Modifications of Rect-Spring to Enhance the Engagement of Ectopically Entrapped Molars with 2 Case Reports

The Rect-spring appliance, used for the management of ectopically erupting molars, shows weak retention on mesially tilted molars. We present three modifications of the appliance for better engagement and their advantages. We describe cases of two 7-year-old patients with ectopically erupting maxill...

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Main Authors: Min Sun Song, Chung-Min Kang, Je Seon Song, Hyung-Jun Choi, Jaeho Lee, Seong-Oh Kim
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/8/9/823
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spelling doaj-367fdc71011c4bb6b51faab57315cebd2021-09-25T23:54:55ZengMDPI AGChildren2227-90672021-09-01882382310.3390/children8090823Modifications of Rect-Spring to Enhance the Engagement of Ectopically Entrapped Molars with 2 Case ReportsMin Sun Song0Chung-Min Kang1Je Seon Song2Hyung-Jun Choi3Jaeho Lee4Seong-Oh Kim5Department of Pediatric Dentistry, College of Dentistry, Yonsei University, Seoul 03722, KoreaDepartment of Pediatric Dentistry, College of Dentistry, Yonsei University, Seoul 03722, KoreaDepartment of Pediatric Dentistry, College of Dentistry, Yonsei University, Seoul 03722, KoreaDepartment of Pediatric Dentistry, College of Dentistry, Yonsei University, Seoul 03722, KoreaDepartment of Pediatric Dentistry, College of Dentistry, Yonsei University, Seoul 03722, KoreaDepartment of Pediatric Dentistry, College of Dentistry, Yonsei University, Seoul 03722, KoreaThe Rect-spring appliance, used for the management of ectopically erupting molars, shows weak retention on mesially tilted molars. We present three modifications of the appliance for better engagement and their advantages. We describe cases of two 7-year-old patients with ectopically erupting maxillary first molars with a 2.2 mm and 2.5 mm depth of entrapment, respectively. The modified Rect-spring (mRS) was inserted between the ectopically erupting first molar and adjacent primary second molar, and exerted a distalization force with an interproximal wedging effect at the same time. After 3 months, the ectopically erupting first molars were successfully brought into proper occlusion. No discomfort was reported. The mRS is suitable for various locking cases except for severely tilted molars without requiring any laboratory procedures. We suggest it as the first choice for unlocking the first molars.https://www.mdpi.com/2227-9067/8/9/823ectopic eruptionfirst molartilted molardistalizationobtuse angle
collection DOAJ
language English
format Article
sources DOAJ
author Min Sun Song
Chung-Min Kang
Je Seon Song
Hyung-Jun Choi
Jaeho Lee
Seong-Oh Kim
spellingShingle Min Sun Song
Chung-Min Kang
Je Seon Song
Hyung-Jun Choi
Jaeho Lee
Seong-Oh Kim
Modifications of Rect-Spring to Enhance the Engagement of Ectopically Entrapped Molars with 2 Case Reports
Children
ectopic eruption
first molar
tilted molar
distalization
obtuse angle
author_facet Min Sun Song
Chung-Min Kang
Je Seon Song
Hyung-Jun Choi
Jaeho Lee
Seong-Oh Kim
author_sort Min Sun Song
title Modifications of Rect-Spring to Enhance the Engagement of Ectopically Entrapped Molars with 2 Case Reports
title_short Modifications of Rect-Spring to Enhance the Engagement of Ectopically Entrapped Molars with 2 Case Reports
title_full Modifications of Rect-Spring to Enhance the Engagement of Ectopically Entrapped Molars with 2 Case Reports
title_fullStr Modifications of Rect-Spring to Enhance the Engagement of Ectopically Entrapped Molars with 2 Case Reports
title_full_unstemmed Modifications of Rect-Spring to Enhance the Engagement of Ectopically Entrapped Molars with 2 Case Reports
title_sort modifications of rect-spring to enhance the engagement of ectopically entrapped molars with 2 case reports
publisher MDPI AG
series Children
issn 2227-9067
publishDate 2021-09-01
description The Rect-spring appliance, used for the management of ectopically erupting molars, shows weak retention on mesially tilted molars. We present three modifications of the appliance for better engagement and their advantages. We describe cases of two 7-year-old patients with ectopically erupting maxillary first molars with a 2.2 mm and 2.5 mm depth of entrapment, respectively. The modified Rect-spring (mRS) was inserted between the ectopically erupting first molar and adjacent primary second molar, and exerted a distalization force with an interproximal wedging effect at the same time. After 3 months, the ectopically erupting first molars were successfully brought into proper occlusion. No discomfort was reported. The mRS is suitable for various locking cases except for severely tilted molars without requiring any laboratory procedures. We suggest it as the first choice for unlocking the first molars.
topic ectopic eruption
first molar
tilted molar
distalization
obtuse angle
url https://www.mdpi.com/2227-9067/8/9/823
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