Molar distalization has become an important tool in non-extraction treatment and dental Class II correction. Fabrication, precise clinical handling and effects of the pendulum appliance are described. Three typical case-examples for the use of the pendulum appliance are given. For minor upper molar distalizations a method with self ligating brackets and push-coils is described. Based on studies on the pendulum and other currently used upper molar distalizing appliances the conclusion is made that there is no permanent distalization in the growing patient. Initial, even important, molar distalizations disappear, but the achieved Class I occlusion is maintained. For molar distalization in adults and also sometimes in adolescents, the Graz implant supported pendulum (GISP) is described and its use explained. For lower molar distalization the clinical handling of the Franzulum appliance is described.
(Rev Esp Ortod. 2011;41(4):215-232)