Molar Uprighting: A Considerable and Safe Decision to Avoid Prosthetic Treatment
Taísa Boamorte Raveli1, *, Dirceu Barnabé Raveli1, Kelei Cristina de Mathias Almeida2, Ary dos Santos Pinto2
1 Orthodontics Department, Faculty of Dentistry, São Paulo State University, Avenida Portugal, 887 – CEP 14.801-075 Araraquara-SP Brazil
2 Orthodontics Department, Faculty of Dentistry, São Paulo State University, Rua Humaitá, 1680 – CEP 14.801-903 Araraquara-SP Brazil
Tipped lower molar over edentulous space is very common in orthodontics practice when adults seek treatment. The segmented arch technique features a predictable force system that provides a controlled release of force that can produce light and continuous tooth movement.
A female adult patient, who lost a permanent lower first molar, needed correction of the position of her permanent first molar place. Instead of making space for rehabilitation, it was closed after second molar uprighting and a balanced interdigitation was created without prosthetics. The patient was successfully treated with segmented arch technique using root correction spring activated with geometry VI to promote uprighting of a tipped molar and Niti spring coil to promote space closure.
Segmented arch technique is known to provide predictable light and continuous forces, which is very much indicated in adult treatment. There are several things to consider when orthodontically treating adult patients. Their periodontal conditions might not be ideal, less bone apposition may occur, and side effects of orthodontic tooth movement are expected. Thus, a predictable and controlled orthodontic treatment is needed.
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* Address correspondence to this author at the at UNESP - São Paulo State University, Faculty of Dentistry, Orthodontics Department, Avenida Portugal, 887 – CEP 14.801-075 Araraquara-SP Brazil, Tel: +55 (16)3322-7652; E-mail: firstname.lastname@example.org