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[Case of upper first molar (right side) distal movement]
Gifu Shika Gakkai Zasshi = the Journal of Gifu Dental Society
|December 1, 1989
Summary
This study successfully corrected a blocked eruption space for an upper second premolar using a looped lingual arch and sectional arch with coil springs. The treatment achieved bodily molar movement and normal premolar eruption in a young patient.
Area of Science:
- Orthodontics
- Pediatric Dentistry
- Dental Development
Background:
- A 10-year-old female patient presented with a developmental stage IIIB, exhibiting a mesial shift of the upper right first molar, which caused a deficiency in the eruption space for the upper right second premolar.
- This malocclusion can impede normal tooth eruption and lead to dental crowding or misalignment if not addressed.
Observation:
- The patient's condition required orthodontic intervention to regain the necessary space for the unerupted second premolar.
- A mesialized upper first molar was the primary cause of the blocked eruption pathway.
Findings:
- The treatment involved a two-phase approach: initially, a looped lingual arch was employed, followed by a sectional arch combined with an open coil spring and a reinforced soldered lingual arch for anchorage.
- This strategy resulted in the bodily movement of the upper right first molar without root curvature within a short treatment duration.
- The upper right second premolar subsequently erupted into its normal position, indicating successful space recovery and eruption guidance.
Implications:
- This case demonstrates an effective orthodontic strategy for managing blocked tooth eruption caused by molar migration.
- The described techniques highlight the potential for achieving favorable outcomes in pediatric dental patients with specific space deficiency issues.
- Successful management of such cases can prevent future complications like impaction or the need for more complex interventions.