<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec>
<h3>Aims</h3>
<p>To measure the clinical effects associated with miniscrew anchorage used to retract the upper anterior teeth, specifically the positional changes associated with the miniscrews, the upper anterior teeth and the first upper molars.</p>
</sec>
<sec>
<h3>Methods</h3>
<p>This clinical trial included 13 patients. After orthodontic alignment, miniscrews were inserted in the maxillary zygomatic buttresses as anchorage for en masse retraction of the upper anterior teeth. Following premolar extractions, nickeltitanium closed coil springs, stretched between the miniscrews and upper archwire, were used for retraction. Three-dimensional changes in the upper anterior teeth, the upper first molars and the heads of the miniscrews were measured on study models taken before a 300 g force was applied and seven months later, or when retraction was completed if less than seven months.</p>
</sec>
<sec>
<h3>Results</h3>
<p>The mean duration of retraction was 5.23 months (SD: 1.74 months) with a range of three to seven months. The mean amount of anterior retraction was 3.82 ± 1.64 mm (Range: 0.77-7.07 mm). Average movements of the miniscrew heads on the right side were 0.44 mm buccally, 0.38 mm forward and 0.54 mm downward, and on the left side 0.06 mm buccally, 0.41 mm forward and 0.50 mm downward. During the study period the right and left upper first molars moved mesially 0.70 ± 0.46 mm (Range: 0.01-2.3 mm) and 0.76 ± 0.47 mm (Range: 0.1-2.61 mm) respectively, although no force was applied to them.</p>
</sec>
<sec>
<h3>Conclusion</h3>
<p>Miniscrews provide satisfactory anchorage for retraction of the upper anterior segment, but do not remain absolutely stationary under orthodontic loads. Because of coincidental mesial movement of the upper molars, there must be sufficient clearance mesial to the molars to avoid the molar roots contacting the miniscrews.</p>
</sec>
</abstract>

Aims
To measure the clinical effects associated with miniscrew anchorage used to retract the upper anterior teeth, specifically the positional changes associated with the miniscrews, the upper anterior teeth and the first upper molars.


Methods
This clinical trial included 13 patients. After orthodontic alignment, miniscrews were inserted in the maxillary zygomatic buttresses as anchorage for en masse retraction of the upper anterior teeth. Following premolar extractions, nickeltitanium closed coil springs, stretched between the miniscrews and upper archwire, were used for retraction. Three-dimensional changes in the upper anterior teeth, the upper first molars and the heads of the miniscrews were measured on study models taken before a 300 g force was applied and seven months later, or when retraction was completed if less than seven months.


Results
The mean duration of retraction was 5.23 months (SD: 1.74 months) with a range of three to seven months. The mean amount of anterior retraction was 3.82 ± 1.64 mm (Range: 0.77-7.07 mm). Average movements of the miniscrew heads on the right side were 0.44 mm buccally, 0.38 mm forward and 0.54 mm downward, and on the left side 0.06 mm buccally, 0.41 mm forward and 0.50 mm downward. During the study period the right and left upper first molars moved mesially 0.70 ± 0.46 mm (Range: 0.01-2.3 mm) and 0.76 ± 0.47 mm (Range: 0.1-2.61 mm) respectively, although no force was applied to them.


Conclusion
Miniscrews provide satisfactory anchorage for retraction of the upper anterior segment, but do not remain absolutely stationary under orthodontic loads. Because of coincidental mesial movement of the upper molars, there must be sufficient clearance mesial to the molars to avoid the molar roots contacting the miniscrews.

Clinical effects associated with miniscrews used as orthodontic anchorage

Australasian Orthodontic Journal

This work is licensed under the Creative Commons Attribution 4.0 International License.

{"article-title":"Clinical effects associated with miniscrews used as orthodontic anchorage"}

Aims
To measure the clinical effects associated with miniscrew anchorage used to retract the upper anterior teeth, specifically the positional changes...

Clinical effects associated with miniscrews used as orthodontic anchorage

Published Online: Dec 13, 2023

Page range: 134 - 139

Received: Aug 01, 2008

Accepted: Oct 01, 2008

DOI: https://doi.org/10.2478/aoj-2008-0020

© 2008 Sulainee Kokitsawat et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.