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Uprighting mesially impacted mandibular molars with 2 miniscrews
Su-Jung Mah1, Pil-Jun Won2, Jong-Hyun Nam2
1Clinical instructor, Department of Orthodontics, Dental Hospital, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
Summary
This study introduces a novel two-miniscrew system for precisely uprighting tilted mandibular molars, offering enhanced three-dimensional control and minimizing unwanted tooth movements for improved dental occlusion.
Area of Science:
- Dentistry
- Orthodontics
- Periodontology
Background:
- Mesially tilted or impacted mandibular molars disrupt occlusion and cause periodontal issues.
- Uprighting these molars is crucial for restoring function and preventing further damage.
- Existing orthodontic methods, including miniscrews, have limitations like potential unwanted tooth movement.
Observation:
- A case series involving three patients with tilted mandibular molars was conducted.
- A new orthodontic system utilizing two miniscrews with rectangular wire slots was employed.
- This system aimed for precise three-dimensional control of the affected molars.
Findings:
- The novel two-miniscrew system demonstrated effective three-dimensional control for uprighting tilted mandibular molars.
- This approach potentially mitigates the risk of unwanted tooth movements associated with conventional methods.
- The system's advantages and potential disadvantages were discussed based on clinical observations.
Implications:
- This innovative system offers a promising alternative for managing tilted mandibular molars.
- It may lead to improved treatment outcomes in orthodontics and periodontology.
- Further research is warranted to fully evaluate the long-term efficacy and broader applicability of this technique.

