Evaluation of bone area in the posterior region for mandibular molar distalization in class I and class III patients

Özden, Samet; Uslu, Filiz; Dedeoğlu, Numan

doi:10.1007/s00784-023-04965-9

Cited by 2 publications

(1 citation statement)

References 25 publications

(35 reference statements)

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“…By evaluating the quality of the mandibular bone, clinicians can identify potential challenges, develop appropriate treatment plans, and minimize the risk of complications during the distalization process [18,19]. Several studies revealed that the success of this procedure heavily relies on the assessment of the mandibular bone's quality, as it directly influences the stability and efficiency of the distalization process [8,20].…”

Section: Introductionmentioning

confidence: 99%

Mandibular Molar Distalization in Class III Malocclusion: A Systematic Review

Inchingolo,

Patano,

Malcangi

et al. 2023

Applied Sciences

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Class III Malocclusion presents a complex orthodontic challenge with various treatment options, including orthodontic camouflage and orthognathic surgery. Among these, mandibular molar distalization stands as an orthodontic approach for treating Class III Malocclusion in adults. This systematic review aims to evaluate the current evidence regarding mandibular molar distalization techniques in the treatment of Class III. The search across PubMed, Scopus, Cochrane, and Web of Science databases yielded 582 articles, from which eight met the inclusion criteria. These inclusion criteria were as follows: English language, full text, studies randomized clinical trials, and retrospective studies that evaluated various methods of mandibular distalization for Class III Malocclusion in adult patients, from 2013 to May 2023. Lower molar distalization has gained attention as a non-surgical alternative with effective and efficient outcomes. However, various treatment modalities have limitations, including reliance upon malocclusion severity, diagnosis, patient cooperation, and operator experience. From the studies analyzed, it was found that techniques using skeletal anchorage with TADs, mini-plates, or ramal plates, offer stable anchorage and controlled tooth movement, they allow unilateral action in cases of asymmetry, and they are the most effective methods for achieving distal body displacement of the tooth. Despite the promising results, the relatively small number of studies calls for more high-quality research to explore the efficacy and outcomes of different mandibular molar distalization approaches. The lack of standardized protocols and guidelines for mandibular molar distalization in Class III Malocclusion is also attributed to the limited available literature.

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Section: Introductionmentioning

confidence: 99%

Mandibular Molar Distalization in Class III Malocclusion: A Systematic Review

Inchingolo,

Patano,

Malcangi

et al. 2023

Applied Sciences

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More molar distal movement than pretreatment cone-beam computed tomography posterior space available at the root level in mandibular dentition distalization with microimplants

Sun,

Kim,

Noh

et al. 2024

The Angle Orthodontist

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Objectives To compare the mandibular posterior space available before treatment and the distance of molar distalization achieved after mandibular dentition distalization with microimplants. Materials and Methods A total of 66 Class I or III adult patients (mean age = 24.46 ± 4.89 years) who underwent molar distalization using microimplants were retrospectively included. The posterior space available distal to the second molar before treatment and the distance of distalization achieved after treatment were measured using axial cone-beam computed tomography images (0, 2, 4, and 6 mm apical to the second molar root furcation). Changes in lingual cortical thickness and molar root length after treatment were examined. Paired t-test or Wilcoxon signed-rank test was performed to compare measurements before and after treatment. Spearman correlation analysis was performed to assess the relationship between thinning of the cortical plate and root resorption. Results Achieved distalization distance was significantly greater than pretreatment posterior space available by 0.8 mm at all root levels (P < .001). The difference was greater toward the root apex level and greater in the Class III group than the Class I group. Lingual cortical thickness was significantly decreased after treatment along with resorption of the second molar distal root (P < .001). In addition, a positive correlation was found between thinning of the cortical plate and distal root resorption of the molar (P < .001). Conclusions Achieved distalization distance of the mandibular molar using microimplants was greater than the pretreatment posterior space available. Thinning of the lingual cortex and root resorption were observed after distalization.

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Evaluation of bone area in the posterior region for mandibular molar distalization in class I and class III patients

Cited by 2 publications

References 25 publications

Mandibular Molar Distalization in Class III Malocclusion: A Systematic Review

Mandibular Molar Distalization in Class III Malocclusion: A Systematic Review

More molar distal movement than pretreatment cone-beam computed tomography posterior space available at the root level in mandibular dentition distalization with microimplants

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