Molar Uprighting with T-Loop Springs

Abstract

Uprighting of molars is indicated as an adjunct to restorative and periodontal procedures. Limiting conditions exist in which previously reported helical and box-loop springs cannot be used effectively. In those instances, segmental arch wires with T-loops upright the molars efficiently while maintaining control in three planes of space. Furthermore, these loop designs permit immediate engagement of these appliances. Clinical experiences with these springs by students in the professional and graduate dental clinics at the University of Kentucky College of Dentistry lead to the conclusion that: segmental uprighting arch wires with T-loops are easy to fabricate and use; T-looped uprighting springs can be engaged immediately and used efficiently in instances in which helical spring or box-loop uprighting appliances are contraindicated; T-looped uprighting springs offer excellent controlled movements of teeth in three planes of space; acceptance by the patient is favorable; and treatment time, depending on the amount of tooth movement required, is rapid and varies between 8 to 16 weeks.