Total maxillary arch distalization using clear aligners facilitated with a modified C-palatal plate in a bimaxillary protrusion patient: A case report


Article PDF :

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Article type :

Case Report

Author :

Yoon-Ah Kook, Alex Hung Kuo Chou, You-Sun Lee, Sheila So, Olivier Nicolay

Volume :

9

Issue :

4

Abstract :

This case report demonstrates that using Clear Aligners (CA) in conjunction with a modified C-palatal plate (MCPP) for distalizing the maxillary arch can be an efficient approach for treating malocclusions. This method compared to CA therapy, would possibly decrease the number of aligners, eliminate unnecessary interproximal enamel reduction (IPER) and reduce treatment time for the same amount of movement.  A female patient with skeletal and dental Class I relationships and bimaxillary protrusion was treated. Orthodontic records were taken, and a palatal retraction arch (PRA) was bonded to the upper first molars. After activating the MCPP, the aligners were used. The treatment period was 15 months. The patient’s soft tissue profile improved after distalizing the maxillary arch using CA with MCPP and the mandibular arch using mini-implants. This case report suggests that using CA with MCPP may be advantageous in severe malocclusion cases requiring significant tooth movement.

Keyword :

Orthodontic appliances; Distalization; MCPP, Clear aligner therapy