DOI:

10.37988/1811-153X_2023_1_126

Development and mathematical comparative analysis of orthodontic anchor mini-plate and mini-screws

Downloads

Authors

  • G.G. Maziashvili 1, postgraduate at the Oral and maxillofacial surgery Department
    ORCID ID: 0000-0002-6661-5281
  • N.A. Guseynov 1, postgraduate at the Oral and maxillofacial surgery Department
    ORCID ID: 0000-0001-7160-2023
  • T. Haddad 1, training master of the Oral and maxillofacial surgery Department
    ORCID ID: 0000-0001-6330-1263
  • A.M. Gusarov 2, PhD in Medical Sciences, associate professor of the Maxillofacial surgery Department
    ORCID ID: 0000-0002-6583-4685
  • R.F. Mukhametshin 1, PhD in Medical Sciences, assistant professor of the Oral and maxillofacial surgery Department
    ORCID ID: 0000-0001-6975-7018
  • N.L. Lezhava 1, PhD in Medical Sciences, assistant professor of the Oral and maxillofacial surgery Department
    ORCID ID: 0000-0003-0624-843X
  • S.Yu. Ivanov 1, 2, Associate Member of the Russian Academy of Sciences, PhD in Medical Sciences, full professor of the Oral and maxillofacial surgery Department; full professor of the Maxillofacial surgery Department
    ORCID ID: 0000-0001-5458-0192
  • 1 RUDN University, 117198, Moscow, Russia
  • 2 Sechenov University, 119991, Moscow, Russia

Abstract

The use of orthodontic miniscrews is possible on an outpatient basis, since this procedure does not require any special additional preparation or instrumentation. The use of mini screws as a skeletal support is one of the indispensable instruments for tooth distalization. However, disintegration of the miniscrew, perforation of the maxillary sinus, etc. can occur when using them. In clinical practice, orthodontic miniplates are increasingly being used, which in some cases level out the disadvantages of miniscrews. The objective was to develop and substantiate the use of orthodontic miniplates as an alternative to mini screws in orthodontic treatment. >. A virtual model of a titanium plate and a mini-screw was developed, and mathematical modeling and comparative analysis were performed. The plate itself was made by 3D printing with VT6 titanium. The product is built in argon environment to prevent arbitrary ignition and preserve technological properties of titanium. Manufactured products are placed in the heat treatment chamber, where internal stresses of the titanium crystal lattice are removed, which gives an additional guarantee for the durability of the products. >. During loading of both models with orthodontic force of 2.5 and 5.0 N, there was no deformation of the designs themselves. According to calculations, this value was 0.019 mm for the orthodontic mini screw and 0.017 mm for the plate when loaded with 2.5 N, and 0.039 and 0.035 mm when loaded with 5 N, respectively. From a clinical point of view, these values are insignificant. >. The calculations demonstrated that both types of orthodontic skeletal support were effective in terms of their support function for orthodontic appliance under loads within 5 N (500 g). From a clinical point of view, if there is sufficient bone volume, the orthodontic mini screw should be preferred because its installation is less traumatic for the patient. If there is insufficient bone volume for an orthodontic mini screw, effective support can be achieved using a micro-screw-fixed mini plate.

Key words:

skeletal support, orthodontic mini-screw, anchor mini-plate, mini-screw disintegration

For Citation

[1]
Maziashvili G.G., Guseynov N.A., Haddad T., Gusarov A.M., Mukhametshin R.F., Lezhava N.L., Ivanov S.Yu. Development and mathematical comparative analysis of orthodontic anchor mini-plate and mini-screws. Clinical Dentistry (Russia).  2023; 26 (1): 126—131. DOI: 10.37988/1811-153X_2023_1_126

References

  1. Babanouri N., Ajami S., Salehi P. Effect of mini-screw-facilitated micro-osteoperforation on the rate of orthodontic tooth movement: a single-center, split-mouth, randomized, controlled trial. Prog Orthod. 2020; 21 (1): 7. PMID: 32147751
  2. Sherwood K.H., Burch J.G., Thompson W.J. Closing anterior open bites by intruding molars with titanium miniplate anchorage. Am J Orthod Dentofacial Orthop. 2002; 122 (6): 593—600. PMID: 12490869
  3. Gadirov E.E., Tairov A.R., Barkushin M.I., Kolesnikov M.S., Berezkina T.N. Mandibular molar uprighting using miniscrew implants. Fundamental aspects of mental health. 2019; 2: 6—11 (In Russ.). eLIBRARY ID: 38188600
  4. Popova N.V., Arsenina O.I., Lebedenko I.Y., Rusanov F.S., Khvorostenko E.A., Glukhova N.V. An analysis of orthodontic miniscrew stability in experimantal and clinical cases. Vestnik of North-Eastern Federal University. Medical Sciences. 2021; 2 (23): 32—38 (In Russ.). eLIBRARY ID: 46236776
  5. Mohamad I.S., Vodolatsky V.M., Rekvava Z.A., Balandina A.V. Treatment of dental anomalies and deformities using mini-implants in adolescents. Modern Science: Actual Problems of Theory and Practice. Series: Natural and Technical Sciences. 2019; 5: 180—183 (In Russ.). eLIBRARY ID: 40872246
  6. Wang Y., Qiu Y., Liu H., He J., Fan X. Quantitative evaluation of palatal bone thickness for the placement of orthodontic miniscrews in adults with different facial types. Saudi Med J. 2017; 38 (10): 1051—1057. PMID: 28917071
  7. St Martin J.G., Javed F., Rossouw P.E., Michelogiannakis D. Influence of mini-screw implant-assisted intrusion on orthodontically induced inflammatory root resorption: a systematic review. Eur Arch Paediatr Dent. 2021; 22 (3): 341—349. PMID: 33423207
  8. Liu L., Zhan Q., et al. Effectiveness of an anterior mini-screw in achieving incisor intrusion and palatal root torque for anterior retraction with clear aligners. Angle Orthod. 2021; 91 (6): 794—803. PMID: 34061964
  9. Heymann G.C., Tulloch J.F. Implantable devices as orthodontic anchorage: a review of current treatment modalities. J Esthet Restor Dent. 2006; 18 (2): 68—79; discussion 80. PMID: 16519871
  10. Osak P., Maszybrocka J., Zubko M., Rak J., Bogunia S., Łosiewicz B. Influence of sandblasting process on tribological properties of titanium grade 4 in artificial saliva for dentistry applications. Materials (Basel). 2021; 14 (24): 7536. PMID: 34947129
  11. Brånemark P.I., Adell R., Breine U., Hansson B.O., Lindström J., Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 1969; 3 (2): 81—100. PMID: 4924041
  12. Buser D., Mericske-Stern R., Bernard J.P., Behneke A., Behneke N., Hirt H.P., Belser U.C., Lang N.P. Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res. 1997; 8 (3): 161—72. PMID: 9586460
  13. Huang L.H., Shotwell J.L., Wang H.L. Dental implants for orthodontic anchorage. Am J Orthod Dentofacial Orthop. 2005; 127 (6): 713—22. PMID: 15953897
  14. Jenner J.D., Fitzpatrick B.N. Skeletal anchorage utilising bone plates. Aust Orthod J. 1985; 9 (2): 231—3. PMID: 3870084
  15. Umemori M., Sugawara J., Mitani H., Nagasaka H., Kawamura H. Skeletal anchorage system for open-bite correction. Am J Orthod Dentofacial Orthop. 1999; 115 (2): 166—74. PMID: 9971928
  16. Kanomi R. Mini-implant for orthodontic anchorage. J Clin Orthod. 1997; 31 (11): 763—7. PMID: 9511584
  17. Takaki T., Tamura N., Yamamoto M., Takano N., Shibahara T., Yasumura T., Nishii Y., Sueishi K. Clinical study of temporary anchorage devices for orthodontic treatment-stability of micro/mini-screws and mini-plates: experience with 455 cases. Bull Tokyo Dent Coll. 2010; 51 (3): 151—63. PMID: 20877162
  18. Chen Y.J., Chang H.H., Lin H.Y., Lai E.H., Hung H.C., Yao C.C. Stability of miniplates and miniscrews used for orthodontic anchorage: experience with 492 temporary anchorage devices. Clin Oral Implants Res. 2008; 19 (11): 1188—96. PMID: 18983323
  19. Chen Y.J., Chang H.H., Huang C.Y., Hung H.C., Lai E.H., Yao C.C. A retrospective analysis of the failure rate of three different orthodontic skeletal anchorage systems. Clin Oral Implants Res. 2007; 18 (6): 768—75. PMID: 17868386
  20. Wang Y.C., Liou E.J. Comparison of the loading behavior of self-drilling and predrilled miniscrews throughout orthodontic loading. Am J Orthod Dentofacial Orthop. 2008; 133 (1): 38—43. PMID: 18174069
  21. Papadopoulos M.A., Tarawneh F. The use of miniscrew implants for temporary skeletal anchorage in orthodontics: a comprehensive review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 103 (5): e6—15. PMID: 17317235
  22. Al-Dumaini A.A., Halboub E., Alhammadi M.S., Ishaq R.A.R., Youssef M. A novel approach for treatment of skeletal Class II malocclusion: Miniplates-based skeletal anchorage. Am J Orthod Dentofacial Orthop. 2018; 153 (2): 239—247. PMID: 29407501
  23. Unal T., Celikoglu M., Candirli C. Evaluation of the effects of skeletal anchoraged Forsus FRD using miniplates inserted on mandibular symphysis: A new approach for the treatment of Class II malocclusion. Angle Orthod. 2015; 85 (3): 413—9. PMID: 25279724
  24. Tsui W.K., Chua H.D., Cheung L.K. Bone anchor systems for orthodontic application: a systematic review. Int J Oral Maxillofac Surg. 2012; 41 (11): 1427—38. PMID: 22704592
  25. Koretsi V., Zymperdikas V.F., Papageorgiou S.N., Papadopoulos M.A. Treatment effects of removable functional appliances in patients with Class II malocclusion: a systematic review and meta-analysis. Eur J Orthod. 2015; 37 (4): 418—34. PMID: 25398303
  26. Ehsani S., Nebbe B., Normando D., Lagravere M.O., Flores-Mir C. Short-term treatment effects produced by the Twin-block appliance: a systematic review and meta-analysis. Eur J Orthod. 2015; 37 (2): 170—6. PMID: 25052373
  27. Perinetti G., Primožič J., Furlani G., Franchi L., Contardo L. Treatment effects of fixed functional appliances alone or in combination with multibracket appliances: A systematic review and meta-analysis. Angle Orthod. 2015; 85 (3): 480—92. PMID: 25188504
  28. Mokrenko M.E., Guseynov N.A., Alhaffar J., Tuturov N.S., Sarkisyan M.S. Review of online X-ray diagnostic services based on artificial neural networks in dentistry. Medical Visualization. 2022; 3: 114—122 (In Russ.). eLIBRARY ID: 49365981
  29. Klimova N.N., Gorelova V.A., Klimova T.N. Evaluation of the anatomical parameters of bone tissue in the region of the infrazygomatic crest for assessment of potential zone for the insertion of miniscrews. Orthodontics. 2020; 2 (90): 23—27 (In Russ.). eLIBRARY ID: 44374378
  30. Wang P., Chen Z.X., Wu J., Chen Z.Q. [Study of three-dimensional anatomical relationship between infrazygomatic crest and maxillary sinus for mini-screw insertion]. Shanghai Kou Qiang Yi Xue. 2017; 26 (6): 623—627 (In Chinese). PMID: 29691558

Downloads

Received

December 17, 2022

Accepted

February 10, 2023

Published on

March 22, 2023