Nance Palatal Button with Begg Brackets for Derotation of Premolars

Early treatment response is desired by both patient and orthodontist and achieving the same with new modification in the routine procedures is the requirement of modern orthodontic practice in order to shorten the treatment time. Nance palatal button (NPB) commonly used as anchorage appliance for maximum or critical anchorage cases and also as a space maintainer. This passive device was modified to achieve active tooth movement in the present case and to accomplish the correction of bilateral premolar rotations as well as anchorage requirement at the same time to reach the goal of alignment and levelling as early as possible.