Maxillary Molar Distalization in Class II Treatment: The Best Solutions for an Old Problem

Orthodontic treatment of Class II malocclusion in terms of maxillary molar distalization using conventional modalities can be very challenging, especially in patients with poor compliance. In these cases, noncompliance approaches can be used, however with several unwanted side effects, which diminish their clinical effectiveness. Miniscrew implants, can be used as temporary anchorage devices (TADs) to enhance anchorage and, if properly used, to counterbalance these shortcomings. However, not only suitable anchorage modalities, such as the orthodontic miniscrew implants (TADs), but, depending on the biomechanical factors and the specific conditions of the individual patient, orthodontic biomechanics should be carefully considered and utilized during treatment as well. This lecture will present the basic principles and the rationale of noncompliance maxillary molar distalization through various clinical examples and the applied biomechanics, as well as it will discuss the latest evidence-based data available regarding the effectiveness of the use of temporary anchorage devices (TADs) not only to only support maxillary molar distalization, but also their use as clinical aids for the comprehensive treatment of Class II malocclusion.

Obiettivi di apprendimento

Dopo la tua relazione sarai in grado di Demonstrate the clinical applications of TADs to distalize maxillary molars.
Dopo la tua relazione sarai in grado di Understand the biomechanics and to be aware about the advantages and potential complications of the different distalization systems supported by skeletal anchorage
Dopo la tua relazione sarai in grado di Evaluate in an evidence-based manner the efficiently the different distalization systems that are supported by TADs