Professional paper
https://doi.org/10.5937/sejodr6-23979
Maxillary distalization by a rearrangement of the Leaf Expander® screw combined with palatal miniscrews: A case report on the MaXimo Appliance
Giuseppe Perinetti
Alex Bruno
Paolo Tonini
Abstract
ABSTRACT
Introduction: This case report describes the treatment of a crowded dental Class II malocclusion in 13 years, 2 months female patient.
Maxillary distalization was achieved by a novel compliance-free appliance referred to as MaXimo, which was built by a rearrangement
of the Leaf Expander® screw having palatal miniscrews as the anchorage core.
Case Presentation: Pre-treatment, post-treatment and 1-year follow-up records are shown. No side effects, breakage of the appliance
or loss of miniscrews was encountered. The active distalization phase lasted 14 months, while the whole treatment, including the use
of multibrackets appliance, lasted 25 months. A significant spontaneous distal drifting of the premolars and canines was seen. The
treatment outcomes proved to be stable at the follow-up with acceptable aesthetic and functional results.
Conclusion: The MaXimo appliance proved to be efficient and of easy management, and its use may be recommended when
distalization of the maxillary dentition is required. Being mostly assembled by the manufactured, the MaXimo appliance is also
cheap and of easy construction.
Keywords
miniscrew; distalization; palatal expander;
Hrčak ID:
227772
URI
Publication date:
24.10.2019.
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