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A má oclusão de Classe II é uma das discrepâncias esqueléticas e dentárias mais comuns na população ortodôntica. O tratamento desta condição pode envolver várias abordagens, incluindo a distalização dos molares superiores, que tem como objetivo corrigir e melhorar a oclusão do paciente. Tradicionalmente, a distalização era realizada com aparelhos fixos, como arco extraoral ou dispositivos intraorais ancorados em mini-implantes e frequentemente associados a sistemas multibrackets. Com o avanço da tecnologia digital na ortodontia, os alinhadores transparentes emergiram como uma alternativa promissora para a correção da Classe II, promovendo movimentações dentárias controladas de forma estética e minimamente invasiva. Pretendeu-se com a realização deste trabalho determinar a eficácia na distalização molar com alinhadores dentários, duração do tratamento e ocorrência de efeitos colaterais, no tratamento das más oclusões de Classe II. Para conseguir obter uma resposta para esta questão, realizamos uma revisão sistemática recorrendo aos motores de busca Pubmed, Scopus e LiLACs, selecionados de acordo com os critérios de inclusão e exclusão. Incluíram-se na amostra 8 artigos, cujos resultados indicaram a capacidade e eficácia na distalização dos primeiros molares superiores, com alinhadores transparentes. No entanto, mais estudos clínicos erão necessários para confirmar os resultados, aprimorar as técnicas de tratamento e validar sua eficácia na prática clínica, ajustando os parâmetros.
Class II malocclusion is one of the most common skeletal and dental discrepancies in the orthodontic population. Treatment of this condition may involve several approaches, including distalization of the upper molars, which aims to correct and improve the patient's occlusion. Traditionally, distalization was performed with fixed appliances, such as extraoral arches or intraoral devices anchored to mini-implants. With the advancement of digital technology in orthodontics, clear aligners have emerged as a promising alternative for Class II correction, promoting controlled tooth movement in an aesthetic and minimally invasive manner. The aim of this study was to determine the effectiveness of molar distalization with dental aligners, treatment duration, and the occurrence of side effects. To answer this question, we conducted a systematic review using the search engines PubMed, Scopus, and LiLACs, selected according to the inclusion and exclusion criteria. We included eight articles in the sample, whose results indicate the ability and effectiveness of distalizing the upper first molars with clear aligners. However, further clinical studies are needed to confirm the results, improve treatment techniques, and validate its effectiveness in clinical practice by adjusting the parameters.
Class II malocclusion is one of the most common skeletal and dental discrepancies in the orthodontic population. Treatment of this condition may involve several approaches, including distalization of the upper molars, which aims to correct and improve the patient's occlusion. Traditionally, distalization was performed with fixed appliances, such as extraoral arches or intraoral devices anchored to mini-implants. With the advancement of digital technology in orthodontics, clear aligners have emerged as a promising alternative for Class II correction, promoting controlled tooth movement in an aesthetic and minimally invasive manner. The aim of this study was to determine the effectiveness of molar distalization with dental aligners, treatment duration, and the occurrence of side effects. To answer this question, we conducted a systematic review using the search engines PubMed, Scopus, and LiLACs, selected according to the inclusion and exclusion criteria. We included eight articles in the sample, whose results indicate the ability and effectiveness of distalizing the upper first molars with clear aligners. However, further clinical studies are needed to confirm the results, improve treatment techniques, and validate its effectiveness in clinical practice by adjusting the parameters.
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Molar distalization Class II malocclusion Fixed appliances Clear aligners Maxilar molar distalization Invisalign® Class II Malocclusion Maxillary molar Distalization