Molar Control in Implant Assisted Orthodontics: How is it Different From Conventional Orthodontics?
In conventional mechanics, used over decades the force needed for any orthodontic movements was solely sourced from the molars in more than 80% of situations. Hence the buccal segments - particularly the molars- became the principle source of anchorage, which resulted in reactionary and unwanted effects like elevation or depression, mesial drifting or tipping -all indicative of anchor loss. Entire treatment planning revolved round countering such side effects. The timely arrival of Micro screws has changed the scenario totally.
Now the micro screws have taken over role of 'molars' as site of delivery of forces and they dissipate the reactions to the alveolar bone with no side effects whatsoever. This way the molars are no more the poll bearers. Hence the anchor bearing design of conventional mechanics are not relevant, in the current implant-assisted treatment objectives. The molars are more like anteriors, victim of delivered force and arch wire configurations.
The presentation will analyze and discuss the various aspects molar control, vis-à-vis implants in the newer regimen. The do's and don'ts will be enumerated detailed, in the matter of contemporary adolescent and adult orthodontic therapy. Clinical cases will support the tenets.