“…[13][14][15] Recently, the use of the modified C-palatal plate (MCPP) for maxillary arch distalization was reported for Class II corrections in both adolescents and adults. 1,[16][17][18][19][20][21] The MCPP is a distalization appliance with a large range of action that can be easily placed without raising a flap. It also has been shown to have the capability of vertical control during distalization.…”
Comparing the treatment effects between MCPP appliances and buccal miniscrews, the MCPP appliances showed greater distalization and intrusion with less distal tipping of the first molar and less extrusion of the incisor compared to the buccal miniscrews.
“…[13][14][15] Recently, the use of the modified C-palatal plate (MCPP) for maxillary arch distalization was reported for Class II corrections in both adolescents and adults. 1,[16][17][18][19][20][21] The MCPP is a distalization appliance with a large range of action that can be easily placed without raising a flap. It also has been shown to have the capability of vertical control during distalization.…”
Comparing the treatment effects between MCPP appliances and buccal miniscrews, the MCPP appliances showed greater distalization and intrusion with less distal tipping of the first molar and less extrusion of the incisor compared to the buccal miniscrews.
“…In our study, the fixed orthodontic appliance was placed on the teeth with the MPAP, since it was introduced in previous studies as a whole treatment entity. 18 19 35 36 37 Meanwhile, the headgear and the pendulum were applied without braces, because although several authors placed headgear and brackets simultaneously, 38 39 others placed the braces after the end of that headgear phase. 40 41 42 Moreover, several authors applied pendulums separately, and then followed with fixed orthodontic appliances.…”
ObjectiveThis study aimed to (1) evaluate the effects of maxillary second and third molar eruption status on the distalization of first molars with a modified palatal anchorage plate (MPAP), and (2) compare the results to the outcomes of the use of a pendulum and that of a headgear using three-dimensional finite element analysis.MethodsThree eruption stages were established: an erupting second molar at the cervical one-third of the first molar root (Stage 1), a fully erupted second molar (Stage 2), and an erupting third molar at the cervical one-third of the second molar root (Stage 3). Retraction forces were applied via three anchorage appliance models: an MPAP with bracket and archwire, a bone-anchored pendulum appliance, and cervical-pull headgear.ResultsAn MPAP showed greater root movement of the first molar than crown movement, and this was more noticeable in Stages 2 and 3. With the other devices, the first molar showed distal tipping. Transversely, the first molar had mesial-out rotation with headgear and mesial-in rotation with the other devices. Vertically, the first molar was intruded with an MPAP, and extruded with the other appliances.ConclusionsThe second molar eruption stage had an effect on molar distalization, but the third molar follicle had no effect. The application of an MPAP may be an effective treatment option for maxillary molar distalization.
“…The amount of available bone in the lower incisor region must be considered when planning large anteroposterior dental movements [8], such as in cases with premolar extractions [9, 10], distalization using temporary anchorage devices [11], or execution of compensatory orthodontic treatment with large compensation [3, 12]. Care must be taken to avoid problems that affect periodontal support and protection, such as dehiscence, bone fenestration, and gingival recession [3, 5, 9, 10].…”
Section: Introductionmentioning
confidence: 99%
“…Care must be taken to avoid problems that affect periodontal support and protection, such as dehiscence, bone fenestration, and gingival recession [3, 5, 9, 10]. …”
The amount of available bone in the lower incisor region is critical for periodontal preservation when planning large anteroposterior dental movements. The aims of this study were to evaluate bone limits of the lower incisors in the mandibular symphysis and to verify whether they are influenced by facial growth patterns, lower incisor inclinations, skeletal anteroposterior relationships, or patient age. Tomographic images of 40 orthodontically untreated patients were evaluated and measurements of width and height of the mandibular symphysis, thickness on the lingual and labial sides of the alveolar bone, and thickness of the entire alveolar bone were performed in sagittal view. The following cephalometric measurements were also evaluated: growth pattern (FHI), lower incisor inclination (IMPA), and skeletal anteroposterior relationships (AO-BO). Pearson's correlation test was used to assess associations among bone measurements, cephalometric measurements, and patients' ages. Weak to moderate positive correlations between FHI and bone measurements on the labial side of the incisors and total alveolar width were found. The height of the symphysis had a moderate negative correlation with FHI. It was concluded that patient age, FHI, and IMPA influenced bone limits of the lower incisors in the mandibular symphysis, while AO-BO had no influence.
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