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
. 2014 Jun 30:8:933-7.
doi: 10.2147/PPA.S66133. eCollection 2014.

Acceptance of orthodontic miniscrews as temporary anchorage devices

Khalid H Zawawi  1
Affiliations

Acceptance of orthodontic miniscrews as temporary anchorage devices

Khalid H Zawawi. Patient Prefer Adherence. .

Abstract

Objective: To study the patient's acceptance, expectation, and experience of pain with orthodontic temporary miniscrews.

Methods: Questionnaires were distributed to 165 potential temporary orthodontic miniscrew recipients or their parents. Using the numeric rating scale, patients who received miniscrews as part of their orthodontic treatment were also asked to rate the pain or discomfort experience after miniscrew placement.

Results: A total of 165 subjects completed the first set of questions. There was a significant relationship between level of education and prior knowledge about orthodontic miniscrews (P=0.029). Even though only 12.7% had heard about miniscrews, 82.4% agreed to have miniscrews placed to facilitate orthodontic tooth movement. Eighty-three subjects who needed miniscrews as part of their orthodontic treatment completed two more sets of questions after 6 and 24 hours of miniscrew insertion. After 6 hours of miniscrew insertion, there was a significant difference in pain perception between men (mean =2.6±2.2) and women (mean =2.1±1.5; P=0.03). After 24 hours, there was no difference between men (0.2±0.4) and women (0.2±0.5; P>0.05). Postplacement, 32.5% did not require any pain medication, while 59.1% required a single dose and only 8.4% required two doses. A total of 76 patients (91.6%) said that they would recommend this procedure.

Conclusion: Patients do accept miniscrew as a treatment option in orthodontics. Postoperative pain is significantly low. The acceptance of miniscrews was not related to patient's previous knowledge of the device, and patients preferred miniscrews to extractions.

Keywords: miniscrew; orthodontic treatment; patient acceptance; temporary anchorage device.

PubMed Disclaimer

References

    1. Cope J. Temporary anchorage devices in orthodontics: a paradigm shift. Semin Orthod. 2005;11(1):3–9.
    1. Creekmore TD, Eklund MK. The possibility of skeletal anchorage. J Clin Orthod. 1983;17(4):266–269. - PubMed
    1. Kanomi R. Mini-implant for orthodontic anchorage. J Clin Orthod. 1997;31(11):763–767. - PubMed
    1. Kuroda S, Katayama A, Takano-Yamamoto T. Severe anterior open-bite case treated using titanium screw anchorage. Angle Orthod. 2004;74(4):558–567. - PubMed
    1. Al-Fraidi AA, Zawawi KH. Clinical showcase. Selective intrusion of overerupted upper first molars using a temporary anchorage device: case report. J Can Dent Assoc. 2010;76:a9. - PubMed

LinkOut - more resources