Abida Ijaz, Asma Shafique, Junaid Israr.
Molar distalization with modified palatal distalizer.
Pak Oral Dental J Jan ;26(1):3-10.

The aim of the study was to introduce a modified palatal molar distalizer and evaluate its dental effects. 20 Adolescent and post adolescent patients (6 boys, 14 girls) with crowded upper arch and class II canine relationship were included in this study. The skeletal pattern of these patients was class I, II or bimaxillary hypoplasia. This study analyzed the maxillary first molar distalization with intervention device-The Modified Palatal Distalizer, its effects on the anchor teeth as well as on the maxillary second molars. The appliance was composed of four premolar bands, two first molar bands, wider Nance and 15mm Ni-Ti coil springs (0.012x0.032) applied on the palatal surface delivering 240gms of force. The period of appliance wear was 7.7months. Maxillary first molars were distalized bodily with minimal anchorage loss (11.1%) compared to 88.9% molar distal movement. An average of 5.39mm bodily distalization of the maxillary first molars was attained. The distal movement of maxillary second molars was recorded 4.35mm. Numerical data was statistically analyzed using paired t-test (SPSS version 12). The modified palatal distalizer is an effective and reliable device producing bodily molar distalization, besides being cost effective.

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