The use of the appliance remover is also advantageous for this treatment method. This is because it is used with spring of uprighting to provide the movement of the third molars' mandibular. However, elastic chain that is placed between occlusal surface wire of the third molar mandibular and upper jaw's posterior area mini screw, systematically transverses the plane leading to the tipping of the buccal of the impacted molars’ crown, subsequently tipping of lingual of impacted molars’ root and the extrusion of the tooth’s vertical plane (Park, Bae and Kyung). Finally, the orthodontic treatment is an advantageous treatment method recommended for the treatment of this dental problem because the appliance used in the process is essential in the elimination of other application than teeth (Slodov, Behrents and Dobrowski).
There are numerous methods of treatment that can be used in ensuring the healing process of any patient suffering from this kind of dental problem. However, it is a rare problem experienced in the globe, and there is limited dental material on its treatment. This has led to the option of either using the surgical up righting treatment method or the orthodontic up righting treatment (Gelgor, Buyukyilmaz and Karaman). Although both methods can be used in assisting patients with this dental problem, orthodontic up righting treatment method is considered as the most appropriate treatment method that can be used in assisting patients because it has less side effects on patients compared to the surgical up righting treatment method (Park, Jeong and Kwon, Factors affecting the clinical success of screw implants used as orthodontic anchorage).
Orthodontic up righting is an advantageous treatment method that is universally recommended to assist patients with this kind of dental problem. However, it also has some disadvantages because the method is not perfect since there are several researches being conducted to discover the most appropriate treatment method that can be used in assisting patients with this kind of problem. Orthodontic up righting is disadvantageous because it is just an alternative treatment method being used, but not the main and recommended treatment procedure that should be used for the treatment of this kind of dental problem (Park, Jeong and Kwon, Factors affecting the clinical success of screw implants used as orthodontic anchorage).
Disadvantages of orthodontic uprighting
Patients suffering from this kind of dental problem expect the third molars to be appropriately impacted. However, the orthodontic up righting is complex treatment method that cannot easily lead to the full impacting of the third molars of a patient. It must take several weeks for the third molars to be fully impacted, which consumes time and resources.
Orthodontic up righting is recommended as an alternative treatment method to assist patients suffering from this rare dental problem. However, the patient did not provide hygienic mouth which made the treatment process unpleasant and unbearable to efficiently execute because hygiene is an important aspect of human life inclusive of patients too (Park, Jeong and Kwon, Factors affecting the clinical success of screw implants used as orthodontic anchorage). Finally, this is one method that requires the full cooperation of the patient because there are certain procedures that require willingness and self-discipline, for instance, the intermaxillary elastics and removable appliances usage. Usage of these devices requires patient’s cooperation because in case the patient does not cooperate, the process may prove to be ineffective. However, a treatment process should be one that the physician has full control and regulation over to ensure the achievements of the desired results within a specific deadline, but the efficiency of orthodontic up righting also depends on the patient’s cooperation (Orton and Jones).
Conclusion
In conclusion, uprighting third molar is very important due to several reasons. According to medical research, third molars are almost extinct as several individuals lack them. They can be used as first and second molars replacements. They can also be used in shallow mesio angular impactions as transplants.
Works Cited
Bishara, S E and G Anderssen. "Third Molars: A Review." Am J Orthod (1983): 131-137. Print.
Björk, A, E Jensen and M Palling. "Mandibular growth and 3rd molar impaction." Acta Odontol Scand (1956): 231-237. Print.
Cheng, S J, et al. "A Prospective study of the risk factors associated with failure of mini-implants used for orthodontic anchorage." Int. J. Oral Maxillofac. Implants (2004): 100-106.
Eliasson, S, A Heimdahl and A Nordenram. "Pathological changes related to long-term impaction of third molars. A radiographic study." Int J Oral Maxillofac Surg (1989): 210-211. Print.
Freudenthaler, J W, R Haas and H P Banteleon. "Bicortical titanum screws for critical orthodontic anchorage in the mandible: A Preliminary report on clinical applications." Clin Oral Implants Res (2001): 358-363.
Gelgor, I E, et al. "Intraosseous screw-supported upper molar distalization." Angle Orthod (2004): 838-850.
Grover, P S and L Lorton. "The incidence of unerupted permanent teeth and related clinical cases." Oral Surg Oral Med Oral Pathol (1985): 420-425.
Hattab, Faiez N. "Positional changes and eruption of impacted mandibular third molars in young adults." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics (1997): 604-608. Print.
Johnsen, D C. "Prevalence of delayed emergence of permanent teeth as a result of local factors." J Am Dent Assoc (1977): 100-106.
Kahl, B, K L Gerlach and R D Hilgers. "A long-term, follow-up, radiographic evaluation of asymptomatic impacted third molars in orthodontically treated patients." International Journal of Oral and Maxillofacial Surgery (1994): 297-285. Print.
Kipp, D P, B H Goldstein and W W Weiss. "Dysesthesia after mandibular third molar surgery: A retrospective study and analysis of 1377 surgical procedures." JADA (1980): 185. Print.
Lee, J S, H S Park and H M Kyung. "Mico-implant anchorage for lingual treatment of a skeletal Class II malocclusion." J Clin Corthod (2001): 643-647.
Lysell, L and M Rohlin. "A Study of indications used for removal of the mandibular third molar." Int J Oral Maxillofac Surg (1988): 161-164. Print.
Matteo, Chiapasco, Michele Crescentini and Gloria Romanoni. "Germectomy or delayed removal of mandibular impacted third molars." Journal of Oral and Maxillofacial Surgery (1995): 418-422. Print.
Miao, Y Q and H Zhong. "An uprighting appliance for impacted mandibular second and third molars." J. Clin. Orthod (2006): 110-116.
Orton, H S and S P Jones. "Correction of Mesially impacted lower second and third molars." J Clin Orthod (1987): 176-181. Print.
Park, H S, et al. "Micro-implant anchorage for treatment of Skeletal Class I bialveolar protrusion." J Clin Orthod (2001): 417-422.
Park, H S, S H Jeong and O W Kwon. "Factors affecting the clinical success of screw implants used as orthodontic anchorage." Am. J. Orthod. Dentofac. Orthop (2006): 18-25.
Richardson, M. "Changes in Lower Third Molar Position in the Young Adult." Am J Orthod Dentofac Orthop (1992): 320-327. Print.
Richardson, M E. "The Development of third molar impaction and its prevention." Int J Oral Surg (1981): 122-130. Print.
Slodov, J, R G Behrents and D P Dobrowski. "Clinical Experience with third molar orthodontics." Am J Orthod Dentofac Orthop (1989): 453-461. Print.
Wovern, N and Nielsen H Overgaard. "The Fate of Impacted lower third molars after the age of 20." Int J Oral Maxillofac Surg (1989): 277. Print.
