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Mandibular Molar Uprighting Using Skeletal Anchorage: A Novel Approach
Luca Sbricoli1, Sara Ricci1, Andrea Cattozzo1
1Department of Neurosciences, School of Dentistry, University of Padua, 35122 Padova, Italy.
Journal of Clinical Medicine
|July 9, 2022
Summary
This study introduces a novel surgical and orthodontic technique for impacted second molars. The minimally invasive method effectively retrieves impacted teeth using skeletal anchorage, with no major complications.
Area of Science:
- Dentistry
- Orthodontics
- Oral Surgery
Background:
- Eruption anomalies of second molars are uncommon but challenging to manage.
- A novel combined surgical and orthodontic technique is presented for impacted second molars.
Purpose of the Study:
- To present a new technique for impacted second molar retrieval using distalizing movement and skeletal anchorage.
- To evaluate the efficacy and invasiveness of this combined approach.
Main Methods:
- Nineteen patients with impacted second molars underwent third molar extraction and placement of a distally positioned screw.
- A coil spring connected the screw to an eyelet on the second molar for distalization.
- Traditional orthodontics were used in select cases; treatment time and complications were recorded.
Main Results:
- Twenty impacted second molars were successfully repositioned.
- The mean initial angle of the impacted second molars was 55.7 degrees.
- The average treatment duration was 10 months, with no major complications.
Conclusions:
- The technique is effective and minimally invasive, with minimal periodontal impact.
- Temporary anchorage devices were well-controlled, preventing unwanted adjacent tooth movement.
