Mandibular Molar Uprighting Using Skeletal Anchorage: A Novel Approach
Background: The management of eruption anomalies affecting second molars, although quite uncommon, may represent a real challenge for the clinician. The aim of this study is to present a novel technique that combines the surgical and orthodontic approach in order to obtain the retrieval of impacted...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/13/3565 |
| _version_ | 1797408915004063744 |
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| author | Luca Sbricoli Sara Ricci Andrea Cattozzo Riccardo Favero Eriberto Bressan Stefano Sivolella |
| author_facet | Luca Sbricoli Sara Ricci Andrea Cattozzo Riccardo Favero Eriberto Bressan Stefano Sivolella |
| author_sort | Luca Sbricoli |
| collection | DOAJ |
| description | Background: The management of eruption anomalies affecting second molars, although quite uncommon, may represent a real challenge for the clinician. The aim of this study is to present a novel technique that combines the surgical and orthodontic approach in order to obtain the retrieval of impacted second molars through a complex distalizing movement and skeletal anchorage. Methods: Nineteen consecutive patients with impacted second molars were treated according to this technique, which involved extraction of the third molar followed by the placement of a distally positioned screw, and the subsequent use of a coil spring to connect the screw to an eyelet directly bonded on the second molar. In selected cases, it proved to be necessary to reposition the second molar through traditional orthodontics. All of the parameters were recorded: the time required for completing the treatment, the initial angle between the second molar and the adjacent tooth, and treatment related-complications. Results: Twenty impacted second molars were correctly repositioned. The mean initial angle of the second molar was 55.7° (SD 22.6°, min 13.3°, max 104.8°). The mean treatment time was 10 months. There were no major complications. Conclusions: Given that periodontal tissues were minimally affected, the temporary anchorage device was fully controlled, and there was no unwanted movement of adjacent teeth, the presented technique not only proved effective but also minimally invasive. |
| first_indexed | 2024-03-09T04:06:33Z |
| format | Article |
| id | doaj.art-650fa1c1323843ff9243be3467ebd378 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T04:06:33Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-650fa1c1323843ff9243be3467ebd3782023-12-03T14:06:01ZengMDPI AGJournal of Clinical Medicine2077-03832022-06-011113356510.3390/jcm11133565Mandibular Molar Uprighting Using Skeletal Anchorage: A Novel ApproachLuca Sbricoli0Sara Ricci1Andrea Cattozzo2Riccardo Favero3Eriberto Bressan4Stefano Sivolella5Department of Neurosciences, School of Dentistry, University of Padua, 35122 Padova, ItalyDepartment of Neurosciences, School of Dentistry, University of Padua, 35122 Padova, ItalyDepartment of Neurosciences, School of Dentistry, University of Padua, 35122 Padova, ItalyDepartment of Neurosciences, School of Dentistry, University of Padua, 35122 Padova, ItalyDepartment of Neurosciences, School of Dentistry, University of Padua, 35122 Padova, ItalyDepartment of Neurosciences, School of Dentistry, University of Padua, 35122 Padova, ItalyBackground: The management of eruption anomalies affecting second molars, although quite uncommon, may represent a real challenge for the clinician. The aim of this study is to present a novel technique that combines the surgical and orthodontic approach in order to obtain the retrieval of impacted second molars through a complex distalizing movement and skeletal anchorage. Methods: Nineteen consecutive patients with impacted second molars were treated according to this technique, which involved extraction of the third molar followed by the placement of a distally positioned screw, and the subsequent use of a coil spring to connect the screw to an eyelet directly bonded on the second molar. In selected cases, it proved to be necessary to reposition the second molar through traditional orthodontics. All of the parameters were recorded: the time required for completing the treatment, the initial angle between the second molar and the adjacent tooth, and treatment related-complications. Results: Twenty impacted second molars were correctly repositioned. The mean initial angle of the second molar was 55.7° (SD 22.6°, min 13.3°, max 104.8°). The mean treatment time was 10 months. There were no major complications. Conclusions: Given that periodontal tissues were minimally affected, the temporary anchorage device was fully controlled, and there was no unwanted movement of adjacent teeth, the presented technique not only proved effective but also minimally invasive.https://www.mdpi.com/2077-0383/11/13/3565molar uprightingorthodontic miniscrewsTADsoral surgeryorthodontics |
| spellingShingle | Luca Sbricoli Sara Ricci Andrea Cattozzo Riccardo Favero Eriberto Bressan Stefano Sivolella Mandibular Molar Uprighting Using Skeletal Anchorage: A Novel Approach Journal of Clinical Medicine molar uprighting orthodontic miniscrews TADs oral surgery orthodontics |
| title | Mandibular Molar Uprighting Using Skeletal Anchorage: A Novel Approach |
| title_full | Mandibular Molar Uprighting Using Skeletal Anchorage: A Novel Approach |
| title_fullStr | Mandibular Molar Uprighting Using Skeletal Anchorage: A Novel Approach |
| title_full_unstemmed | Mandibular Molar Uprighting Using Skeletal Anchorage: A Novel Approach |
| title_short | Mandibular Molar Uprighting Using Skeletal Anchorage: A Novel Approach |
| title_sort | mandibular molar uprighting using skeletal anchorage a novel approach |
| topic | molar uprighting orthodontic miniscrews TADs oral surgery orthodontics |
| url | https://www.mdpi.com/2077-0383/11/13/3565 |
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