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References

Kingsley NW. Jumping the bite. Dent Cosmos. 1892; 33
Jeckel N, Rakosi T. Molar distalization by intraoral force application. Eur J Orthod. 1991; 13:43-46
Weinberger BW.St Louis: The C V Mosby Co; 1926
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Guerrero James J. Posterior movement of the buccal segments. Am J Orthod. 1959; 45:125-130
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Molar distalization in orthodontics – a review

From Volume 9, Issue 3, July 2016 | Pages 100-104

Authors

Basavaraj Subhashchandra Phulari

BDS(Ind), MDS(Ortho-Rus) FAGE(Manipal)

Formerly: Faculty, Department of Orthodontics, Mauras College of Dentistry, Republic of Mauritius. Currently: Author, Consultant Orthodontist and the Proprietor, Phulari Orthodontics

Articles by Basavaraj Subhashchandra Phulari

Abstract

Class II malocclusions may be corrected by a combination of restriction or redirection of maxillary growth, distal movement of the maxillary dentition, mesial movement of the mandibular dentition or by enhancement or redirection of mandibular growth.

CPD/Clinical Relevance: To establish a Class I molar relationship and to create space in the buccal segments for non-extraction treatment modalities, distalization of the maxillary first molars may be considered.

Article

Norman William Kingsley1 described for the first time a headgear apparatus by which Class I relationship of the first molars could be achieved.2 Weingberger, in his ‘Historical review of orthodontics’ states that extra-oral anchorage was first described by Gunnell, in 1822, whereas Guilford used headgear for correcting protruding maxillary teeth in 1866.3 Subsequently, extra-oral anchorage was rarely discussed until Kloehn designed headgear as we know it today.4 Since then, building on this concept, a number of headgears have been developed. However, more recently the emphasis has been on non-compliance, intra-oral distalizing devices.

Oppenheim advocated that the position of mandibular teeth is usually correct for an individual and occipital anchorage must be used to move maxillary teeth distally into a correct relationship without disturbing mandibular teeth.5 In 1944, he treated a case using extra-oral anchorage to distalize the maxillary molars.

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