HomeAnswersOrthodontistmolar protractionI have a space in upper first molar region. Can second molar be moved forward to fill the space?

What are the various treatment procedures available to protract a molar?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At January 26, 2023
Reviewed AtJuly 31, 2023

Patient's Query

Hi doctor,

My upper first molar was extracted a few years back. Is it possible to move the second molar forward to fill the space of the extracted first molar? Kindly give your suggestions. Thank you.

Hello,

Welcome to icliniq.com.

I understand your concern. Yes, it is possible to bring the second molar forward to the place of the extracted first molar. This is called the protraction of molar. However, it depends on the status of the bone, the duration of the area without the tooth, the presence of the third molar, and the condition of the second and third molars. The status of the bone can be evaluated from a recent radiograph. The duration of the area without the tooth denotes that if the space is long, the bone is harder, and the tooth movement becomes difficult. If the third molar is present, it can be moved forward to replace the second molar. If the second and third molars are not infected, and if they are in a proper angulation, they can be moved forward. Tooth protraction can be done either by noninvasive or invasive methods. In the noninvasive method, the front teeth will be bound together using small wires around the braces to make it a single unit, and the molars to be brought forward will be made to move against the anchorage from the front teeth unit. In the invasive method, a mini implant (mini screw) will be placed in the jaw bone, and force is given against this mini screw to move the teeth forward. The chances of success are better in invasive methods as molars are subject to a stable anchor unit. But, screw placement is sometimes a concern for the patient. After the protraction of the tooth, screws are removed from the bone. I hope this helps you. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mayank Khandelwal
Dr. Mayank Khandelwal

Orthodontist

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