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- Title
A Novel Path in Unusual Molar Extraction Treatment.
- Authors
Burad, Hitesh Jagdish; Shridharrao Kulkarni, Vinayak; Sanjay Shah, Shaili; V. K., Ravindranath; Shantikumar Doshi, Sachin
- Abstract
Brief Background: Orthodontists are often confronted with adult patients who have large edentulous spaces in the molar areas or need molar extractions. Cases involving extraction of the permanent first molars are thought to be technically more difficult to treat and that even a good result is in some way a compromise. The paper presents cases of missing and mesially tipped and rotated molars and their management. Materials and Methods: Clinical and radiographic examination revealed missing lower first molars due to caries mesial tipping of the mandibular second molars and the presence of the third molars in the first case and tipping of mandibular second molars and maxillary left second molar. With the use of running loop arch wire the molars were protracted, uprighted and derotated to achieve proper molar relationship. Discussion: Clinical situations that necessitate unusual extraction of molars and use of absolute temporary anchorage devices; common clinical findings in adult orthodontic patients, susceptibility of second molars to abnormal occlusal stresses and bone breakdowns, the effect of various extraction patterns both anteriorly and posteriorly on provision of space, uprighting molars adjacent to edentulous spaces, the tendency for relapse during retention, etc., are matters that formed the subject of discussion. Summary and Conclusions: Running loop is a simple and efficient method of closing the space without mesial or lingual tipping and rotation by facilitating simultaneous uprighting and mesial movement of molars.
- Publication
Clinical Dentistry (0974-3979), 2014, Vol 8, Issue 2, p41
- ISSN
0974-3979
- Publication type
Academic Journal