[Combined use of Beneslider and lingual braces, mechanical aspects and procedures]

Over the last years, a tendency to prefer purely intra-oral appliances with minimal need for patient cooperation is noticed if upper molars should be distalized. Unfortunately, most of the conventional devices for non-compliance upper molar distalization produce unwanted side effects such as anchorage loss. To minimize or eliminate anchorage loss, mini-screws attracted a great attention in recent years because of minimal surgical invasiveness and low cost. Using the anterior palate as an insertion site, the failure rate is extremely low, there is no risk of root damage and the appliances are out of the path of tooth movement. Based on comprehensive clinical documentation, the rational and practical applications of the Beneslider in combination with lingual braces are presented. By this procedure, extractions in the upper arch and reactive forces in the lower arch resulting in a protrusion of the incisors can be avoided with an invisible treatment appliance.