Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012:2012:549761.
doi: 10.1155/2012/549761. Epub 2012 Nov 11.

Orthodontic implants: concepts for the orthodontic practitioner

Carlos Nelson Elias  1 , Antônio Carlos de Oliveira Ruellas, Daniel Jogaib Fernandes
Affiliations

Orthodontic implants: concepts for the orthodontic practitioner

Carlos Nelson Elias et al. Int J Dent. 2012.

Abstract

Orthodontic implants have become a reliable method in orthodontic practice for providing temporary additional anchorage. These devices are useful to control skeletal anchorage in less compliant patients or in cases where absolute anchorage is necessary. There are a great number of advantages in this new approach which include easy insertion, decreased patient discomfort, low price, immediate loading, reduced diameter, versatility in the forces to be used, ease of cleaning, and ease of removal. However, a proper management of the screws by the practitioner is necessary in order to increase the success rate of the technique. The purpose of this paper is to update practitioners on the current concepts of orthodontic implants and orthodontic mechanics.

PubMed Disclaimer

Figures

Figure 1
Figure 1
This photograph shows inaccuracies in the support structure due to a Nance button anchorage reinforcement appliance used for a long period.
Figure 2
Figure 2
Typical orthodontic implants (a). Head type button (b). Head type bracket (c). Tip type self-tapping (d). Tip type self-drilling (e). (Courtesy of Marcos Joqueira, Conexão Sistemas e Próteses Co. Brazil.)
Figure 3
Figure 3
SEM images of OI surface morphology. (a) OI without surface treatment. (b) OI with acid surface treatment. Notice the grooves in the OI surface of the thread when compared with another which received acid surface treatment.
Figure 4
Figure 4
Self-drilling orthodontic implant procedure: (a) marking the space between adjacent roots; (b) punch soft tissue anesthesia; (c) pilot drilling with a lance (d) perpendicular insertion of OI without lateral movements or excessive torque.
Figure 5
Figure 5
OI installation with the handpiece (a). OI insertion in the palate with a digital key and protection of the throat with gauze (b).
Figure 6
Figure 6
Different directions for OI installation. (a) Length of bone contact with OI inserted perpendicular to the cortical bone and (b) length of bone contact with OI inserted tilted with respect to cortical bone.
Figure 7
Figure 7
Primary stability evaluation with a tweezer immediately after implant insertion.
Figure 8
Figure 8
Counterclockwise orthodontic implant thread with bracket head.
Figure 9
Figure 9
Soft tissue coverage of the orthodontic implant head.
Figure 10
Figure 10
Interdental brush dipped in 0.12% chlorhexidine during OI hygiene control.
Figure 11
Figure 11
Fractured OI tip that was kept buried.
See this image and copyright information in PMC

References

    1. Papadopoulos MA, Tarawneh F. The use of miniscrew implants for temporary skeletal anchorage in orthodontics: a comprehensive review. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology. 2007;103(5):e6–e15. - PubMed
    1. Morais LS, Serra GG, Muller CA, et al. Titanium alloy mini-implants for orthodontic anchorage: immediate loading and metal ion release. Acta Biomaterialia. 2007;3(3):331–339. - PubMed
    1. Baumgaertel S, Razavi MR, Hans MG. Mini-implant anchorage for the orthodontic practitioner. American Journal of Orthodontics and Dentofacial Orthopedics. 2008;133(4):621–627. - PubMed
    1. Kanomi R. Mini-implant for orthodontic anchorage. Journal of Clinical Orthodontics. 1997;31(11):763–767. - PubMed
    1. Ikeda H, Rossouw PE, Campbell PM, Kontogirogos E, Buschang PH. Three-dimensional analysis of peri-bone-implant contact of rough-surface miniscrew implants. American Journal of Orthodontics and Dentofacial Orthopedics. 2011;139(2):e153–e163. - PubMed

LinkOut - more resources