Comparative Dentoalveolar Assessment of Molar Distalization using Pendulum Appliance and Implant Supported Distalization Appliance – A Prospective Study
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 2
Abstract
Introduction: Maxillary molar distalization for nonextraction treatment of crowding is a known treatment modality. The aim and objectives of this study was to assess and compare the dentoalveolar effects of treatment with pendulum and implant supported distalization appliance using cephalometric data and model analysis. Material and Methods: The study was carried out using pendulum appliance (Group A) and implant supported appliance (Group B) for distalization of maxillary molars. Total sample size of the study was 10 with each group consisting of 5 patients. Cephalometric and model analysis was done in both the groups. Results: Comparative analysis of pendulum and implant supported distalization appliance using Mann-Whitney U test indicated that there was increased distal inclination of the maxillary Ist molar and proclination of the incisors seen in pendulum group compared to implant group where there was more bodily movement of the Ist molar and retroclination of the incisors. The increase in arch length was similar in both the groups showing no statistically significant difference between the two groups. Molar angulation of both maxillary right and left Ist molars with P values of 0.0216 and 0.0090 respectively indicated increased disto-palatal molar rotation in the pendulum group. Conclusion: The pendulum group showed marked distal molar movement as compared to implant group. The distal molar movement achieved by pendulum group was more on account of tipping movement than that of bodily movement achieved by implant.
Authors and Affiliations
Madhuli Bhide, Tejashri Pradhan, Abhishek Jain, Roopa Jatti
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