Abstract

Loss of tooth in either arch result in over eruption of antagonist tooth which eliminates the vertical space needed for tooth substitution or placement of a prosthesis. Conventional methods with miniscrew anchorage (TADs) demonstrated excellent results Although, they rely on patient compliance for success due to oral hygiene and bone quality. In this case, to overcome it, a modified transpalatal (TPA) has easily intruded maxillary molars during orthodontic treatment. After gaining the vertical spaces, natural tooth substitution is a better option than conventional prosthesis in terms of alveolar bone support and oral hygiene.

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