Management of Post-Extraction Orthodontic Relapse Using Miniplate Anchorage: A Case Report

Authors

  • A. T. Prakash Professor & Head, Department of Orthodontics and Dentofacial Orthopedics, College of Dental Sciences, Davangere, Karnataka, India. Author https://orcid.org/0000-0001-5013-0370
  • Nikunj Maniyar Assistant Professor, Department of Orthodontics and Dentofacial Orthopedics, Ahmedabad Dental College and Hospital, Bhadaj, Ahmedabad, Gujarat, India. Author https://orcid.org/0000-0002-3801-7313
  • Amarnath P. Upasi Professor, Department of Oral & Maxillofacial Surgery, Bapuji Dental College and Hospital, Davangere, Karnataka, India. Author https://orcid.org/0000-0003-2095-7347

DOI:

https://doi.org/10.15517/phs3dc86

Keywords:

Distalization; Orthodontic re-treatment; Miniplates; Relapse;Temporary anchorage device.

Abstract

Orthodontic relapse, particularly after extraction-based treatment and compromised anchorage control situation, remains a clinical as well as esthetic challenge. This case report presents the successful re-treatment of a 24-year-old female patient with a relapsed malocclusion, proclined incisors, molar crossbites, and lip protrusion, following prior fixed orthodontic therapy with extraction of four premolars. Miniplate-assisted maxillary arch distalization was employed to accomplish en-masse retraction, correct molar relationship, and improve facial profile. The use of temporaray skeletal anchorage device such as miniplates imparted steady, compliance-free mechanics, ensuing enhanced dental occlusion and soft tissue harmony. Here we highlight the effectiveness of miniplate-based mechanics in complex retreatment circumstances where traditional anchorage generally proves to be inefficient.

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Author Biographies

  • A. T. Prakash, Professor & Head, Department of Orthodontics and Dentofacial Orthopedics, College of Dental Sciences, Davangere, Karnataka, India.

    Professor & Head, Department of orthodontics and dentofacial orthopedics

  • Amarnath P. Upasi, Professor, Department of Oral & Maxillofacial Surgery, Bapuji Dental College and Hospital, Davangere, Karnataka, India.

    Professor, Department of oral & maxillofacial surgery

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Published

2026-03-23

Issue

Vol. 1 No. 1 (2026): ONLINE FIRST ODOVTOS-International Journal of Dental Sciences

Section

Clinical Case Reports

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Copyright (c) 2026 A. T. Prakash, Nikunj Maniyar, Amarnath P. Upasi.

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