Is mandibular molar distalization feasible?
Docteur en chirurgie dentaire
2 Spécialiste qualifié en ODF
3 CECSMO 4
5 Université Paris 7 Denis Diderot
6 Hôpital Pitié Salpêtriére AP-HP, Paris
Address for correspondence: Tho Dang Hôpital de la Pitié Salpêtriére 47-83 Boulevard de l’Hôpital 75651 Paris Cedex 13 email@example.com
Introduction: The mandibular molar is considered the most difficult tooth to move. In certain clinical situations, it would seem useful to move it backward. Is that feasible? When would it be indicated? Is it successful, and if so how? Material and methods: We first review some fundamental principles and present an update of the literature on mandibular molar distalization, then analyze a retrospective series of 11 patients for whom mandibular molar distalization was planned. The movement achieved was studied on dental cephalometric superimposition with Delaire analysis. Results: the desired pure distal translation was achieved in 2 of the 11 cases; distalization was accompanied by coronary tip-back in 3 cases; in 4 cases, only coronary tipback was achieved, and apical tip-forward in 2 cases. Conclusion: Further studies are needed to determine optimally effective and reproducible distalization modalities for the mandibular molar.
Key words: Distalization / mandibular molar / bone screw / bone plate
© The authors
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