Clinicians should be aware of the differences in molar distalization patterns between appliances to facilitate effective treatment decisions. Nevertheless the buccal fixed orthodontic appliance was used simultaneously with the molar distalizers, the expected movement pattern occurred but with reduced distal tipping of the molar,when pendulum type appliance was used. Therefore, when used properly the clinician can control distal tipping of the molar resulting from the pendulum type appliance by adjusting the buccal fixed orthodontic appliance. Additional well designed studies with larger sample sizes are required to elucidate the patterns of maxillary molar distalization associated with different appliance types.