EFFECTIVENESS OF USING A PENDULUM APPARATUS FOR DISTAL MOVEMENT OF THE FIRST PERMANENT MOLARS OF THE UPPER JAW IN CHILDREN WITHOUT ERUPTED SECOND PERMANENT MOLARS

Authors:

Abstract:

The study was devoted to evaluating the effectiveness of the Pendulum appliance for distal movement of the first permanent molars of the upper jaw in children whose second permanent molars had not yet erupted. Ten patients aged between 8 and 16 years with dentoalveolar anomalies participated in the research. Lateral cephalometric radiographs were used to assess angular and linear parameters before and after treatment with the Pendulum appliance. The appliance facilitated significant distalization of the first permanent molars, achieving an average movement of 7.48±0.64 mm over an average treatment duration of 3.26±0.37 months. Minor undesirable effects, such as mesial movement of anchorage teeth and slight incisor protrusion, were observed but resolved spontaneously within 2–3 weeks after appliance removal. These findings suggest that the Pendulum appliance is effective in distalizing first permanent molars in children without erupted second permanent molars, promoting optimal occlusal relationships and potentially simplifying future orthodontic treatment.

Keywords:

anomalies of the dentition Pendulum apparatus molar distalization orthodontic treatment children

References:

1. Rohach IM, Keretsman AO, Sitkar AD. Pravylno vybranyy metod statystychnoho analizu – shlyakh do yakisnoyi interpretatsiyi danykh medychnykh doslidzhen. Naukovyy visnyk Uzhhorodskoho universytetu, seriya “Medytsyna”. 2017;2(56):124–128. [in Ukrainian].
2. Flis PS. Ortodontiya. Vinnytsia: Nova knyha, 2007. 312 p. [in Ukrainian].
3. Alshammari A, Almotairy N, Kumar A, Grigoriadis A. Effect of malocclusion on jaw motor function and chewing in children: a systematic review. Clin Oral Investig. 2022;26(3):2335–51. doi: 10.1007/s00784-021-04356-y.
4. Antoun JS, Fowler PV, Jack HC, Farella M. Oral health-related quality of life changes in standard, cleft, and surgery patients after orthodontic treatment. Am J Orthod Dentofacial Orthop. 2015;148(4):568–75. doi: 10.1016/j.ajodo.2015.03.028.
5. Caruso S, Nota A, Ehsani S, Maddalone E, Ojima K, Tecco S. Impact of molar teeth distalization with clear aligners on occlusal vertical dimension: a retrospective study. BMC Oral Health. 2019;19(1):182. doi: 10.1186/s12903-019-0880-8.
6. Choi SH, Kim JS, Cha JY, Hwang CJ. Effect of malocclusion severity on oral health-related quality of life and food intake ability in a Korean population. Am J Orthod Dentofacial Orthop. 2016;149(3):384–90. doi: 10.1016/j.ajodo.2015.08.019.
7. De Ridder L, Aleksieva A, Willems G, Declerck D, Cadenas de Llano-Pérula M. Prevalence of Orthodontic Malocclusions in Healthy Children and Adolescents: A Systematic Review. Int J Environ Res Public Health. 2022;19(12):7446. doi: 10.3390/ijerph19127446.
8. Londono J, Ghasemi S, Moghaddasi N, Baninajarian H, Fahimipour A, Hashemi S, et al. Prevalence of malocclusion in Turkish children and adolescents: A systematic review and meta-analysis. Clin Exp Dent Res. 2023;9(4):689–700. doi: 10.1002/cre2.771.
9. Nissen SH. The Pendulum Appliance for Class II Non-Compliance Therapy. J Clin Orthod. 2017;51(9):564–567.
10. Palomares NB, Celeste RK, Miguel JA. Impact of orthosurgical treatment phases on oral health-related quality of life. Am J Orthod Dentofacial Orthop. 2016;149(2):171–81. doi: 10.1016/j.ajodo.2015.07.032.
11. Paranna S, Shetty P, Anandakrishna L, Rawat A. Distalization of Maxillary First Permanent Molar by Pendulum Appliance in Mixed Dentition Period. Int J Clin Pediatr Dent. 2017;10(3):299–301. doi: 10.5005/jp-journals-10005-1454.
12. Yosra T, Abdoul Hafizou RA, Fatima Z, Hicham B. Orthosurgical approach of a skeletal class III malocclusion with mandibular laterognathia: a case report. Ann Med Surg (Lond). 2023;85(6):2965–73. doi: 10.1097/MS9.0000000000000591.

Publication:

«World of Medicine and Biology» Vol. 20 No. 90 (2024) , с. 124-128
УДК [616-053.7+616.716.4]:616.314-089.23

DOI:

https://doi.org/10.26724/2079-8334-2024-4-90-124-128