scholarly journals Mini-implants: mechanical resource for molars uprighting

2013 ◽  
Vol 18 (1) ◽  
pp. 134-142 ◽  
Author(s):  
Susiane Allgayer ◽  
Deborah Platcheck ◽  
Ivana Ardenghi Vargas ◽  
Raphael Carlos Drumond Loro

INTRODUCTION: The early orthodontic treatment allows correction of skeletal discrepancies by growth control, and the elimination of deleterious habits, which are risk factors for the development of malocclusions, favoring for the correction of tooth positioning later in a second treatment stage. During development of teeth and occlusion, the mandibular second molars commonly erupt in the oral cavity after all other teeth of the anterior region. In their eruptive process there may be a condition known as tooth impaction, which precludes its complete eruption and requires proper uprighting treatment. The temporary anchorage devices allow disimpaction and movement of these teeth directly to their final position, without the need of patient compliance or reaction movements in other parts of the arch. OBJECTIVE: This paper aims at describing a case report of the treatment of a patient with Angle Class II malocclusion, performed in two phases, in which mini-implants were used for uprighting the impacted mandibular second molars.

2020 ◽  
Vol 67 (3) ◽  
pp. 159-164
Author(s):  
Tina Pajevic ◽  
Jovana Juloski ◽  
Marija Zivkovic

Introduction. Orthodontic treatment of Class II Division 1 (II/1) malocclusions in adults can be challenging since skeletal effects are limited. Possible treatment options are orthodontic camouflage or orthognatic surgery, in severe cases. The aim of this paper was to present a successful management of Class II malocclusion in an adult patient using temporary anchorage devices (TADs). Case report. After detailed clinical examination, study models and cephalometric analysis, a 26 years old patient was diagnosed with Class II malocclusion, an overjet of 12 mm, congenitally missing tooth 41 and midline shifted to the right in upper dental arch. In prior orthodontic treatment, patient had upper premolars extracted. Posterior teeth in upper left quadrant were shifted mesially. The camouflage treatment was considered, using temporary anchorage devices (TADs) to distalize posterior teeth on the left side, and gain space for incisor retraction and midline correction in upper dental arch. Results. Using TADs as additional anchorage in anterior region and coil spring for molar distalization, the space was made for tooth 23, midline correction and incisor retraction. After 40 months, a satisfactory result was achieved, overjet and midline correction, class I canines occlusion and class II molar occlusion. Conclusion. Class II/1 malocclusion in adults can be successfully treated using TADs. The success depends on the severity of malocclusion and patient cooperation.


2014 ◽  
Vol 19 (6) ◽  
pp. 113-122
Author(s):  
Zilda Lúcia Valentim Assunção

The present study reports a case of Angle Class II malocclusion treatment of a male growing patient with 10-mm overjet, excessive overbite and transverse maxillary deficiency. The case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO), with DI equal to or greater than 10, as a requirement for the title of certified by the BBO.


2014 ◽  
Vol 19 (2) ◽  
pp. 76-83 ◽  
Author(s):  
Matheus Miotello Valieri ◽  
Karina Maria Salvatore de Freitas ◽  
Fabricio Pinelli Valarelli ◽  
Rodrigo Hermont Cançado

Objective: To compare the acceptability and effectiveness of topical and infiltration anesthesia for placement of mini-implants used as temporary anchorage devices. Methods: The sample comprised 40 patients, 17 males and 23 females, whose mean age was 26 years old and who were all undergoing orthodontic treatment and in need for anchorage reinforcement. Mini-implants were bilaterally placed in the maxilla of all individuals, with infiltration anesthesia on one side and topical anesthesia on the other. These 40 patients completed two questionnaires, one before and another after mini-implant placement and pain was measured through a visual analog scale (VAS). The data collected were analyzed using descriptive statistics and the measurements of pain were compared by means of the non-parametric test of Mann-Whitney. Results: It was found that 60% of patients felt more comfortable with the use of topical anesthesia for mini-implant placement; 72.5% of patients described the occurrence of pressure during placement of the anchorage device as the most unpleasant sensation of the entire process; 62.5% of patients felt more pain with the use of topical anesthesia. Conclusion: It was concluded that patients had less pain with the use of infiltration anesthesia, and also preferred this type of anesthetic.


Materials ◽  
2021 ◽  
Vol 14 (21) ◽  
pp. 6271
Author(s):  
Paula Argentina Jiman ◽  
Doina Prodan ◽  
Marioara Moldovan ◽  
Alexandrina Muntean ◽  
Codruta Sarosi ◽  
...  

The orthodontic miniscrew (TADs) is a device that is fixed into bone in the short term for the purpose of enhancing orthodontic anchorage. The aim of our study was to investigate the structural and surface properties of recovered TADs after orthodontic treatment, and compare them to new TADs. TADs (n = 15) from the same manufacturer (Absoanchor; Dentos, Daegu, Korea) were assessed; n = 10 were recovered from patients after orthodontic treatment and n = 5 were new. We performed electrochemical investigations, scanning electron microscopy (SEM) and microbiological analysis. Qualitative analysis on general electrochemical polarization revealed that the TADs retrieved from the patients provided much lower current densities in the passivity zone, and the oxidative processes taking place on their surface were of lower intensity. The surface morphologies of the tips of the retrieved mini-implants showed less sharp tips and smooth surfaces. Defects in the form of pores or cracks could be identified in both evaluated TAD groups. All retrieved TADs showed signs of biological materials (SEM analysis) and contamination on their surfaces. In conclusion, these results can assist orthodontists in comprehending the complexities of TAD behavior with respect to their design and structure.


CRANIO® ◽  
2017 ◽  
Vol 36 (1) ◽  
pp. 35-43
Author(s):  
Daigo Koide ◽  
Kazuhiro Yamada ◽  
Ayane Yamaguchi ◽  
Toru Kageyama ◽  
Akira Taguchi

Medicine ◽  
2020 ◽  
Vol 99 (50) ◽  
pp. e23221
Author(s):  
Kaiting Wang ◽  
Hongliang Fan ◽  
Hongmei Yang ◽  
Jianbin Li ◽  
Weihong Xie

Author(s):  
MZ Hossain

This paper is mainly intended for postgraduate orthodontic students especially for those who will learn and practice the Fixed Appliance Technique. With the advancement of research, introduction of new biomaterials and techniques, the orthodontic treatment has been scientifically affordable for the last few decades. In Bangladesh the orthodontic treatment and education is also becoming very popular in the private and institutional level day by day. In fact, post-graduate trainee doctors in the department of orthodontics & Dentofacial Orthopedics, Dhaka Dental College and Hospital were the once who had the idea of writing this paper. While supervising & conducting FCPS Part II examination as a convener, I felt this sort of clinical and technical review would be very helpful for the trainees as well as practitioners. Keeping that thought in my mind, I also intend to write a series of papers that will contain the basic as well as contemporary orthodontic techniques and philosophy. Post-graduate trainee doctors, faculty members and private practitioners will all find this paper as a guideline during their training as well as in professional practicing period. I am very much delighted to present this paper and series of papers in the next subsequent issues. The present paper describes training techniques, the design of standard edge-wise-technique in sequential stages for treating Angle Class II maxillary protrusion with excessive over jet, overbite (upper and lower 1st premolar extraction case), and illustrated case reports1,2 of class II malocclusion. The author acknowledges that the paper is summarized from lectures, handouts during his postgraduate studies in Kyushu University and Hiroshima University, Japan and also clinical experience acheived from the Department of Orthodontics and Dentofacial Orthopedics, Dhaka dental College and Hospital and private practice in Bangladesh. DOI: http://dx.doi.org/10.3329/bjodfo.v1i1.15976 Ban J Orthod & Dentofac Orthop, October 2010; Vol-1, No.1, 27-37


Author(s):  
Abdullah Al Masud ◽  
Muhammad Shohag Shikder ◽  
Mohammad Tofazzal Hossan ◽  
Mohammad Mahfuzul Gani ◽  
Mohammad Wahidul Islam

Vertical maxillary excess is associated with gummy smile, incompetent lip,  bimaxillary proclination, Angle’s class-I or class-II malocclusion with or without retogenia. After proper evaluation preoperative orthodontic treatment was performed in every cases and superior repositioning of the maxilla by Le Fort-I osteotomy is presented. Three patients with maxillary excess associated with retrogenia or microgenia were treated with this technique in combination with genioplasty. The maxillary segment was repositioned a maximum of 7.0 mm superiorly at point A. The mandible autorotated anterosuperiorly to achieve sound occlusion. Point B moved 1.0–3.0 mm anteriorly and 5.0–8.0 mm superiorly. The pogonion moved 4.0 mm anteriorly in a case done without genioplasty and the pogonion moved maximum 8.0mm in case done in combination with genioplasty. All patients obtained sound occlusion and a good profile after the operation. Almost no skeletal relapse was observed during 3 years of postoperative follow-up. Amount of gingiva showing during smile was ranges from 5.0mm –7.0mm which was 0-2.0mm after superior repositioning of the maxilla. Ban J Orthod & Dentofac Orthop, April 2016; Vol-6 (1-2), P.1-5


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