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Related Experiment Video

Updated: May 22, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
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Mandibular molar uprighting using mini-implants: different approaches for different clinical cases--two case reports.

Nicola Derton1, Alessandro Perini, Sabrina Mutinelli

  • 1University of Ferrara, Ferrara, Italy. studioderton@libero.it

Orthodontics : the Art and Practice of Dentofacial Enhancement
|May 9, 2012
PubMed
Summary

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Two effective mini-implant anchorage techniques were used to upright mesially tilted mandibular molars. Both methods successfully corrected molar angulation without anchorage loss, offering solutions for complex orthodontic cases.

Area of Science:

  • Orthodontics
  • Dental Implantology

Background:

  • Mandibular molar uprighting is a common orthodontic challenge.
  • Mini-implant anchorage offers a stable solution for complex tooth movement.

Purpose of the Study:

  • To present two distinct clinical protocols utilizing mini-implant anchorage for uprighting mesially tilted mandibular molars.
  • To describe case studies illustrating these protocols in real-world clinical scenarios.

Main Methods:

  • Protocol 1: Single mini-implant placed distally to the tilted molar, with elastic traction chain application.
  • Protocol 2: Two mini-implants placed mesially, using a screw-suspended TMA sectional archwire (Derton-Perini technique).
  • Case studies detailing the application of each protocol for specific molar uprighting needs.

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Last Updated: May 22, 2026

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Main Results:

  • Both described mini-implant anchorage protocols effectively uprighted the mandibular molars.
  • No loss of anchorage was observed during the uprighting procedures in either case.

Conclusions:

  • The presented mini-implant anchorage techniques provide effective solutions for uprighting mandibular molars in diverse clinical situations.
  • These methods represent rational and successful approaches to managing tilted mandibular molars.