Clinical showcase. Selective intrusion of overerupted upper first molars using a temporary anchorage device: case report.

If a posterior tooth has been lost and is not restored immediately, the patient may subsequently experience a variety of problems. The adjacent teeth tend to tilt and rotate, and the opposing tooth may overerupt. Available options to restore occlusion include elective root canal treatment with invasive tooth reduction, surgical impaction or orthodontic therapy requiring extraoral headgear or full-arch braces to reinforce anchorage.1-4 Unfortunately, these treatments may be inconvenient and they are not always as effective as desired, since the loss of anchorage is always evident. To avoid lengthy and unpredictable treatment, many restorative dentists prefer to perform elective root canal treatment followed by aggressive tooth reduction to restore the occlusal plane. However, the advent of titanium Selective Intrusion of Overerupted Upper First Molars Using a Temporary Anchorage Device: Case Report