Presentation Preference Oral Presentation Mini impalnts placed in the palate have benefit of higher success rate and less possibility of root damage Palatal miniimplant can be applied as a single miniimplant and dual miniimplants connected with a connecting plate connecting the miniimpl ID: 552487
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Biomechanics of Mini-Implant Placed in the Palate
Presentation Preference:
Oral Presentation Mini-
impalnts
placed in the palate have benefit of higher success rate and less possibility of root damage. Palatal mini-implant can be applied as a single mini-implant and dual mini-implants connected with a connecting plate connecting the mini-implants over the mucosa. Single palatal mini-implant can be used for anchorage reinforcement by indirect anchorage. When connecting
transpalatal
arch to the palatal mini-implant,
mesial
tipping moment should be negated to prevent
mesial
movement of molars during extraction space closure. Also, the mini-implant should be placed as anterior as possible to minimize the
mesial
movement of molars. In dual mini-implant connected with a plate applications, various attachments (usually
Burstone
lingual bracket) can be attached to the connecting plate connecting the mini-implants. And then, various levers or springs can be inserted to the attachment on the connecting plate and therefore various force systems can be made. In this presentation, various cases using mini-implants placed in the palate including distalization, protraction, intrusion of maxillary molars and traction of impacted canine will be presented and its biomechanics will be analyzed based on the FEM study results.Slide2
Influence Of Insertion Torque And -Site On Failure Rates Of Orthodontic Mini-Implants - A Prospective Clinical Study
Presentation Preference:
Oral Presentation
Aim
: Mini-implant failure rates of approximately 10%–30% as described in the literature are still not satisfactory. This clinical study investigated the effect of insertion torque and the insertion site on failure rates of orthodontic mini-implants. Material and Methods: The study was conducted on a total of 493 orthodontic mini-implants placed in 284 patients (128 male, 156 female; age 19.3±9.6 years). The relationship between insertion torques, insertion sites, mini-implant-coupling (tandem implant) and failure of the mini-implants was analysed.Results: The overall failure rate was 14.6 % (n=72). There was a significant difference of mean insertion torques between the failed (8.0±4.8 Ncm) and the successful group (11.4±5.7 Ncm) (P=0.0013). Below an insertion torque of 7 Ncm the risk of implant failure increased significantly. The lowest failure rates were found in the anterior palate (5.6%). Coupling of two mini-implants in the line of force increased the mini-implant stability significantly.Conclusions: Failure rates of mini-implants depend on the insertion torque, site of insertion and usage of coupled implants. Below a value of less then 7 Ncm the risk of failure increases. The anterior palate compares very favorably with the alveolar ridges of the maxilla and the mandible in terms of failure rates.Slide3