Simple and efficient distalization methods using temporary skeletal anchorage devices in nonextraction treatment: A...

Nonextraction treatment has become more popular with the development of temporary skeletal anchorage devices (TSADs). This report presents simple and efficient mandibular molar distalization methods using ramal plates and buccal miniscrews in nonextraction treatment and describes their biomechanics. The application of TSADs facilitates distalization of both the maxillary and mandibular dentition. The placement of ramal plates prevents gingival impingement at the retromolar region and maximizes the distalization. Meanwhile, mandibular distalization via buccal miniscrews would require application of intermaxillary vertical elastics to avoid gingival impingement and close the resulting posterior openbite. These two cases are presented as proof of concept, showcasing the biomechanics of ramal plate for mandibular total arch distalization as a viable treatment option.