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MOLAR DISTALISATION
A COMPARITIVE CASE STUDY OF
FOUR DIFFERENT MOLAR DIATALISERS
www.indiandentalacademy.com
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com
INTRODUCTION
www.indiandentalacademy.com
INDICATIONS
* NON EXTRACTION TREATMENT OF
CLASS II MALOCCLUSIONS.
* LOW MANDIBULAR ANGLE .
* CLASS I SKELETAL PATTERN.
* MILD ARCH LENGTH DISCREPANCY.
* WHERE THE UPPER PERMANENT
MOLARS HAVE MOVED MESIALLY DUE
TO EARLY LOSS OF DECIDOUS MOLARS.www.indiandentalacademy.com
CONTD…..
* WHERE THE SECOND MOLARS HAVE NOT
ERUPTED ( OR) TO BE EXTRACTED.
* IN SECOND MOLAR EXTRACTION CASES
WHERE THE THIRD MOLARS ARE WELL
FORMED & ERUPTING PROPERLY
www.indiandentalacademy.com
CONTRAINDICATIONS
* HIGH MANDIBULAR PLANE ANGLE
* SKELETAL & DENTAL OPEN BITE.
* CL II & CL III SKELETAL PATTERN.
* SEVERE ARCH LENGTH
DISCREPANCY
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CLASSIFICATION
I REMOVABLE MOLAR DISTALISER
II FIXED MOLAR DISTALISER
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REMOVABLE MOLAR DISTALISER
* EXTRA ORAL TRACTION
* REMOVABLE MOLAR DISTALZATION
SPLINT.
* LIP BUMPER
www.indiandentalacademy.com
* PENDULUM APPLIANCE
* WILSON „S RAPID MOLAR DISTALIZER
* SUPER ELASTIC NITI.
* “ K” LOOP MOLAR DISTALIZER.
* LOKAR APPLIANCE.
* JONES JIG.
* DISTAL JET.
FIXED MOLAR DISTALIZERS
www.indiandentalacademy.com
www.indiandentalacademy.com
Case Report -- 1
EXTRA ORAL PRE TREATMENT
PT NO : 1 16/ F
* STRAIGHT PROFILE
* INCOMPETENT LIPS
www.indiandentalacademy.com
INTRA ORAL PRE TREATMENT
* PROCLINED CENTRALS
* CONGENITALLY MISSING
LATERALS & 3rd MOLARS
* ENDON
www.indiandentalacademy.com
DIAGNOSTICS
* OVER JET 6 mm
* OVER BITE 6 mm
* ARCH LENGTH DISCREPANCY + 3 mm
* INCISOR PROCLINATION 9 0
* FMA 24 0
* SKELETAL CLASS I
www.indiandentalacademy.com
* CLASS I M OLAR
RELTIONSHIP.
AFTER DISTALISATION
* SPACE - 7mm
* DAYS - 70
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OCCLUSAL VIEW
www.indiandentalacademy.com
RICKETTS SUPER IMPOSITION
ANS - PNS AS REFERENCE PLANE
ANS AS REFERENCE POINT
www.indiandentalacademy.com
www.indiandentalacademy.com
EXTRA ORAL PRE TREATMENT
Case Report -- II
PT No: 2 12 / F * SLIGHT CONVEX
www.indiandentalacademy.com
INTRA ORAL PRE TREATMENT
* INCISOR PROCLINATION
* ENDON
www.indiandentalacademy.com
DIAGNOSTICS
* OVER JET 5 mm
* OVER BITE 5 mm
* ARCH LENGTH DISCREPANCY -- 8 mm
* INCISOR PROCLINATION 10 0
* FMA 27 0
* SKELETAL CLASS I
www.indiandentalacademy.com
WITH THE APPLIANCE
www.indiandentalacademy.com
AFTER DISTALISATION
MOLARS IN CLASS I
8 mm 90 DAYS
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OCCLUSAL VIEW
BEFORE & AFTER
DISTALIZATIONwww.indiandentalacademy.com
INTRUSION WITH
BURSTONEINTRUSION ARCH
www.indiandentalacademy.com
RICKETTS SUPER IMPOSITION
ANS - PNS AS REFERENCE PLANE
ANS AS REFERENCE POINT
www.indiandentalacademy.com
www.indiandentalacademy.com
EXTRA ORAL PRE TREATMENT
Case Report -- III
Pt. No.3 11 F
* STRAIGHT PROFILE
* LOW ANGLE
www.indiandentalacademy.com
INTRA ORAL PRE TREATMENT
* ROTATED CENTRAL
* UNERUPTED CANINES
* ENDON
www.indiandentalacademy.com
DIAGNOSTICS
* ARCH LENGTH DISCREPANCY -- 7.2mm
* FMA 21 0
* SKELETAL CLASS I
www.indiandentalacademy.com
WITH THE APPLIANCE
www.indiandentalacademy.com
OCCLUSAL VIEW
BEFORE & AFTER
8 mm in 90 days
www.indiandentalacademy.com
AFTER DISTALISATION
MOLARS IN CLASS I
www.indiandentalacademy.com
RICKETTS SUPER IMPOSITION
ANS - PNS AS REFERENCE PLANE
ANS AS REFERENCE POINT
www.indiandentalacademy.com
www.indiandentalacademy.com
EXTRA ORAL PRE TREATMENT
Case Report -- IV
PT. NO: 4 12 / F
* STRAIGHT PROFILE
* LOW ANGLEwww.indiandentalacademy.com
INTRA ORAL PRE TREATMENT
* CLASS II ( R )
* ENDON (L)
www.indiandentalacademy.com
DIAGNOSTICS
* OVER JET 4 mm
* OVER BITE 5 mm
* ARCH LENGTH DISCREPANCY -- 7 mm
* INCISOR PROCLINATION 9 0
* FMA 21 0
* SKELETAL CLASS I
www.indiandentalacademy.com
OCCLUSAL VIEW
8 mm IN
90 days
www.indiandentalacademy.com
AFTER DISTALISATION
MOLARS IN CLASS I
www.indiandentalacademy.com
RICKETTS SUPER IMPOSITION
ANS - PNS AS REFERENCE PLANE
ANS AS REFERENCE POINT
www.indiandentalacademy.com
www.indiandentalacademy.com
DR.C.R.RAMACHANDRAN
DEAN
DR.RAJASIGAMANI
PROFESSOR & HEAD OF THE DEPARTMENT
Dept. of Orthodontics &
Dentofacial Orthopaedics
DR.USHA SATHYA NARAYANAN
PROFESSOR & HEAD OF THE DEPARTMENT
Dept. of conservative dentistry
RMDC & H
ANNAMALAI UNIVERSITYwww.indiandentalacademy.com
For more details please visit
www.indiandentalacademy.com
www.indiandentalacademy.com

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