Abstract
The molar distalization with non-compliance devices has undergone a long and successful
development and has become one of the most commonly used orthodontic treatment techniques
by now. The conventional devices are based on an extensive coverage of the dental
arch or the palate and lead to reactive effects on the anterior dental arch. The use
of skeletal anchorage strategies shows new ways to compensate these disadvantages.
The article discusses the conceptual development in the field of non-compliance molar
distalization, describing internationally recognized devices and their modifications.
By combining proven strategies, the authors have developed a purely skeletally anchored
design (Skeletal K-Pendulum), based on two miniscrews placed in the anterior palate,
composed of the elements of the K-Pendulum and the Simplified Molar Distalizer thus
using their respective special mechanical advantages in one device. In addition to
the active distalization without reactive effects on the anterior dentition, skeletal
anchorage enables a simultaneous alignment of the dental arch. Design and manufacturing
process of the device as well as the insertion of miniscrews and the clinical handling
of the skeletal K-Pendulum are discussed in detail and its effectiveness is documented
by treatment cases.
Key words
maxillary molar distalization - miniscrews - non-compliance appliances - methods of
distalization - skeletal anchorage
Literatur
bludwig@kieferorthopaedie-mosel.de
