Treatment effects of a modified palatal anchorage plate for distalization evaluated with cone-beam computed tomography

Document Type

Article

Publication Title

American Journal of Orthodontics and Dentofacial Orthopedics

Abstract

Introduction The purpose of this study was to evaluate the treatment effects of maxillary posterior tooth distalization performed by a modified palatal anchorage plate appliance with cephalograms derived from cone-beam computed tomography. Methods The sample consisted of 40 lateral cephalograms obtained from the cone-beam computed tomography images of 20 Class II patients (7 men, 13 women; average age, 22.9 years) who underwent bilateral distalization of their maxillary dentition. The lateral cephalograms were derived from the cone-beam computed tomography images taken immediately before placement of a modified palatal anchorage plate appliance and at the end of distalization. Paired t tests were used for comparisons of the changes. Results The distal movement of the maxillary first molar was 3.3 ± 1.8 mm, with distal tipping of 3.4° ± 5.8° and intrusion of 1.8 ± 1.4 mm. Moreover, the maxillary incisors moved 3.0 ± 2.7 mm lingually, with lingual tipping of 6.2° ± 7.6° and insignificant extrusion (1.1 mm; P = 0.06). The occlusal plane angle was increased significantly (P = 0.0001). Conclusions The maxillary first molar was distalized by 3.3 mm at the crown and 2.2 mm at root levels, with distal tipping of 3.4°. It is recommended that clinicians should consider using the modified palatal anchorage plate appliance in treatment planning for patients who require maxillary total arch distalization. © 2014 by the American Association of Orthodontists.

First Page

47

Last Page

54

DOI

10.1016/j.ajodo.2014.03.023

Publication Date

1-1-2014

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