Does molar distalization by the Beneslider have skeletal and dental impacts? A prospective 3D analysis.

Oral Surg Oral Med Oral Pathol Oral Radiol

Executive senior physician (formerly), Department of Oral and Craniomaxillofacial Surgery, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany; Head of Department of Oral and Maxillofacial Surgery, Medical University Innsbruck, Innsbruck, Austria. Electronic address:

Published: July 2022

Objective: The study aimed to clarify (1) the effect of the Beneslider distalization appliance on maxillary molars (M1+2), (2) the type of tooth movement, and (3) changes in skeletal parameters.

Study Design: Dental distalization paths and transversal changes were measured according to the distance of the pterygoid vertical as well as on the virtualized 3D plaster model.

Results: Distalization of the second premolar (P2; T1 - T2) was 2.51 mm (±1.81 mm; P < .001) combined with a distal tipping of 6.50° (±5.09°; P < .001), whereas for M1 a distalization of 3.49 mm (±1.10 mm) occurred with negligible tipping (0.73° ± 5.04°). No significant differences (T1 - T2) on sagittal and vertical skeletal variables were found within or between G1+2. In contrast, a significant increase in N-Sp' in G2 and in Sp'-Gn in G1+2 with consecutive Hasund index reduction was shown. Comparing T1 and T2, the device had an effect on the transversal development.

Conclusion: The Beneslider distalization appliance causes an effective distalization of M1+2, with slight second premolar tipping. No modification of skeletal parameters was recorded, but a relevant effect on Hasund index and the transverse was found.

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http://dx.doi.org/10.1016/j.oooo.2021.12.002DOI Listing

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Article Synopsis
  • The study evaluated the impact of the eruption stages of maxillary second and third molars on first molar movement using a modified palatal anchorage plate (MPAP) and Beneslider, utilizing 3D finite element analysis.
  • Six finite element models, created from cone-beam computed tomography images, analyzed individual molar movements and en-masse arch distalization at various eruption stages, focusing on 3D displacements.
  • Results indicated that Beneslider facilitated distal translation of the first molar during certain eruption stages, while MPAP resulted in distal tipping, showing that the eruption of second and third molars did not negatively affect overall molar distalization.
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Does molar distalization by the Beneslider have skeletal and dental impacts? A prospective 3D analysis.

Oral Surg Oral Med Oral Pathol Oral Radiol

July 2022

Executive senior physician (formerly), Department of Oral and Craniomaxillofacial Surgery, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany; Head of Department of Oral and Maxillofacial Surgery, Medical University Innsbruck, Innsbruck, Austria. Electronic address:

Objective: The study aimed to clarify (1) the effect of the Beneslider distalization appliance on maxillary molars (M1+2), (2) the type of tooth movement, and (3) changes in skeletal parameters.

Study Design: Dental distalization paths and transversal changes were measured according to the distance of the pterygoid vertical as well as on the virtualized 3D plaster model.

Results: Distalization of the second premolar (P2; T1 - T2) was 2.

View Article and Find Full Text PDF

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