The aim of this retrospective study was to quantitatively evaluate the treatment effects of in- trusion of overerupted maxillary molars using miniscrew implant anchorage and to investigate the apical root resorption a...The aim of this retrospective study was to quantitatively evaluate the treatment effects of in- trusion of overerupted maxillary molars using miniscrew implant anchorage and to investigate the apical root resorption after molar intrusion. The subjects included 30 patients whose average ages were 35.5±9.0 years. All patients had received intrusion treatments for overerupted maxillary molars with miniscrew anchorage. There were 38 maxillary first molars and 26 maxillary second molars to be in- truded. Two miniscrews were inserted in the buccal and palatal alveolar bone mesial to the overerupted molar. Force of 100-150 g was applied by the elastic chains between screw head and attachment on each side. Lateral cephalograms and panoramic radiographs taken before and after intrusion were used to evaluate dental changes and root resorption of molars. Only 6 of the 128 miniscrews failed. The first and second molars were significantly intruded by averages of 3.4 mm and 3.1 mm respectively （P〈0.001）. The average intrusion time was more than 6 months. The crown of the molars mesially tilted by averages of 3.1 degrees and 3.3 degrees （P〈0.001） for first and second molars. The amounts of root resorption were 0.2-0.4 mm on average. The intrusion treatment of overerupted molars with miniscrew anchorages could be used as an efficient and reliable method to recover lost restoration space for pros- thesis. Radiographically speaking, root resorption of molars was not clinically significant after applica- tion of intrusive forces of 200 to 300 g.展开更多
A growing number of studies have reported that mini-implants do not remain in exactly the same position during treatment, although they remain stable. The aim of this review was to collect data regarding primary displ...A growing number of studies have reported that mini-implants do not remain in exactly the same position during treatment, although they remain stable. The aim of this review was to collect data regarding primary displacement immediately straight after loading and secondary displacement over time. A systematic review was performed to investigate primary and secondary displacement. The amount and type of displacement were recorded. A total of 27 studies were included. Sixteen in vitro studies or studies using finite element analysis addressed primary displacement, and nine clinical studies and two animal studies addressed secondary displacement. Significant primary displacement was detected （6.4-24.4 μm） for relevant orthodontic forces （0.5-2.5 N）. The mean secondary displacement ranged from 0 to 2.7 mm for entire mini-implants, The maximum values for each clinical study ranged from 1.0 to 4.1 mm for the head, 1.0 to 1.5 for the body and 1,0 to 1.92 mm for the tail part. The most frequent type of movement was controlled tipping or bodily movement. Primary displacement did not reach a clinically significant level. However, clinicians can expect relevant secondary displacement in the direction of force. Consequently, decentralized insertion within the inter-radicular space, away from force direction, might be favourable. More evidence is needed to provide quantitative recommendations.展开更多
In most cases, damaged mandibular molars result in over eruption of the opposing maxillary molars. This by itself constitutes a complicated clinical scenario;since the rehabilitation of the edentulous mandibular space...In most cases, damaged mandibular molars result in over eruption of the opposing maxillary molars. This by itself constitutes a complicated clinical scenario;since the rehabilitation of the edentulous mandibular space usually requires a pre-prosthetic intervention. Multiple treatment options are valid and the choice depends primarily on the severity of the problem. Orthodontic molar intrusion is one of these options. This case report shows how the supra erupted maxillary permanent molars were intruded with the help of temporary anchorage devices placed interradicularly between the maxillary posterior teeth. A total of nine months was enough to complete the treatment. Following the orthodontic molar intrusion, the lower edentulous spaces were restored with dental implant supported prosthesis in order to establish a stable functional occlusion.展开更多
Bimaxillary dentoalveolar protrusion is one of the most prevalent malocclusion in Asian population.Traditionally, orthodontic treatment often involves the extraction of four first premolars and demands the least amoun...Bimaxillary dentoalveolar protrusion is one of the most prevalent malocclusion in Asian population.Traditionally, orthodontic treatment often involves the extraction of four first premolars and demands the least amount of anchorage loss, therefore headgear used to be an unavoid- able fate of these patients. Nowadays, along with the development of implant anchorage, more and more patients have benefited from the implant-aided orthodontic treatment, even escaped from orthognathic surgery. However, for extremely severe cases, orthodontists seem to still have to face the limitation of orthodontic treatment and turn to surgeons for cooperation. In this case, we will see how dramatic changes happened on an adult patient with severe bimaxillary dentoalveolar protrusion malocclusion after the orthodontic treatment with microscrew implants as the temporary skeletal anchorage with the patient＇s written informed consent,展开更多
文摘The aim of this retrospective study was to quantitatively evaluate the treatment effects of in- trusion of overerupted maxillary molars using miniscrew implant anchorage and to investigate the apical root resorption after molar intrusion. The subjects included 30 patients whose average ages were 35.5±9.0 years. All patients had received intrusion treatments for overerupted maxillary molars with miniscrew anchorage. There were 38 maxillary first molars and 26 maxillary second molars to be in- truded. Two miniscrews were inserted in the buccal and palatal alveolar bone mesial to the overerupted molar. Force of 100-150 g was applied by the elastic chains between screw head and attachment on each side. Lateral cephalograms and panoramic radiographs taken before and after intrusion were used to evaluate dental changes and root resorption of molars. Only 6 of the 128 miniscrews failed. The first and second molars were significantly intruded by averages of 3.4 mm and 3.1 mm respectively （P〈0.001）. The average intrusion time was more than 6 months. The crown of the molars mesially tilted by averages of 3.1 degrees and 3.3 degrees （P〈0.001） for first and second molars. The amounts of root resorption were 0.2-0.4 mm on average. The intrusion treatment of overerupted molars with miniscrew anchorages could be used as an efficient and reliable method to recover lost restoration space for pros- thesis. Radiographically speaking, root resorption of molars was not clinically significant after applica- tion of intrusive forces of 200 to 300 g.
文摘A growing number of studies have reported that mini-implants do not remain in exactly the same position during treatment, although they remain stable. The aim of this review was to collect data regarding primary displacement immediately straight after loading and secondary displacement over time. A systematic review was performed to investigate primary and secondary displacement. The amount and type of displacement were recorded. A total of 27 studies were included. Sixteen in vitro studies or studies using finite element analysis addressed primary displacement, and nine clinical studies and two animal studies addressed secondary displacement. Significant primary displacement was detected （6.4-24.4 μm） for relevant orthodontic forces （0.5-2.5 N）. The mean secondary displacement ranged from 0 to 2.7 mm for entire mini-implants, The maximum values for each clinical study ranged from 1.0 to 4.1 mm for the head, 1.0 to 1.5 for the body and 1,0 to 1.92 mm for the tail part. The most frequent type of movement was controlled tipping or bodily movement. Primary displacement did not reach a clinically significant level. However, clinicians can expect relevant secondary displacement in the direction of force. Consequently, decentralized insertion within the inter-radicular space, away from force direction, might be favourable. More evidence is needed to provide quantitative recommendations.
文摘In most cases, damaged mandibular molars result in over eruption of the opposing maxillary molars. This by itself constitutes a complicated clinical scenario;since the rehabilitation of the edentulous mandibular space usually requires a pre-prosthetic intervention. Multiple treatment options are valid and the choice depends primarily on the severity of the problem. Orthodontic molar intrusion is one of these options. This case report shows how the supra erupted maxillary permanent molars were intruded with the help of temporary anchorage devices placed interradicularly between the maxillary posterior teeth. A total of nine months was enough to complete the treatment. Following the orthodontic molar intrusion, the lower edentulous spaces were restored with dental implant supported prosthesis in order to establish a stable functional occlusion.
文摘Bimaxillary dentoalveolar protrusion is one of the most prevalent malocclusion in Asian population.Traditionally, orthodontic treatment often involves the extraction of four first premolars and demands the least amount of anchorage loss, therefore headgear used to be an unavoid- able fate of these patients. Nowadays, along with the development of implant anchorage, more and more patients have benefited from the implant-aided orthodontic treatment, even escaped from orthognathic surgery. However, for extremely severe cases, orthodontists seem to still have to face the limitation of orthodontic treatment and turn to surgeons for cooperation. In this case, we will see how dramatic changes happened on an adult patient with severe bimaxillary dentoalveolar protrusion malocclusion after the orthodontic treatment with microscrew implants as the temporary skeletal anchorage with the patient＇s written informed consent,
