Fabrication and Evaluation of a Noncompliant Molar Distalizing Appliance: Bonded Molar Distalizer

Objective: Attempts to treat class II malocclusions without extraction in non-compliant patients have led to utilization of intraoral molar distalizing appliances. The purpose of this study was to investigate dental and skeletal effects of Bonded Molar Distalizer (BMD) which is a simple molar distal...

Full description

Bibliographic Details
Main Authors: A. Sodagar, M. S. Ahmad Akhoundi, A. Rafighii, S. Arab
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2011-09-01
Series:Frontiers in Dentistry
Subjects:
Online Access:https://jdt.tums.ac.ir/index.php/jdt/article/view/251
_version_ 1828270353987665920
author A. Sodagar
M. S. Ahmad Akhoundi
A. Rafighii
S. Arab
author_facet A. Sodagar
M. S. Ahmad Akhoundi
A. Rafighii
S. Arab
author_sort A. Sodagar
collection DOAJ
description Objective: Attempts to treat class II malocclusions without extraction in non-compliant patients have led to utilization of intraoral molar distalizing appliances. The purpose of this study was to investigate dental and skeletal effects of Bonded Molar Distalizer (BMD) which is a simple molar distalizing appliance. Materials and Methods: Sixteen patients (12 girls, four boys) with bilateral half-cusp class II molar relationship, erupted permanent second molars and normal or vertical growth pattern were selected for bilateral distalization of maxillary molars via BMD. The screws were activated every other day, alternately. Lateral cephalograms and study models were obtained before treatment and after 11 weeks activation of the appliance. Results: Significant amounts of molar distalization, molar distal tipping and anchorage loss were observed. The mean maxillary first molar distal movement was 1.22±0.936 mm with a distal tipping of 2.97±3.74 degrees in 11 weeks. The rate of distal movement was 0.48 mm per month. Reciprocal mesial movement of the first premolars was 2.26±1.12 mm with a mesial tipping of 4.25±3.12 degrees. Maxillary incisors moved 3.55±1.46 mm and tipped 9.87±5.03 degrees mesially. Lower anterior face height (LAFH) decreased 1.28±1.36 mm. Conclusion: BMD is appropriate for distalizing maxillary molars, especially in patients with critical LAFH, although significant amounts of anchorage loss occur using this appliance.
first_indexed 2024-04-13T05:41:59Z
format Article
id doaj.art-2c2a3d06e37e413eaab57d009de5ef39
institution Directory Open Access Journal
issn 2676-296X
language English
last_indexed 2024-04-13T05:41:59Z
publishDate 2011-09-01
publisher Tehran University of Medical Sciences
record_format Article
series Frontiers in Dentistry
spelling doaj.art-2c2a3d06e37e413eaab57d009de5ef392022-12-22T03:00:04ZengTehran University of Medical SciencesFrontiers in Dentistry2676-296X2011-09-0183Fabrication and Evaluation of a Noncompliant Molar Distalizing Appliance: Bonded Molar Distalizer A. Sodagar0 M. S. Ahmad Akhoundi1 A. Rafighii2 S. Arab3Associate Professor, Department of Orthodontics, Faculty of Dentistry, Tehran University of Medical Associate Professor, Dental Research Center, Department of Orthodontics, Faculty of Dentistry, TehraAssistant Professor, Department of Orthodontics, Faculty of Dentistry, Tabriz University of Medical Assistant Professor, Department of Orthodontics, Faculty of Dentistry, Qazvin University of Medical Objective: Attempts to treat class II malocclusions without extraction in non-compliant patients have led to utilization of intraoral molar distalizing appliances. The purpose of this study was to investigate dental and skeletal effects of Bonded Molar Distalizer (BMD) which is a simple molar distalizing appliance. Materials and Methods: Sixteen patients (12 girls, four boys) with bilateral half-cusp class II molar relationship, erupted permanent second molars and normal or vertical growth pattern were selected for bilateral distalization of maxillary molars via BMD. The screws were activated every other day, alternately. Lateral cephalograms and study models were obtained before treatment and after 11 weeks activation of the appliance. Results: Significant amounts of molar distalization, molar distal tipping and anchorage loss were observed. The mean maxillary first molar distal movement was 1.22±0.936 mm with a distal tipping of 2.97±3.74 degrees in 11 weeks. The rate of distal movement was 0.48 mm per month. Reciprocal mesial movement of the first premolars was 2.26±1.12 mm with a mesial tipping of 4.25±3.12 degrees. Maxillary incisors moved 3.55±1.46 mm and tipped 9.87±5.03 degrees mesially. Lower anterior face height (LAFH) decreased 1.28±1.36 mm. Conclusion: BMD is appropriate for distalizing maxillary molars, especially in patients with critical LAFH, although significant amounts of anchorage loss occur using this appliance.https://jdt.tums.ac.ir/index.php/jdt/article/view/251Malocclusion Angle Class IIPatient Non-ComplianceScrewBonded Appliance
spellingShingle A. Sodagar
M. S. Ahmad Akhoundi
A. Rafighii
S. Arab
Fabrication and Evaluation of a Noncompliant Molar Distalizing Appliance: Bonded Molar Distalizer
Frontiers in Dentistry
Malocclusion Angle Class II
Patient Non-Compliance
Screw
Bonded Appliance
title Fabrication and Evaluation of a Noncompliant Molar Distalizing Appliance: Bonded Molar Distalizer
title_full Fabrication and Evaluation of a Noncompliant Molar Distalizing Appliance: Bonded Molar Distalizer
title_fullStr Fabrication and Evaluation of a Noncompliant Molar Distalizing Appliance: Bonded Molar Distalizer
title_full_unstemmed Fabrication and Evaluation of a Noncompliant Molar Distalizing Appliance: Bonded Molar Distalizer
title_short Fabrication and Evaluation of a Noncompliant Molar Distalizing Appliance: Bonded Molar Distalizer
title_sort fabrication and evaluation of a noncompliant molar distalizing appliance bonded molar distalizer
topic Malocclusion Angle Class II
Patient Non-Compliance
Screw
Bonded Appliance
url https://jdt.tums.ac.ir/index.php/jdt/article/view/251
work_keys_str_mv AT asodagar fabricationandevaluationofanoncompliantmolardistalizingappliancebondedmolardistalizer
AT msahmadakhoundi fabricationandevaluationofanoncompliantmolardistalizingappliancebondedmolardistalizer
AT arafighii fabricationandevaluationofanoncompliantmolardistalizingappliancebondedmolardistalizer
AT sarab fabricationandevaluationofanoncompliantmolardistalizingappliancebondedmolardistalizer