True intrusion of maxillary first molars with zygomatic and palatal miniscrew anchorage: a case report

The intrusion of the maxillary first molar is indicated when occlusal clearance is needed for prosthetic rehabilitation. Maxillary molar intrusion may be undertaken using skeletal anchorage systems to avoid complicated mechanics delivered by conventional intra-oral fixed appliances. In the present c...

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Main Authors: Tripathi Tulika, Kalra Shilpa, Rai Priyank, Faraz Farrukh, Singh Navneet
Format: Article
Language:English
Published: Sciendo 2016-01-01
Series:Australasian Orthodontic Journal
Online Access:https://doi.org/10.21307/aoj-2020-133
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author Tripathi Tulika
Kalra Shilpa
Rai Priyank
Faraz Farrukh
Singh Navneet
author_facet Tripathi Tulika
Kalra Shilpa
Rai Priyank
Faraz Farrukh
Singh Navneet
author_sort Tripathi Tulika
collection DOAJ
description The intrusion of the maxillary first molar is indicated when occlusal clearance is needed for prosthetic rehabilitation. Maxillary molar intrusion may be undertaken using skeletal anchorage systems to avoid complicated mechanics delivered by conventional intra-oral fixed appliances. In the present case report, the efficient use of orthodontic miniscrew anchorage by applying simple mechanics for true maxillary first molar intrusion is described. This was followed by the rehabilitation of the mandibular first molar spaces with implant prostheses. A 16-year-old female patient had masticatory difficulty due to the bilateral overeruption of the maxillary first molars and carious mandibular first molars. True intrusion of each maxillary first molar was achieved using zygomatic and palatal paramedian miniscrews placed in line with the central axis of the teeth. Simultaneously, alignment of the upper arch was achieved via fixed appliance therapy. Using two orthodontic miniscrews to intrude each maxillary molar, orthodontic treatment was simplified by eliminating the need for miniplate placement by extensive surgery and the creation of intra-oral multiunit anchorage. Masticatory efficiency was improved by increasing the occlusal table with prosthetic rehabilitation of the mandibular first molar spaces with dental implant prostheses.
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spelling doaj.art-1baebd410f1c47f99edc36cb55ba834b2022-12-22T01:33:24ZengSciendoAustralasian Orthodontic Journal2207-74802016-01-0132223324010.21307/aoj-2020-133True intrusion of maxillary first molars with zygomatic and palatal miniscrew anchorage: a case reportTripathi Tulika0Kalra Shilpa1Rai Priyank2Faraz Farrukh3Singh Navneet4*Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, New Delhi, India*Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, New Delhi, India*Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, New Delhi, India†Department of Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India*Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, New Delhi, IndiaThe intrusion of the maxillary first molar is indicated when occlusal clearance is needed for prosthetic rehabilitation. Maxillary molar intrusion may be undertaken using skeletal anchorage systems to avoid complicated mechanics delivered by conventional intra-oral fixed appliances. In the present case report, the efficient use of orthodontic miniscrew anchorage by applying simple mechanics for true maxillary first molar intrusion is described. This was followed by the rehabilitation of the mandibular first molar spaces with implant prostheses. A 16-year-old female patient had masticatory difficulty due to the bilateral overeruption of the maxillary first molars and carious mandibular first molars. True intrusion of each maxillary first molar was achieved using zygomatic and palatal paramedian miniscrews placed in line with the central axis of the teeth. Simultaneously, alignment of the upper arch was achieved via fixed appliance therapy. Using two orthodontic miniscrews to intrude each maxillary molar, orthodontic treatment was simplified by eliminating the need for miniplate placement by extensive surgery and the creation of intra-oral multiunit anchorage. Masticatory efficiency was improved by increasing the occlusal table with prosthetic rehabilitation of the mandibular first molar spaces with dental implant prostheses.https://doi.org/10.21307/aoj-2020-133
spellingShingle Tripathi Tulika
Kalra Shilpa
Rai Priyank
Faraz Farrukh
Singh Navneet
True intrusion of maxillary first molars with zygomatic and palatal miniscrew anchorage: a case report
Australasian Orthodontic Journal
title True intrusion of maxillary first molars with zygomatic and palatal miniscrew anchorage: a case report
title_full True intrusion of maxillary first molars with zygomatic and palatal miniscrew anchorage: a case report
title_fullStr True intrusion of maxillary first molars with zygomatic and palatal miniscrew anchorage: a case report
title_full_unstemmed True intrusion of maxillary first molars with zygomatic and palatal miniscrew anchorage: a case report
title_short True intrusion of maxillary first molars with zygomatic and palatal miniscrew anchorage: a case report
title_sort true intrusion of maxillary first molars with zygomatic and palatal miniscrew anchorage a case report
url https://doi.org/10.21307/aoj-2020-133
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