title: Maxillary molar distalization with a bone-anchored pendulum appliance.
abstract: To obtain an effective and compliance-free molar distalization without an anchorage loss, we designed the bone-anchored pendulum appliance (BAPA). The aim of this study was to evaluate the stability of the anchoring screw, distalization of the maxillary molars, and the movement of teeth anterior to maxillary first molars. The study group comprised 10 patients (mean age 13.5 +/- 1.8 years) with Class II molar relationship. A conventional pendulum appliance was modified to obtain anchorage from an intraosseous screw instead of the premolars. The screw was placed in the anterior paramedian region of the median palatal suture. Skeletal and dental changes were measured on cephalograms, and dental casts were obtained before and after distalization. A super Class I molar relationship was achieved in a mean period of 7.0 +/- 1.8 months. The maxillary first molars distalized an average of 6.4 +/- 1.3 mm in the region of the dental crown by tipping distally an average of 10.9 degrees +/- 2.8 degrees . Also, the maxillary second premolar and first premolar moved distally an average of 5.4 +/- 1.3 mm and 3.8 +/- 1.1 mm, respectively. The premolars tipped significantly distally. No anterior incisor movement was detected. The BAPA was found to be an effective, minimally invasive, and compliance-free intraoral distalization appliance for achieving both molar and premolar distalization without any anchorage loss.
authors.affiliation: Department of Orthodontics, Adana Medical Research and Teaching Center, Baskent University, Turkey. beyzakircelli@hotmail.com
authors.forename: Beyza Hancioğlu
authors.initials: BH
authors.lastname: Kircelli
authors.forename: Zafer Ozgür
authors.initials: ZO
authors.lastname: Pektaş
authors.forename: Cem
authors.initials: C
authors.lastname: Kircelli
mesh_terms: D000293:Adolescent; D001641:Bicuspid / Q000473:pathology; D001863:Bone Screws; D002508:Cephalometry; D005260:Female; D006801:Humans; D008297:Male; D008312:Malocclusion, Angle Class II / Q000628:therapy; D008437:Maxilla; D003765:Models, Dental; D008963:Molar / Q000473:pathology*; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation*; D016382:Orthodontic Appliance Design; D010159:Palate / Q000601:surgery; D013997:Time Factors; D014087:Tooth Movement Techniques / Q000295:instrumentation*