Managing Complex Orthodontic Problems with Skeletal Anchorage

Skeletal anchors have revolutionized orthodontic mechanotherapy by providing predictable methods to efficiently and effectively move teeth in all three dimensions. Distalization and intrusive mechanics have become routine processes to manage significant openbite, Class III and Class II type malocclusions. The Sendai Skeletal Anchorage System (SAS) provides a highly predictable device with fewer failures compared to minscrews although a minor surgical procedure is required to place and remove the devices.

This chapter demonstrates the use of SAS in a variety of applications to distalize teeth to create space for alignment, closure of openbites by molar intrusion including treatment to facilitate tooth movements in preparation for and after combined surgery and orthodontics. Moreover the application of these startegies in complex interdisciplinary treatment is demonstrated