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http://dx.doi.org/10.4041/kjod.2014.44.2.54

Three-dimensional evaluation of maxillary anterior alveolar bone for optimal placement of miniscrew implants  

Choi, Jin Hwan (Private Practice)
Yu, Hyung Seog (Department of Orthodontics, College of Dentistry, Yonsei University)
Lee, Kee Joon (Department of Orthodontics, College of Dentistry, Yonsei University)
Park, Young Chel (Department of Orthodontics, College of Dentistry, Yonsei University)
Publication Information
The korean journal of orthodontics / v.44, no.2, 2014 , pp. 54-61 More about this Journal
Abstract
Objective: This study aimed to propose clinical guidelines for placing miniscrew implants using the results obtained from 3-dimensional analysis of maxillary anterior interdental alveolar bone by cone-beam computed tomography (CBCT). Methods: By using CBCT data from 52 adult patients (17 men and 35 women; mean age, 27.9 years), alveolar bone were measured in 3 regions: between the maxillary central incisors (U1-U1), between the maxillary central incisor and maxillary lateral incisor (U1-U2), and between the maxillary lateral incisor and the canine (U2-U3). Cortical bone thickness, labio-palatal thickness, and interdental root distance were measured at 4 mm, 6 mm, and 8 mm apical to the interdental cementoenamel junction (ICEJ). Results: The cortical bone thickness significantly increased from the U1-U1 region to the U2-U3 region (p < 0.05). The labio-palatal thickness was significantly less in the U1-U1 region (p < 0.05), and the interdental root distance was significantly less in the U1-U2 region (p < 0.05). Conclusions: The results of this study suggest that the interdental root regions U2-U3 and U1-U1 are the best sites for placing miniscrew implants into maxillary anterior alveolar bone.
Keywords
Cone-beam computed tomography; Upper incisor intrusion; Cortical bone thickness; Gummy smile; Miniscrew implant;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Gahleitner A, Podesser B, Schick S, Watzek G, Imhof H. Dental CT and orthodontic implants: imaging technique and assessment of available bone volume in the hard palate. Eur J Radiol 2004;51:257-62.   DOI   ScienceOn
2 Sarver DM. Principles of cosmetic dentistry in orthodontics: Part 1. Shape and proportionality of anterior teeth. Am J Orthod Dentofacial Orthop 2004; 126:749-53.   DOI   ScienceOn
3 Silberberg N, Goldstein M, Smidt A. Excessive gingival display-etiology, diagnosis, and treatment modalities. Quintessence Int 2009;40:809-18.
4 Jung MH. Age, extraction rate and jaw surgery rate in Korean orthodontic clinics and small dental hospitals. Korean J Orthod 2012;42:80-6.   DOI   ScienceOn
5 Im DH, Kim TW, Nahm DS, Chang YI. Current trends in orthodontic patients in Seoul National University Dental Hospital. Korean J Orthod 2003;33:63-72.
6 Sarver DM, Yanosky M. Principles of cosmetic dentistry in orthodontics: part 2. Soft tissue laser technology and cosmetic gingival contouring. Am J Orthod Dentofacial Orthop 2005;127:85-90.   DOI   ScienceOn
7 Monaco A, Streni O, Marci MC, Marzo G, Gatto R, Giannoni M. Gummy smile: clinical parameters useful for diagnosis and therapeutical approach. J Clin Pediatr Dent 2004;29:19-25.
8 Levine RA, McGuire M. The diagnosis and treatment of the gummy smile. Compend Contin Educ Dent 1997;18:757-62, 764; quiz 766.
9 Ohnishi H, Yagi T, Yasuda Y, Takada K. A miniimplant for orthodontic anchorage in a deep overbite case. Angle Orthod 2005;75:444-52.
10 Deguchi T, Murakami T, Kuroda S, Yabuuchi T, Kamioka H, Takano-Yamamoto T. Comparison of the intrusion effects on the maxillary incisors between implant anchorage and J-hook headgear. Am J Orthod Dentofacial Orthop 2008;133:654-60.   DOI   ScienceOn
11 Kuroda S, Sugawara Y, Deguchi T, Kyung HM, Takano-Yamamoto T. Clinical use of miniscrew implants as orthodontic anchorage: success rates and postoperative discomfort. Am J Orthod Dentofacial Orthop 2007;131:9-15.   DOI   ScienceOn
12 Meredith N. A review of nondestructive test methods and their application to measure the stability and osseointegration of bone anchored endosseous implants. Crit Rev Biomed Eng 1998;26:275-91.   DOI   ScienceOn
13 Wilmes B, Rademacher C, Olthoff G, Drescher D. Parameters affecting primary stability of orthodontic mini-implants. J Orofac Orthop 2006;67:162-74.   DOI   ScienceOn
14 Miyamoto I, Tsuboi Y, Wada E, Suwa H, Iizuka T. Influence of cortical bone thickness and implant length on implant stability at the time of surgery clinical, prospective, biomechanical, and imaging study. Bone 2005;37:776-80.   DOI   ScienceOn
15 Burstone CR. Deep overbite correction by intrusion. Am J Orthod 1977;72:1-22.   DOI   ScienceOn
16 Albrektsson T, Brånemark PI, Hansson HA, Lindström J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 1981;52:155-70.   DOI   ScienceOn
17 Deguchi T, Nasu M, Murakami K, Yabuuchi T, Kamioka H, Takano-Yamamoto T. Quantitative evaluation of cortical bone thickness with computed tomographic scanning for orthodontic implants. Am J Orthod Dentofacial Orthop 2006;129:721.e7-12.   DOI   ScienceOn
18 Kim JH, Park YC. Evaluation of mandibular cortical bone thickness for placement of temporary anchorage devices (TADs). Korean J Orthod 2012;42:110-7.   DOI   ScienceOn
19 Farnsworth D, Rossouw PE, Ceen RF, Buschang PH. Cortical bone thickness at common miniscrew implant placement sites. Am J Orthod Dentofacial Orthop 2011;139:495-503.   DOI   ScienceOn
20 Roberts WE, Smith RK, Zilberman Y, Mozsary PG, Smith RS. Osseous adaptation to continuous loading of rigid endosseous implants. Am J Orthod 1984; 86:95-111.   DOI   ScienceOn
21 Costa A, Raffainl M, Melsen B. Miniscrews as orthodontic anchorage: a preliminary report. Int J Adult Orthodon Orthognath Surg 1998;13:201-9.
22 Polat-Ozsoy O, Arman-Ozcırpıcı A, Veziroglu F, Cetinsahin A. Comparison of the intrusive effects of miniscrews and utility arches. Am J Orthod Dentofacial Orthop 2011;139:526-32.   DOI   ScienceOn
23 Senısık NE, Turkkahraman H. Treatment effects of intrusion arches and mini-implant systems in deepbite patients. Am J Orthod Dentofacial Orthop 2012; 141:723-33.   DOI   ScienceOn
24 Lin JC, Liou EJ, Bowman SJ. Simultaneous reduction in vertical dimension and gummy smile using miniscrew anchorage. J Clin Orthod 2010;44:157-70.
25 Saxena R, Kumar PS, Upadhyay M, Naik V. A clinical evaluation of orthodontic mini-implants as intraoral anchorage for the intrusion of maxillary anterior teeth. World J Orthod 2010;11:346-51.
26 Kaku M, Kojima S, Sumi H, et al. Gummy smile and facial profile correction using miniscrew anchorage. Angle Orthod 2012;82:170-7.   DOI   ScienceOn
27 Schnelle MA, Beck FM, Jaynes RM, Huja SS. A radiographic evaluation of the availability of bone for placement of miniscrews. Angle Orthod 2004; 74:832-7.
28 Lee KJ, Joo E, Kim KD, Lee JS, Park YC, Yu HS. Computed tomographic analysis of tooth-bearing alveolar bone for orthodontic miniscrew placement. Am J Orthod Dentofacial Orthop 2009;135:486-94.   DOI   ScienceOn
29 Davies JE. Understanding peri-implant endosseous healing. J Dent Educ 2003;67:932-49.
30 Weiland FJ, Bantleon HP, Droschl H. Evaluation of continuous arch and segmented arch leveling techniques in adult patients--a clinical study. Am J Orthod Dentofacial Orthop 1996;110:647-52.   DOI   ScienceOn
31 Moon CH, Lee DG, Lee HS, Im JS, Baek SH. Factors associated with the success rate of orthodontic miniscrews placed in the upper and lower posterior buccal region. Angle Orthod 2008;78:101-6.   DOI   ScienceOn
32 Poggio PM, Incorvati C, Velo S, Carano A. "Safe zones": a guide for miniscrew positioning in the maxillary and mandibular arch. Angle Orthod 2006; 76:191-7.
33 Janson G, Gigliotti MP, Estelita S, Chiqueto K. Influence of miniscrew dental root proximity on its degree of late stability. Int J Oral Maxillofac Surg 2013;42:527-34.   DOI   ScienceOn
34 Frost HM. Skeletal structural adaptations to mechanical usage (SATMU): 2. Redefining Wolff's law: the remodeling problem. Anat Rec 1990;226:414-22.   DOI   ScienceOn
35 Santiago RC, de Paula FO, Fraga MR, Picorelli Assis NM, Vitral RW. Correlation between miniscrew stability and bone mineral density in orthodontic patients. Am J Orthod Dentofacial Orthop 2009; 136:243-50.   DOI   ScienceOn
36 Frost HM. Bone "mass" and the "mechanostat": a proposal. Anat Rec 1987;219:1-9.   DOI   ScienceOn
37 Frost HM. Skeletal structural adaptations to mechanical usage (SATMU): 1. Redefining Wolff's law: the bone modeling problem. Anat Rec 1990;226:403-13.   DOI   ScienceOn
38 Frost HM. Wolff's Law and bone's structural adaptations to mechanical usage: an overview for clinicians. Angle Orthod 1994;64:175-88.
39 Meredith N, Alleyne D, Cawley P. Quantitative determination of the stability of the implant-tissue interface using resonance frequency analysis. Clin Oral Implants Res 1996;7:261-7.   DOI   ScienceOn
40 Park HS, Jeong SH, Kwon OW. Factors affecting the clinical success of screw implants used as orthodontic anchorage. Am J Orthod Dentofacial Orthop 2006;130:18-25.   DOI   ScienceOn
41 Park J, Cho HJ. Three-dimensional evaluation of interradicular spaces and cortical bone thickness for the placement and initial stability of microimplants in adults. Am J Orthod Dentofacial Orthop 2009; 136:314.e1-12; discussion 314-5.