Abstract :
Loss of tooth in either arch result in overeruption of antagonist tooth which eliminates the vertical spaces needed for tooth substitution or placement of a prosthesis. Conventional methods with miniscrew anchorage (TADs) demonstrated excellent results although they, rely on patient compliance for success due to oral hygiene and bone quality. In this case, to overcome it, a modified in transpalatal arch (TPA) has easily intruded maxillary molars during orthodontic treatment. After gaining the vertical spaces, natural tooth substitution is a better option than conventional prosthesis in terms of alveolar bone support and oral hygiene.
Keyword :
Intrusion of maxillary molar, Natural tooth substitution, TADs, TPA, Double keyhole loop