This study demonstrates that, for augmentation, the use of the homologous replaceable bony window over bone graft material on the maxillary sinus accelerates bone regeneration.
Mineralized cancellous allografts showed favorable bone regeneration histologically and was clinically useful in augmenting bone volume for implant placement in the sinus bone graft.
For the treatment of extruded or tipped molars, various conventional techniques have been used. But those methods may lead to undesirable movement of the anchorage units and lengthen treatment time because of limited tooth-borne anchorage potential. Introduction of microimplants as orthodontic anchorage has expanded treatment possibilities because of their advantages. Some advantages are a less complex surgical procedure, decrease in cost, immediate loading, and their ability to be placed in any area of the alveolar bone. This article will illustrate clinical experiences in patients who were treated with the intrusion of overerupted molars, the up-righting of tilted molars, and other clinical applications for minor tooth movements. Anchorage control was achieved with the surgical insertion of titanium microimplants for immediate loading in the alveolar bone. When needed, minimal fixed appliances were used and orthodontic treatment was completed without any other complications.
The purpose of this study was to investigate the effects of patient-related factors such as anteroposterior and vertical skeletal patterns and alveolar bone density on the success rate of micro-implants. Cases of orthodontic micro-implants (n = 404; diameter, 1.6 mm; length, 6 mm) were investigated in 164 patients (127 women, 37 men; mean age, 23.6 ± 5.8 years). Cortical bone thickness and alveolar bone density were measured using diagnostic cone-beam computed tomography to examine their effects on the micro-implant’s survival. Moreover, anteroposterior and vertical facial patterns were considered as independent variables for the success of micro-implants. Marginal survival analysis was performed by analyzing the time from implant placement to the removal of the failed micro-implants, or to the end of treatment for successful micro-implants. Variables including age, sex, implantation side, implantation site, root proximity, and type of loading (immediate vs. delayed) were also assessed. In total, 347 (85.9%) of the 404 micro-implants were successful. The mean loading time was 12.4 ± 4.3 months. Marginal survival analysis showed that the effects of the anteroposterior and vertical facial patterns on the risk of failure were not statistically significant. The factors significantly associated with the micro-implant loading time were cortical bone density, root proximity, and micro-implants replanted in the same site. In conclusion, our findings indicate that anteroposterior and vertical skeletal patterns are not associated with the success of orthodontic micro-implants. Cortical bone density may be associated with the micro-implant’s success.
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