Stability of the Maxillary and Mandibular Total Arch Distalization Using Temporary Anchorage Devices (TADs) in Adults

Abstract

Distalization with temporary anchorage devices (TADs) is commonly used to resolve crowding and to correct molar relationships in non-extraction cases. The purpose of this study was to quantify the treatment effects and post-treatment stability of total arch distalization with TADs in adults and thereby elucidate the clinical effect of this treatment modality. The subjects of the study were 39 adult orthodontic patients treated with total arch distalization with TADs. Lateral cephalograms and dental casts were taken at pretreatment (T0), post-treatment (T1), and the retention period (T2, 29.3 ± 12.8 months) to evaluate the vertical and horizontal movement of teeth, changes of arch width and molar rotation. It was concluded that even though there was a little relapse in the anteroposterior position of the maxillary and mandibular teeth during retention, there was no obvious relapse in the facial profile. Therefore, the total arch distalization can be used in patients with a moderate amount of arch length discrepancy effectively with stable retention.