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Article: Volume 9 Number 2 Page 42 - April 2016

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  Orth Update 2016; 9: 42-50

Orthodontics:  Distalizing Maxillary Molars − How do you do it?

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Abstract: Maxillary molar distalization has been used in orthodontics for over 100 years. This technique has been used to gain space in the maxillary arch for relief of crowding, correction of a Class II molar relationship and reduction of an increased overjet. A plethora of appliances have been developed over the years with each having advantages and disadvantages. This article details the indications and contra-indications for maxillary molar distalization and details the various appliances that are available to clinicians, presenting the available evidence supporting the use of these various appliances.

Clinical relevance: Clinicians should be familiar with the clinical indications for maxillary molar distalization, the potential unwanted effects and how these can be minimized. Clinicians should also appreciate how molar distalization can be incorporated with other aspects of orthodontic care.

Author notes: Mohammed Almuzian, BDS(Hons), MFDS RCS(Edin), MFD RCS(Irel), MJDF RCS(Eng), MSc(Orth), MScHA(USA), DClinDent(Orth) (Glasg), MOrth RCS(Edin), MRCDS Ortho(Aus), IMOrth RCS(Eng)/RCPS(Glasg), Lecturer in Orthodontics, University of Sydney, NSW, Australia, Fahad Alharbi, BDS, MOrth RCS(Edin), Orthodontic PhD Student, Dundee Dental Hospital and School, Teaching Assistant at Prince Sattam Bin Abdulaziz University, Saudi Arabia, Jill White, BDS, FDS RCPS, MOrth RCS(Edin), PhD, FDS(Orth) RCPS(Glasg), Consultant Orthodontist, Glasgow Dental Hospital and School, 378 Sauchiehall Street, Glasgow, G2 3JZ and Grant McIntyre, BDS, FDS RCPS(Glasg), MOrth RCS(Edin), PhD, FDS(Orth) RCPS(Glasg), FDS RCS (Edin), FHEA, Consultant/Honorary Reader in Orthodontics, Dundee Dental Hospital and School, 2 Park Place, Dundee, DD1 4HR, UK.

Objective: To provide the primary care dentist and specialist orthodontist with knowledge of the methods for distalizing maxillary molars as part of orthodontic care.