Acta Scientific Dental Sciences

Case ReportVolume 2 Issue 1

Uprighting and Protraction of Mandibular Second and Third Molars into Missing First Molar Spaces for a Patient with T-Loop and Temporary Anchorage Device: A Case Report

Susmita Choudhary1*, Bides Bhaumik2, Mini Libang3 and Aman Kumar4

1Consultant Orthodontist, Ahmedabad, Gujarat, India
2Professor and Head, Department of Orthodontics and Dentofacial Orthopedics, Dr. R. Ahmed Dental College and Hospital, Kolkata, India
3Consultant Orthodontist, Dental Surgeon, Arunachal Pradesh, India
4Final Year MDS Student, Department of Orthodontics and Dentofacial Orthopedics, Dr. R. Ahmed Dental College and Hospital, Kolkata, India

*Corresponding Author: Susmita Choudhary, Consultant Orthodontist, Ahmedabad, Gujarat, India.

Received: November 27, 2017; Published: December 22, 2017

Citation: Susmita Choudhary., et al. “Uprighting and Protraction of Mandibular Second and Third Molars into Missing First Molar Spaces for a Patient with T-Loop and Temporary Anchorage Device: A Case Report”. Acta Scientific Dental Sciences 2.1 (2018).

Abstract

  In a young woman, aged 16 years, with upper anterior spacing and mesiopalatal rotation of upper central incisors, the right and left mandibular first molar extraction spaces were closed by protraction of the second and third molars without reciprocal retraction of the incisors and the premolars. The amounts of protraction for the second molars were 8 mm on the right side and 6 mm on the left side. Initial uprighting of lower second molars were done by T-loop on both sides. A titanium miniscrew was placed in the buccal alveolar bone between the first and second premolars on right side to provide direct anchorage for absolute protraction forces. On the left side uprighting and protraction was done simultaneously with the use of T-loop as uneven and less space was present on left side as compared to the right side. Careful biomechanical consideration was used to prevent tipping, rotation of posterior teeth. The treatment time was 20 months. Ideal overjet and overbite with good posterior occlusion was achieved.

Keywords: Molar Protraction; Miniscrew; Uprighting; T-Loop

Copyright: © 2018 Susmita Choudhary., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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