Additional intraoral radiographs may change the judgment regarding the final position of orthodontic mini-implants

Oba, Marina; Marañón‐Vásquez, Guido Artemio; Romano, Fábio Lourenço; Oliveira‐Santos, Christiano

doi:10.1590/2177-6709.23.2.054-061.oar

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…O conhecimento com maior rigor, direcionado a quantidade de osso, posição das raízes, inclinação dos dentes é encontrado por tomadas radiográficas, principalmente pela tomografia computadorizada de feixe cônico que nos últimos anos vem ganhando espaço no diagnóstico e planejamento de tratamentos, inclusive para avaliação dos sítios de instalação do mini-implante [21][22][23] (Figura 3). diação e custo elevado, preferindo assim os sistemas com melhor custo benefício, como as radiografias periapicais 25 (Figura 4).…”

Section: A) Radiografiasunclassified

Aplicações clínicas dos mini-implantes interradiculares: uma revisão de literatura

Santinon,

Camarana,

Nogueira

2024

J Multidiscip Dent

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A associação da mecânica envolvendo mini-implantes interradiculares possibilitou uma alternativa simples de ancoragem ao tratamento ortodôntico, gerando modernidade, avanço para a ortodontia nos últimos anos, grande versatilidade e muitas dúvidas aos ortodontistas perante o seu uso durante as práticas clínicas, principalmente, sobre a escolha correta do local de instalação. A técnica quando elaborada corretamente ajuda o profissional a obter resultados esperados, mas quando a erros de execução pode existir perda do controle e o insucesso do caso. Esta revisão tem por objetivo dar um norte aos profissionais sobre os sítios de inserção do mini-implante nas principais aplicações clínicas, fundamentando as características, indicações, contraindicações, e complicações durante e após instalação deste artefato, dando ênfase a elaboração do planejamento sem erros e cuidados com a higiene. Para tal, tomam por base evidenciações científicas e clínicas já realizadas, a fim de mostrar as localizações que podem ser utilizadas para introduzir o mini-implante em determinado caso. A literatura mostra ancoragens conseguidas com sucesso por meio desta nova técnica, mais especificamente considerada pelos acertos alcançados com os sítios de introdução adequados, oferecendo suporte no emprego deste aparato na rotina clínica.

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Section: A) Radiografiasunclassified

Aplicações clínicas dos mini-implantes interradiculares: uma revisão de literatura

Santinon,

Camarana,

Nogueira

2024

J Multidiscip Dent

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“…Aktualnym złotym standardem w ocenie czy implant został umieszczony prawidłowo są zdjęcia radiologiczne w technologii dwuwymiarowej. Zdjęcie zębowe okołowierzchołkowe jest najczęściej używaną formą diagnostyki obrazowej miejsca po implantacji, natomiast dodanie innych projekcji spośród konwencjonalnej radiografii może zmienić perspektywę oceny umieszczonych implantów [27]. Zdjęcie dwuwymiarowe pokazuje obraz obiektu trójwymiarowego położonego w tkance, która również posiada 3 wymiary, więc może dawać niedokładny pogląd na sytuację kliniczną i ocenę uszkodzenia korzenia [23].…”

Section: Rozpoznanieunclassified

“…Ocena trójwymiarowa, przede wszystkim CBCT, wydaje się być najbardziej wskazana w ocenie położenia implantu, chociaż mimo zmniejszenia dawki promieniowania przez minimalne pole obrazowania, wciąż nie pozwala to na przestrzeganie zasady ALARA [27]. Wiele informacji może dostarczyć ocena podmiotowa dolegliwości zgłaszanych przez pacjenta.…”

Section: Rozpoznanieunclassified

Risk factors and diagnosis of iatrogenic damage of periodontal structures and roots during orthodontic Mini-Implants implantation procedures - a systematic literature review

Nieścior

Sereda²,

Metelska³

et al. 2022

J Educ Health Sport

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Introduction and purpose In recent years, Mini-Implants (MI) have gained popularity and new complications have emerged with them. The article assesses the current reports on the scale of the problem, factors and diagnostic possibilities related to iatrogenic injuries of periodontal tissues and roots. Description of the state of knowledge The incidence of complications was estimated to be 13.5%. Complications are more common in the mandible and are estimated at 20-27.1%. Periodontal and root damage are an important risk factor for treatment failure. The fact that the implant does not interfere with the alveolus structure gives the treatment effectiveness in 90%, and the contact with the alveolar “lamina dura” is 62.5%. Interference with the root structure is successful in only 31.2%. Risk factors for failure include: young age, poor hygiene, smoking, area of mandibular molars, contact with the root, thickness of the bone and lack of experience. The implant between the roots is a risk of root trauma, as the location close to the tooth cemento-enamel junction, no preparation for surgery, not using surgical templates, strenuous implantation or implant migration under the influence of orthodontic forces. Radiographs are the gold standard in the diagnosis of complications, but they do not allow for a full assessment of the three-dimensional structures of the implant. A promising method is the evaluation of the torque as the implant is placed in its final location. The patient's subjective feelings are questionable in diagnosis and require further research. Summary There are many complications in using MI and the most important of these is damage to the structures of the periodontium and the tooth root. Despite the low failure rate, failure should be prevented by pre-operative evaluation, in-operative monitoring, and post-operative diagnostics.

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ATM technique - a novel radiographic technique to assess the position of buccal shelf implants

Prasad

Sivakumar

2022

Dentomaxillofacial Radiology

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Objectives: Success of the buccal shelf implants depends on its proper placement. Radiographic techniques like cone beam computed tomography (CBCT), posteroanterior cephalogram (PA cephalogram) have been used to evaluate the position of buccal shelf implant placement. However, these techniques have disadvantages like increased radiation exposure, metal artefact, less availability in dental offices and are more expensive. The aim of Arvind’s Trans Mandibular (ATM) technique is to overcome this drawback by using an intraoral periapical radiograph (IOPA) film or radiovisiography (RVG) sensor to assess the post-operative placement of buccal shelf implants. Methods: Radiographs were taken for four patients after the placement of buccal shelf implants. The IOPA sensor was placed beneath the lower border of the mandible using this modified extra oral technique to access the position of the buccal shelf implants in relation to the adjacent molars. The findings from the IOPA image were verified with CBCT images. Results: The radiographic images taken using ATM technique were compared with the gold standard CBCT technique. The ATM technique was able to accurately assess the postoperative bucco-lingual position of the implant with respect to the roots of molars in all the four cases. The proximity of the implant to the roots of the molar can be clearly visualized in all the cases. Conclusions: ATM is a novel radiographic technique using IOPA radiographic film or RVG sensor to assess the post-operative bucco-lingual placement of buccal shelf implants in relation to lower molar roots.

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Additional intraoral radiographs may change the judgment regarding the final position of orthodontic mini-implants

Cited by 4 publications

References 29 publications

Aplicações clínicas dos mini-implantes interradiculares: uma revisão de literatura

Aplicações clínicas dos mini-implantes interradiculares: uma revisão de literatura

Risk factors and diagnosis of iatrogenic damage of periodontal structures and roots during orthodontic Mini-Implants implantation procedures - a systematic literature review

ATM technique - a novel radiographic technique to assess the position of buccal shelf implants

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