Int J Stomatol

Int J Stomatol ›› 2024, Vol. 51 ›› Issue (3): 310-318.doi: 10.7518/gjkq.2024034

• Original Articles • Previous Articles     Next Articles

Application of miniscrew implants in orthodontics: a literature review

Zining Chen(),Hao Wang,Qianwen Li,Ningrui Zhao,Xuedong Wang()   

  1. Dept. of Orthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
  • Received:2023-05-29 Revised:2023-11-02 Online:2024-05-01 Published:2024-05-06
  • Contact: Xuedong Wang E-mail:chenzining@pku.edu.cn;wangxuedong@bjmu.edu.cn
  • Supported by:
    National Program for Multidisciplinary Cooperative Treatment on Major Diseases(PKUSSNMP-202013);Seed Selection Project of China Oral Health Foundation(A2021-021);National Natural Science Foundation of China(81671015)

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Abstract:

Miniscrew implants are widely utilized in orthodontics, and their usage varies substantially among different countries. This review summarizes the methodology of related research as well as the advantages, indications, and complications of orthodontic miniscrew implants. Factors influencing the usage of orthodontic miniscrew implants are determined. The utilization rate of orthodontic miniscrew implants ranges from 43.7% to 93.3%. However, inconsistent criteria preclude us from reaching further conclusions. Orthodontic miniscrew implants are suitable for diverse conditions, such as anterior retraction and posterior intrusion, which contribute to the enhancement of anchorage and the reduction of dependence on patient compliance. Frequently occurring complications include failure of orthodontic miniscrew implants, soft tissue reactions, and root damage. Factors including orthodontists ’ age, gender, and educational background as well as the cost of treatment and the patients ’ acceptance of orthodontic miniscrew implants may have different effects on their usage. Nevertheless, similar research in China is lacking.

Key words: orthodontic anchorage, miniscrew implant, application situation

CLC Number: 

  • R783.5

TrendMD: 

Tab 1

Summary of literature"

作者发表年份调查范围发放方式应答率/%种植钉使用率/%
Banks等[2]2010英国邮寄66.310.20
Patil等[3]2012印度现场发放85.7166.67
Barthelemi等[4]2015法国线上34.6366.36
Buschang等[6]2008全球线上5.9679.70
Ashton[7]2022全球线上11.4984.60
Meeran等[8]2012印度邮寄80.5243.70
Svensk等[9]2016瑞典线上67.4353.10
Keim等[10]2008美国邮寄7.6860.70
Keim等[11]2014美国线上1.9670.00
Keim等[12]2020美国线上1.6155.00
Hyde等[13]2010美国线上79.6691.49
Khan等[14]2016南非现场发放+线上41.8260.90
Alfaleh等[15]2021沙特阿拉伯线上13.9389.47
Acar等[16]2015土耳其线上32.3389.70
Van Sant[17]2020加拿大线上23.2365.80
Janagarathinam等[18]2021印度线上50.0081.10
Golshah等[19]2021伊朗线上72.1689.90
Azeez[20]2022伊拉克线上22.2593.30

Tab 2

Common complications of orthodontic miniscrew implants and potential influencing factors"

常见并发症可能的影响因素
松动脱落患者因素、种植钉因素、植入程序、操作因素[6,33-34]
周围炎症和感染角化黏膜量、植入时软组织受刺激的程度、患者口腔卫生情况、牙龈生物型[25,35]
软组织反应种植钉头部和其上附件有无缓冲、患者口腔卫生情况[27]
对牙根的接触与损伤植入位置、植入方向、操作因素[36-38]
移位与折断种植钉材质、应力集中、骨密度、操作因素[37,39-40]
组织穿孔植入位置、解剖因素[27]
植入后急性疼痛植入时有无翻瓣[37]
对正畸过程中的牙齿移动产生干扰植入位置[41-42]
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