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


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© 2017 Raveli et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* 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: taisaraveli@yahoo.ca


Abstract

Background:

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.

Case Description:

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.

Practical Implications:

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.

Keywords: Molar uprighting, Tooth movement, Adult. tooth loss, Orthodontic appliances, Biomechanics.