Noncompliance therapy: Veltri appliance

Abstract

Aim: To achieve intraoral molar distalization without any extraoral appliance or patient cooperation.

Methods: The intraoral distalization technique was performed on a female 12 years 8 months of age with cooperation deficiency, and the positive results are presented. The patient initially accepted the headgear planned at the beginning of treatment, but she did not wear it long enough. We therefore abandoned the use of extraoral appliances and employed intraoral distalization instead. We preferred to use a Nance button Veltri appliance we could create in our clinic. Once the patient had accepted our new treatment plan, we completed the distalization process in about 2 months. After a 2-month retention period, we completed treatment with a fixed Roth edgewise appliance and maximum anchorage in the maxilla for approximately 18 months.

Results: Following treatment, a Class II Division I dental relationship became a Class I relationship in both the canine and molar regions, and a functional occlusal relationship and esthetic facial appearance were obtained.

Conclusion: This appliance can be used when patient cooperation is compromised.