Essentially, this approach is very useful in cases with midline discrepancies, to regain the space lost due to mesial drifting of first molars following premature loss of deciduous teeth, Class II molar relationship due to ectopic eruption of either first or second bicuspids and impacted or high labially placed cuspids. Based on the Authors extensive experience in this field spanning over last many years, there are basically three elements that determine the efficiency and effectiveness of distal driving of maxillary molars. These are: 1) Three dimensional control of molars while they are being moved distally2) Maximum anchorage preservation during the distalization phase.3) Stabilization of molars in their new positions post - distalization, during the subsequent phase of space consolidation.
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