IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-6-15706 Original Research Paper ESTHETICALLY PLEASING, HIGHLY EFFECTIVE - A PALATAL HOOK RETRACTOR (A CASE REPORT) S Vishwanath Dr. Dr.Nair Archana Dr. June 2018 7 6 01 02 ABSTRACT

The transpalatal arch can be used as an adjunct during orthodontic treatment to help control the movement of maxillary first molars in three dimensions including molar rotations, uprighting and maintaining transverse dimensions posteriorly. Here, a modified transpalatal arch is used along with MBT prescription with an extension soldered to the TPA, which is in line and near to the centre of resistance of the incisor for the correction of its proclination. This modification prevent the round tripping in the treatment that would have occured in complete maxillary strapup with continuous archwire. Moreover, it corrected the axial inclination of the tooth within a very short span of time without any reciprocal reaction on adjacent teeth.