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Pendulum Therapy of Molar Distalization in Mixed Dentition
Raju Umaji Patil1, Amit Prakash2, Anshu Agarwal2
1Professor and Head, Department of Pedodontics and Preventive Dentistry Department of Pedodontics and Preventive Dentistry, STES Sinhgad Dental College and Hospital, Pune, Maharashtra, India.
Summary
Early orthodontic treatment using the pendulum appliance effectively corrects Class II malocclusion in children. This method guides molar movement and aids in managing impacted teeth, achieving stable results.
Area of Science:
- Pedo-orthodontics
- Dentofacial Orthopedics
Background:
- Early intervention in pediatric dentistry aims to correct developmental disturbances before permanent teeth fully erupt.
- Class II malocclusion requires timely management to harmonize the stomatognathic system.
Observation:
- The pendulum appliance offers advantages such as minimal patient compliance dependence, ease of fabrication, and single activation.
- This appliance allows for adjustments to correct minor transverse and vertical molar discrepancies.
Findings:
- A successful treatment case of Class II malocclusion in the mixed dentition phase using the pendulum appliance is presented.
- Maxillary molar distalization was achieved, followed by orthodontic management of canine impaction and other dental corrections with MBT appliances.
- The post-treatment results demonstrated stability and significant improvement.
Implications:
- The pendulum appliance is an effective tool for molar distalization in mixed dentition.
- Early orthodontic intervention can lead to stable and remarkable outcomes in treating complex malocclusions.
- This approach facilitates comprehensive dental correction, including managing impacted teeth.

