Clinical Evaluation of Bone-Anchored Intraoral Bodily Molar Distalizer

• Published in: Journal of Indian Orthodontic Society Vol. 56; no. 1; pp. 29 - 38
• Main Authors: Sesham, Vasu Murthy, Garipelli, Naveen, Neela, Praveen Kumar, Mamillapalli, Pavan Kumar
• Format: Journal Article
• Language: English
• Published: New Delhi, India SAGE Publications 01-01-2022
• Subjects: distalization; temporary anchorage devices; Class II malocclusion
• ISSN: 0301-5742; 0974-9098
• DOI: 10.1177/0301574220976684

Introduction:
Correction of Class II has become a routine with the introduction of mini-implants.
Objective:
The objective of the study was to evaluate the clinical efficiency of bone-anchored intraoral bodily molar distalizer (BAIBMD) as compared to bone-anchored pendulum appliance (BAPA).
Materials and Methods:
This split-mouth study included 11 subjects (6 boys and 5 girls) who required molar distalization. BAPA constructed on one side and BAIBMD on the other side. Both the appliances were anchored to the bone, using a single 2 × 8 mm titanium mini-screw placed in the anterior para-median region of the mid-palatal suture with its head embedded into the Nance button during construction. The force delivery mechanism on both the sides consisted of 200 g-force application, using an activated 0.032˝ titanium molybdenum alloy (TMA)[A]:Author: Please provide expansion for “TMA.” springs fabricated with respective designs and inserted into the lingual sheaths of the first molar bands. The rate, duration, and nature of tooth movement for both the sides were compared. Descriptive statistics for various parameters were analyzed using Wilcoxon signed-rank test.
Results:
Clinically successful distalization was achieved on both sides. No statistical difference was found in the rate of distalization. Differences in the treatment duration between the two groups were statistically significant, with less duration taken for distalization with BAPA. Statistically significant molar tipping was observed in BAPA.
Conclusion:
While both the appliances provided a similar rate of distalization, BAIBMD took more duration than BAPA but produced a predominantly translatory type of distal tooth movement.