Molar Protraction & Uprighting

박철완 Dr. Chul Wan Park

Author
Dr. Chul Wan Park, DDS, MSD, CAGS, FICD

Private Practice
Seongnam, Korea



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25 years old male patient presented with missing teeth #17 & 46. #36 was unrestorable as well. #47 was tilted mesially.
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Proposed treatment plan:
Extraction and implant placement on #36
Uprighting of #47 and implant placement on #46
Extraction of #18 and implant placement on #17 with sinus lifting


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Pre-operative intra-oral photograph.

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Pre-operative intra-oral photograph.

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Pre-operative intra-oral photograph.

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Proposed treatment plan:
Extraction and implant placement on #36
Uprighting of #47 and implant placement on #46
Extraction of #18 and implant placement on #17 with sinus lifting


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Extraction of #36 was done.
Uprighting of #47 was progressing by miniscrew on retromolar area


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CT scan shows severely decreased bone height on #17. Lateral approach for sinus grafting is inevitable for placing implant on that area.

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Altered treatment plan: Since lateral approach for sinus grafting on 2nd molar area is technique sensitive, orthodontic protraction of #18 was planned instead of implant placement on #17.

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Customized bracket base for passive wire was fabricated.

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Customized bracket base for passive wire was fabricated.

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Protraction of #18.
A miniscrew was installed between #16 & 15 for anchorage.


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Uprighting of #47 was done and implant on #46 was ready to be placed.

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Before & After of uprighting of #47

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Implant(IS-III, 4.5*10mm) was installed on #46

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Panex view after implant placement on #46(IS-III, 4.5*10mm)

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Impression taking by PickCap impression coping.

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Protraction of #18 was done.
Provisional crown on implant #46.


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T-loop(017*025 TMA) was activated to upright #47

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T-loop(017*025 TMA) was activated to upright #47

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Activation of T-loop

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Panex view after implant placement on #36(IS-III, 4.5*10mm)

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Treatment outcome

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Clinical view of final restoration delivered.

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Clinical view of final restoration delivered.

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Treatment outcome

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Treatment outcome

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Treatment outcome

A 25-year-old male patient presented with missing teeth #17 & 46. #36 was unrestorable as well. #47 was tilted mesially. Extraction and implant placement on #36, Uprighting of #47 and implant placement on #46 and orthodontic protraction of #18 was planned instead of implant placement on #17. 

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