connected to a pair of midpalatal miniscrews were created. Two models were created to simulate maxillary molar distalization. In the first model, the iPanda was connected to the second molar to simulate a single molar distalization. In the second model, the iPanda was connected to the first molar to simulate “en-masse” first and second molar distalization. A varying force from 50 to 200 g was applied. The stress distribution and displacement patterns were analyzed. Results For one molar, the stress was concentrated at the furcation and along the distal surface in all roots with a large amount of distalization and distobuccal crown tipping. For two molars, the stress in the first molar was 10 times higher than in the second molar with a great tendency for buccal tipping and a minimal amount of distalization. Moreover, the stress concentration on the distal miniscrew was six times higher than in the mesial miniscrew with an extrusive and intrusive vector, respectively. Conclusions Individual molar distalization provides the most effective stress distribution and displacement patterns with reduced force levels. In contrast, the en-masse distalization of two molars results in increased force levels with undesirable effects in the transverse and vertical direction.

scholarly journals Efficiency of the skeletonized Pendulum K appliance for non-compliance maxillary molar distalization

2021 ◽  
Author(s):  
Gero Stefan Michael Kinzinger ◽  
Jan Hourfar ◽  
Jörg Alexander Lisson
Keyword(s):  
Side Effects ◽  
Lower Percentage ◽  
Molar Distalization ◽  
Maxillary Molars ◽  
Maxillary Molar ◽  
Force Moment ◽  
Maxillary Premolars ◽  
Anchorage Loss ◽  
Upper Molar

Abstract Purpose Conventional anchorage with exclusively intraorally anchored appliances for non-compliance molar distalization combines a palatal acrylic button with periodontal anchorage. This type of anchorage is critically discussed because of the temporary hygienic impairment of the palate and the uncertain anchoring quality of the button. A purely dentally/periodontally anchored Pendulum K appliance was developed, which is exclusively anchored via four occlusal rests. The aims of this pilot study were to examine the suitability of the skeletonized Pendulum K for distalization of maxillary molars, and to investigate the quality of this alternative anchoring modality. Patients and methods In all, 10 patients received skeletonized Pendulum K appliances attached to all maxillary premolars for bilateral molar distalization. Supporting anchorage through an acrylic button adjacent to the anterior palate was not used. The pendulum springs were initially activated on both sides with a distalization force of 220 cN each and provided with uprighting and toe-in bends. The specific force/moment system was regularly reactivated intraorally by adjustment of the distal screw. Results The study demonstrates the suitability of the skeletonized Pendulum K appliance for the distalization of maxillary molars (3.28 ± 0.73 mm). Side effects on the molars were slight distal tipping (3.50 ± 2.51°/PP, 3.00 ± 1.41°/SN) and mesial inward rotation (average 2.75 ± 7.50° and 4.50 ± 12.77°). Significant anchorage loss occurred in the form of mesialization of the incisors by 1.40 ± 0.82 mm and of the first premolars by 2.28 ± 0.85 mm. Conclusion The skeletonized Pendulum K appliance allows compliance-free upper molar distalization. Exclusively dental/periodontal anchorage resulted in a lower percentage of molar distalization compared to a conventional anchoring preparation of the Pendulum K with a palatal acrylic button. Anchorage loss had a comparatively stronger effect on the anchoring premolars but less on the incisors. Typical side effects on the molars such as distal tipping and mesial inward rotation were remarkably low.

scholarly journals Long-Term Comparison of Survival and Marginal Bone of Implants with and without Sinus Augmentation in Maxillary Molars within the Same Patients: A 5.8- to 22-Year Retrospective Study

2021 ◽  
Vol 10 (7) ◽  
pp. 1360
Author(s):  
Won-Bae Park ◽  
Ji-Young Han ◽  
Kyung Lhi Kang
Keyword(s):  
Statistical Significance ◽  
Frailty Model ◽  
Implant Failure ◽  
Implant Survival ◽  
Marginal Bone Loss ◽  
Related Factors ◽  
Sinus Augmentation ◽  
Maxillary Molars ◽  
Posterior Maxilla

Maxillary sinus floor augmentation (MSFA) is widely used and considered a predictable procedure for implant placement. However, the influence of MSFA on implant survival and marginal bone loss (MBL) is still inconclusive. The purpose of this retrospective observational study is to evaluate the long-term genuine influence of MSFA on the survival and MBL of implants by comparing those with and without MSFA only in maxillary molars within the same patients. Thirty-eight patients (28 male and 10 female), with a total of 119 implants, received implants with and without MSFA, and were followed up for 5.8 to 22 years. Patient- and implant-related factors were assessed with a frailty model for implant survival and with generalized estimation equations (GEE) for MBL around the implant. No variables showed a statistical significance for implant failure in the frailty model. In GEE analysis for MBL, MSFA did not show any statistical significance. In conclusion, MSFA demonstrated no significant influence on implant failure and MBL in posterior maxilla in this study.

Radix mesiolingualis and radix distolingualis in a collection of permanent maxillary molars

2000 ◽  
Vol 58 (5) ◽  
pp. 229-236 ◽  
Author(s):  
Ole Carlsen, Verner Alexandersen
Keyword(s):  
Maxillary Molars

scholarly journals Dental Sealant Composition-Retention Assessment in Young Permanent Molars

Materials ◽  
2021 ◽  
Vol 14 (7) ◽  
pp. 1646
Author(s):  
Alexandrina Muntean ◽  
Codruta Sarosi ◽  
Sorina Sava ◽  
Marioara Moldovan ◽  
Andrei Ilie Condurache ◽  
...  
Keyword(s):  
Preventive Measures ◽  
Public Health Problem ◽  
Tooth Decay ◽  
Permanent Molar ◽  
Maxillary Molars ◽  
Dental Sealants ◽  
Dental Sealant ◽  
Permanent Molars ◽  
First Time ◽  
First Permanent Molars

Tooth decay in children and adolescents remains a public health problem, despite prophylaxis and preventive measures being largely available. The aim of our study was to evaluate the clinical behavior of four dental sealants, related to first permanent molar topography and patient age (when sealant was applied for the first time). We assessed, by means of visual inspection and palpation with a dental probe, a group of 200 children, enrolled corresponding to school age-grade (mean age of 7 years at baseline) and randomly divided according to the material used as dental sealant (Admira seal©, Embrace Wet Bond©, Fotoseal©, GC Fuji Triaje©) in 4 groups (n = 50). Sealant clinical evaluation was made at 6-, 12-, 18-month intervals for dental material retention assessment. At 6 months, the sealant detached the most from 3.6 molars, and the material used was Fotoseal© (27.6%). At 12 months, Fotoseal© (48.3%) and GC Fuji Triaje© (41.4%) from 3.6 molars express detachment. At 18 months, 4.6. molars sealed with Admira Seal© (25.7%) and Embrace Wet Bond© (28.6%) lost the sealant. We noticed less detachment in maxillary molars and if sealant was applied around 7 years of age. In conclusion, sealant application on first permanent molars must be encouraged and practitioners can choose between various materials available.

scholarly journals Dentoskeletal Effects and “Effective” Temporomandibular Joint, Maxilla and Chin Changes in Good and Bad Responders to van Beek Activator Treatment

2007 ◽  
Vol 77 (1) ◽  
pp. 64-72 ◽  
Author(s):  
Sabine Ruf ◽  
Margareta Bendeus ◽  
Hans Pancherz ◽  
Urban Hägg
Keyword(s):  
Temporomandibular Joint ◽  
Class Ii ◽  
Good Responder ◽  
Skeletal Changes ◽  
Maxillary Molars ◽  
Division 1 ◽  
The Subject ◽  
Subject Material ◽  
Lateral Head ◽  
Lower Incisors

Abstract Objective: To assess possible differences in dentoskeletal effects and “effective” temporomandibular joint, maxilla, and chin changes between good and bad responders to van Beek activator treatment. Materials and Methods: The subject material consisted of 20 consecutive normodivergent male Class II division 1 patients treated with a van Beek activator. Because of insufficient cooperation, four patients were excluded. Lateral head films were taken 6 months before treatment, at start of treatment, and after 12 months of treatment. The patients were placed into a good responder group (successful, n = 8) and a bad responder group (unsuccessful, n = 8). An overjet reduction ≥4 mm was considered successful. Results: During the van Beek treatment period, the good responders showed a significantly larger improvement in overjet and molar relationship than did the bad responders. The good responders exhibited a significant posterior development of condylion, less anterior mandibular autorotation, retrusion of upper incisors, protrusion of lower incisors, distalization of maxillary molars, and a mesial movement of mandibular molars. No significant dental movements were seen in the bad responders. Conclusions: Although van Beek activator treatment affected the direction of condylar growth, as well as the direction of maxilla and chin changes, it can be concluded that skeletal changes did not contribute to the Class II correction. Instead, overjet reduction during van Beek activator treatment was found to be due to a favorable dental reaction.

Sexual dimorphism of cusp dimensions in human maxillary molars

2005 ◽  
Vol 128 (4) ◽  
pp. 870-877 ◽  
Author(s):  
Shintaro Kondo ◽  
Grant C. Townsend ◽  
Hiroyuki Yamada
Keyword(s):  
Sexual Dimorphism ◽  
Maxillary Molars

Clinical Evaluation of a Direct Method for the Intrusion of Supraerupted Maxillary Molars: A Preliminary Study

2015 ◽  
Vol 28 (6) ◽  
pp. 610-611 ◽  
Author(s):  
Célia Pinzan-Vercelino ◽  
Júlio Gurgel ◽  
Kellyne Carvalho ◽  
Carollyne Tiago ◽  
Arnaldo Pinzan
Keyword(s):  
Clinical Evaluation ◽  
Direct Method ◽  
Maxillary Molars ◽  
Preliminary Study ◽  
A Direct Method

Contours of maxillary molars studied in Australian Aboriginals

1988 ◽  
Vol 76 (3) ◽  
pp. 399-407 ◽  
Author(s):  
Hiroyuki Yamada ◽  
Tasman Brown
Keyword(s):  
Maxillary Molars
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