Clinical Application of the Bilateral Abalakov Technique in Presurgical Orthodontic Decompensation: A Case Report

Orthodontic decompensation prior to orthognathic surgery often requires complex mandibular tooth movements. These movements depend on stable posterior anchorage, which is not always reliably achieved with miniscrews or miniplates. This case report describes the case of an 18-year-old patient undergoing presurgical orthodontic treatment, in whom bilateral Abalakov anchorage was performed. The technique enabled controlled distalization of the molars and retroclination of the incisors without additional skeletal hardware. Dental movements were completed in three months, with good clinical tolerance and no complications. This case illustrates an anchorage approach for achieving rapid mandibular distalization without the need for osseointegration.