In many Class II cases (upper teeth ahead of lower teeth - protrusive maxillary teeth), getting the molars in the upper arch distalized to fit into the correct relationship with the lower teeth is our biggest and most time consuming challenge.

The pedulum appliance is inserted prior to placing braces. Because the appliance is cemented, it distalizes the maxillary 1st molars with light continuous forces.

In a four to six month period, the molars are distalized into a "super-corrected" relationship. A smaller fixed appliance (the nance) is used to hold the molars in their newly corrected relationship. The upper bicuspids and cuspids drift or erupt into a path following the molars.

This can dramatically shorten the treatment time that is needed in braces and reducee compliance issues.

Change Before and After Pendulum Appliance
Before
After
Gained room for blocked-out upper right permanent cuspid in addition to achieving Class II correction... treatment time in braces will be considerably shortened.
Before
After
Pendulum appliance used to make room for blocked-out teeth
Before
After
Severe Class II treated without extractions using pendulum appliance prior to braces.