Tug Of War Between Skeletal and Dental Anchorage – A Case Report

Authors : Mukesh Kumar, Manish Goyal, Shalini Mishra, Shikha Rani, Sumit Kumar

DOI : 10.18231/j.jco.2019.027

Volume : 3

Issue : 3

Year : 2019

Page No : 48-52

Bimaxillary proclination is a common clinical occurrence requiring careful treatmentplanning and an equally careful execution1.To maintain or achieve an ideal Class I molar
relation with an ideal incisor relationship anchorage preservation plays a crucial role indiagnosis and treatment planning. A plethora of mechanics using conventional intraoral
and extra oral appliances have been used in past decades, but all have some or other advantages and disadvantages over one another. So to overcome their disadvantages
orthodontic implants came into existence, as it’s not a new concept, but yes its popularization took long time lapse, taking over the market over a small span of time, as
one of the best means of anchorage control and space closure, but the biomechanical principals for anchorage (dental) control still holds its good in a different and unique sense
for each and every case. This case report discusses one of such clinical situation where two different anchorage systems (skeletal anchorage and dental anchorage) have been
used based on their advantages and disadvantages.
Keywords: Temporary anchorage devices (TADs), Class I malocclusion, Extraction, Skeletal Anchorage, Dental Anchorage, MBT metal brackets, Cortical and Cancellous
bone..


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