The Biocreative Strategy. Part 6: Class III Treatment.

Distalization of mandibular molars has always been one of the most challenging treatment objectives in clinical orthodontics, particularly in adult patients.(1) If the posterior space is sufficient and alveolar bone is available, however, lower molar distalization is a viable option in Class III nonextraction therapy. Several intraoral appliances have been introduced for this purpose, including the lip bumper,(2,3) a distal extension lingual arch,(4) the Jones Jig,(*5) the Franzulum appliance,(6) and the multiloop edgewise archwire (MEAW),(7) Today, molars can be moved distally using miniscrew anchorage, with no need for patient cooperation, to camouflage a Class III malocclusion or relieve crowding without premolar extractions.