Evaluation of the success and complication rates of self-drilling orthodontic mini-implants

Gurdán, Zsuzsanna; Szalma, József

doi:10.4103/njcp.njcp_105_17

Cited by 21 publications

(14 citation statements)

References 2 publications

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“…All studies reported side effects and complications associated with the use of orthodontic miniscrews. The studies, as summarized in Figure 2 , were identified as follows: 11 case reports, 13 - 23 8 retrospective longitudinal studies, 24 - 31 3 prospective controlled trials, 32 - 34 1 preliminary study, 35 and 1 case series. 36 All studies were conducted in a university setting and included both male and female participants.…”

Section: Resultsmentioning

confidence: 99%

“…The reported average age of the patients ranged from 11 to 52 years old. Self-drilling titanium orthodontic miniscrews were used in 7 different studies, 15 , 23 , 26 , 28 - 30 , 32 whereas non-self-drilling screws were used in 4 studies. 19 , 24 , 25 , 27 The other studies did not specify the type of miniscrew inserted.…”

Section: Resultsmentioning

confidence: 99%

“…All the miniscrews were surgically inserted according to the protocol suggested by the respective manufacturer. According to each orthodontic treatment plan, the miniscrews were positioned both in the maxilla and in the mandible, in the interradicular area, 13 , 15 , 18 , 19 , 21 - 24 , 32 , 33 , 36 palatal zone, 16 , 17 , 25 , 26 , 31 infrazygomatic crest, 28 , 36 ascending ramus, 26 or buccal shelf. 20 , 26 , 29 …”

Section: Resultsmentioning

confidence: 99%

“…Some complications occurred immediately after the removal of the miniscrew, such as secondary bleeding, 25 fracture of the miniscrew, 21 , 25 , 26 or loss of bone tissue around the insertion site. 17 However, other complications occurred later, such as scars 15 , 29 or exostoses.…”

Section: Resultsmentioning

confidence: 99%

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Complications reported with the use of orthodontic miniscrews: A systematic review

et al. 2021

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Objective The aim of this systematic review was to evaluate the complications and side effects associated with the clinical use of orthodontic miniscrews by systematically reviewing the best available evidence. Methods A survey of articles published up to March 2020 investigating the complications associated with miniscrew insertion, in both the maxilla and mandible, was performed using 7 electronic databases. Clinical studies, case reports, and case series reporting complications associated with the use of orthodontic miniscrew implants were included. Two authors independently performed study selection, data extraction, and risk-of-bias assessment. Results The database survey yielded 24 articles. The risk-of-bias assessment revealed low methodological quality for the included studies. The most frequent adverse event reported was root injury with an associated periradicular lesion, vitality loss, pink discoloration of the tooth, and transitory loss of pulp sensitivity. Chronic inflammation of the soft tissue surrounding the miniscrew with mucosal overgrowth was also reported. The other adverse events reported were lesion of the buccal mucosa at the insertion site, soft-tissue necrosis, and perforation of the floor of the nasal cavity and maxillary sinus. Adverse events were also reported after miniscrew removal and included secondary bleeding, miniscrew fracture, scars, and exostosis. Conclusions These findings highlight the need for clinicians to preliminarily assess generic and specific insertion site complications and side effects.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Complications reported with the use of orthodontic miniscrews: A systematic review

et al. 2021

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“…The maintenance of mechanical stability and the absence of pain and peri-implant inflammation are directly related to the clinical success of the OMIs [3,4]. Primary stability is conferred shortly after the procedure for placement of the device and secondary stability is expressed after the healing phase.…”

Section: Introductionmentioning

confidence: 99%

Effects of low-level laser therapy on the orthodontic mini-implants stability: a systematic review and meta-analysis

et al. 2021

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Objectives The aim of this systematic review and meta-analysis was to assess the effects of low-level laser therapy (LLLT) on the orthodontic mini-implants (OMI) stability. Materials and methods An unrestricted electronic database search in PubMed, Science Direct, Embase, Scopus, Web of Science, Cochrane Library, LILACS, Google Scholar, and ClinicalTrials.gov and a hand search were performed up to December 2020. Randomized clinical trials (RCTs) or non-randomized clinical trials (Non-RCTs) that assessed the effects of LLLT on the OMI stability were included. Data regarding the general information, LLLT characteristics, and outcomes were extracted. The authors performed risk of bias assessment with Cochrane Collaboration’s or ROBINS-I tool. Meta-analysis was also conducted. Results Five RCTs and one Non-RCT were included and 108 patients were evaluated. The LLLT characteristics presented different wavelength, power, energy density, irradiation time, and protocol duration. Five RCTs had a low risk of selection bias. Two RCTs had a low risk of performance and detection bias. All RCTs had a low risk of attrition bias, reporting bias and other bias. The Non-RCT presented a low risk of bias for all criteria, except for the bias in selection of participants. The meta-analysis revealed that LLLT significantly increased the OMI stability (p < 0.001, Cohen’s d = 0.67) and the highest clinical benefit was showed after 1 (p < 0.001, Cohen’s d = 0.75), 2 (p < 0.001, Cohen’s d = 1.21), and 3 (p < 0.001, Cohen’s d = 1.51) months of OMI placement. Conclusions LLLT shows positive effects on the OMI stability.

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Motro

Will

2020

Temporary Anchorage Devices in Clinical Orthodontics

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Evaluation of the success and complication rates of self-drilling orthodontic mini-implants

Abstract: The overall success rate of mini-implants was found acceptable in this study, however, screw mobility in the buccal fold showed a high incidence, suggesting the thorough consideration of the immediate loading by buccal mini-implants.

Cited by 21 publications

References 2 publications

Complications reported with the use of orthodontic miniscrews: A systematic review

Complications reported with the use of orthodontic miniscrews: A systematic review

Effects of low-level laser therapy on the orthodontic mini-implants stability: a systematic review and meta-analysis

Success with TADs

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