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Introduction: The aim of this retrospective study was to compare the dentoalveolar and skeletal effects obtained with 2 types of pendulum appliance with different anchorage designs: bone-anchored pendulum appliance (BAPA) and conventional pendulum appliance (CPA).
Intraoral appliances, such as repelling magnets, nickel-titanium coils, pendulum appliance, Jones jig appliance, distal jet appliance, and modified Nance appliance, have been introduced to distalize the molars with little or no patient cooperation.
The Pendulum appliance, developed by Hilgers, has become one of the more popular designs.
This study attempts to evaluate the performance of the Pendulum appliance in correcting Class II malocclusions via molar distalization.
This study examined the treatment effects produced by 2 types of the Herbst appliance (acrylic splint and stainless-steel crown) followed by fixed appliances, and the pendulum appliance followed by fixed appliances.
Figure 1 Segmented Pendulum appliance.
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The two types of Pendulum appliances used in this study represented modifications [21] of the standard Pendulum of Hilgers [22].
All patients underwent maxillary molar distalization therapy with two different modified Pendulum appliances followed by fixed appliances.
The aim of the study was to compare sequential versus simultaneous molar distalization therapy with erupted second molar using two different modified Pendulum appliances followed by fixed appliances.
These findings were also confirmed by a long-term investigation [26], which reported 76 class II patients treated with Pendulum and fixed appliances describing that SN/Go-Gn angle increased 1.3° during the overall orthodontic treatment, but decreased 1.5° in the post-retention period (7 years later, age 22 years and 5 months).
Several methods of Class II treatment that do not rely on significant patient compliance have become popular during the last decade, including several versions of the Herbst appliance and the pendulum or Pendex molar-distalization appliances.
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