A customized appliance for molar uprighting and space regaining.

Fig. 1 A. 25-year-old male patient with mesially tipped upper right second molar before treatment. B. After removal of lower left third molar. molar uprighting.6 Although early mechanics tended to cause molar extrusion or premolar intrusion, more recently developed springs can upright molars without these undesirable side effects.7,8 The need for simpler appliances to manage relatively limited adjunctive-orthodontic cases cannot be overemphasized. This article presents a quick and esthetic option for second-molar uprighting with a custom-designed space regainer. A orthodontic treatment is defined as tooth movement carried out to facilitate other dental procedures that may be required to control disease, restore function, or enhance appearance. As an example, an adult patient with a missing first molar is commonly treated by uprighting the adjacent second molar for eventual prosthetic replacement.1-5 Differential diagnosis, force selection, and appliance design are key factors in successful