Title
Comparative clinical evaluation of conventional nance appliance and modified aesthetic nance appliance (MANA) in maxillary premolar extraction cases: A prospective study
Authors
Shailesh Ram Kulkarni1,*, Amit Handa1, Dipali Raghunath Mane1, Nikita Hemant Bhagwan1, Siddeek Aabdul Hamid Saudagar1, Bhishma Digambar Zunjare1 & Himanshu Srivastava2
Affiliation
1Department of Orthodontics, Aditya Dental College Beed, Maharashtra, India; 2Department of Oral Pathology and Microbiology, Aditya Dental College Beed, Maharashtra, India; *Corresponding author
Shailesh Ram Kulkarni - E-mail: shaileshkulkarni000@gmail.com
Amit Handa - E-mail: handaamit1986@gmail.com
Dipali Raghunath Mane - E-mail: manedipali1993@gmail.com
Nikita Hemant Bhagwan - E-mail: bhagwannikita@gmail.com
Siddeek Aabdul Hamid Saudagar - E-mail: siddeeksaudagar056@gmail.com
Bhishma Digambar Zunjare - E-mail: bheemzunjare@gmail.com
Himanshu Srivastava - E-mail: himanshu.srivastava97@gmail.com
Article Type
Research Article
Date
Received August 1, 2026; Revised August 31, 2026; Accepted August 31, 2026, Published August 31, 2026
Abstract
Visible extraction spaces and aesthetic concerns during orthodontic treatment remain inadequately addressed by conventional anchorage appliances. Therefore, it is of interest to compare the Conventional Nance Appliance and Modified Aesthetic Nance Appliance (MANA) in 30 patients undergoing bilateral maxillary premolar extraction. Patients were allocated into two groups (n=15 each) and anchorage loss, space maintenance, soft tissue response, oral hygiene and patient satisfaction were assessed. MANA showed comparable anchorage control with significantly higher patient satisfaction and superior aesthetics. Thus, data show an aesthetic modification maintains clinical efficiency while improving patient-centered outcomes in orthodontic care.
Keywords
Orthodontic anchorage, nance appliance, aesthetics, premolar extraction, pontics
Citation
Kulkarni et al. Bioinformation 22(8): 4717-4720 (2026)
Edited by
Ritik Kashwani
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
