Distalizing maxillary molars – how do you do it?

Maxillary molar distalization has been used in orthodontics for over 100 years. This technique has been used to gain space in the maxillary arch for relief of crowding, correction of a Class II molar relationship and reduction of an increased overjet. A plethora of appliances have been developed over the years with each having advantages and disadvantages. This article details the indications and contra-indications for maxillary molar distalization and details the various appliances that are available to clinicians, presenting the available evidence supporting the use of these various appliances. Clinical Relevance: Clinicians should be familiar with the clinical indications for maxillary molar distalization, the potential unwanted effects and how these can be minimized. Clinicians should also appreciate how molar distalization can be incorporated with other aspects of orthodontic care.

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