head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing
ISSN: 1312-773X (Online)
Issue: 2017, vol. 23, issue 4
Subject Area: Dental Medicine
DOI: 10.5272/jimab.2017234.1752
Published online: 16 November 2017

Original article

J of IMAB 2017 Oct-Dec;23(4):1752-1757
Greta Yordanova1 ORCID logo Corresponding Autoremail, Martin Mladenov2ORCID logo, Gergana Gurgurova2ORCID logo,
1) Department of Orthodontics, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria,
2) Doctor of Dental Medicine, Private Clinic - Sofia, Bulgaria.

The borderline indications between extraction and non-extraction treatment are not well defined in the orthodontics. The sagittal tooth movement for lengthening the tooth arch and space gaining should be considered with several aspects. Many authors have suggested appliances with combined action in several planes. In our opinion, it is very hard to achieve transverse dimension and apply well balanced sagittal force with one appliance. Our aim is to define the gained space in the dental arch using two successive appliances: RME and M-pendulum modified by us for remaining the transverse arch dimensions. We suggest a modification of the appliance remaining the achieved transversal dimension during the molar distal movement.  We added an additional wire grill to the classic design of the M-Pendulum appliance in 14 patients. The length of the dental arch can be increased with expansion (RME), molar rotation correction with 2mm, distal movement of the upper molars 3-4mm, protrusion of the frontal teeth 1.5mm, slenderizing 4mm. The sum of all these methods reaches the amount of the dimension of the space gained with the extraction of two premolars. A single appliance cannot achieve the full amount of tooth movement. The modified by us M-pendulum perfectly keeps the achieved transverse dimension right after the RME and achieves sagittal movement of the upper molars.

Keywords: rapid palatal expansion, pendulum appliance, tooth movement, non-extraction treatment,

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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Yordanova G, Mladenov M, Gurgurova G. Combining the action of the Pendulum appliance with rapid palatal expansion. J of IMAB. 2017 Oct-Dec;23(4):1752-1757. DOI: 10.5272/jimab.2017234.1752

Corresponding AutorCorrespondence to: Assoc. Prof. Greta Yordanova, DDM, PhD, Department of Orthodontics, Faculty of Dental Medicine, Medical University – Sofia; 20, office 2, Kotlenskiprohod str., 1404 Sofia, Bulgaria; E-mail: gretayordanova@gmail.com

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Received: 21 August 2017
Published online: 16 November 2017

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