An implant to eliminate anchorage loss during molar distalization: a case report involving the Graz implant-supported...

Based on the philosophy of the pendulum appliance, a new non-integrated implant-supported device is presented, the Graz Implant-Supported Pendulum (GISP). It is designed to distalize maxillary first and second molars in adults. It consists of 2 parts: the anchorage plate, which is fixed to the palatal bone via 4 miniscrews, and the removable part, which is a pendulum-type appliance. A finished clinical case is shown, and experiences with the GISP in comparison with other orthodontic implants are discussed. The system can be loaded 2 weeks after surgical placement, actively distalize maxillary molars consecutively, serve as an active anchor unit, and provide stability against rotational movements.