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Pendulum as Unilateral Distiliser: A Case Report

Aameer Parkar*, Chetan Patil, Smarika Jain, Vivekanand Panzade, Sharayu Chavan, Kshitija Sul, Radhika choudhary

Adult patients with class II malocclusion can be treated routinely by extraction therapy. In the recent decades there was increasing popularity towards non-extraction treatment. Distalization of maxillary molars is one of the prime treatment modality to correct mild to moderate class II malocclusion cases with esthetically acceptable profile. A 19 year old post pubertal male patient came with the chief complaint of irregularly placed upper and lower front teeth. On examination the patient presented with a straight facial profile with potentially competent lips. On clinical and radiographic examination the patient was diagnosed as Angle’s Class II Subdivision malocclusion with proclined maxillary anterior teeth with an over jet of 2 mm and overbite of 2 mm and class I skeletal base with horizontal growth pattern. Treatment was started with non-extraction treatment plan. Unilateral distalization of molar on right side was planned using pendulum appliance and finishing the case in class I molar and canine relation with optimal over jet and overbite. As 5.0 mm of maxillary molars were distalized on right side, class I molar relation were achieved within span of four months without altering the patient’s existing profile.