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CC BY 4.0 · Eur J Dent 2025; 19(02): 399-408
DOI: 10.1055/s-0044-1789015
Original Article

Evaluation of Two Mini-implant Lengths in the Infrazygomatic Crest Region: A Randomized Clinical Trial

Abbas F. Alsaeedi 
1   Department of Orthodontics, College of Dentistry, University of Baghdad, Baghdad, Iraq
,
Mehdi Abdul-hadi Alrubayee
1   Department of Orthodontics, College of Dentistry, University of Baghdad, Baghdad, Iraq
,
Gautham Sivamurthy
2   Department of Orthodontics, School of Dentistry, University of Dundee, Dundee, United Kingdom
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Abstract

Objective  Temporary anchorage devices (TADs) have revolutionized fixed orthodontic appliance treatment through anchorage controlling in the clinic and play an essential role in resolving many complex cases. Due to the limited space, there is a risk of injury to the roots while using interradicular microimplants. Therefore, the infrazygomatic crest (IZC) area can be an alternative mini-implant insertion site in the maxillary arch. The aim of the study was to evaluate the primary stability, pain perception, sinus penetration, late stability, and failure rate with two mini-implant lengths in the IZC area.

Materials and Methods Forty-eight mini-implants (Tusk Dental Co., Ltd., Canada) with two different lengths (length/diameter: 12/2 and 14/2 mm) were grouped by length (24 per group) and inserted bilaterally into the IZC area of 24 patients. The data were statistically analyzed, considering a significance level of p < 0.05.

Results Sinus penetration prevalence did not differ significantly between 12-mm (54.2%) and 14-mm (62.5%) mini-implants (p > 0.05). Primary stability was significantly higher with the 14-mm mini-implants (p < 0.05). The failure rate did not differ significantly between the 12-mm (20.8%) and 14-mm (16.7%) mini-implants (p > 0.05).

Conclusion While the failure rate was similar between 12- and 14-mm mini-implants, the 14-mm mini-implants were more likely to damage adjacent structures. Therefore, shorter mini-implants should be preferred over longer mini-implants for most cases requiring IZC TADs.

Trial Registration ID ClinicalTrials.gov identifier: NCT06293872.

Keywords

miniscrews - infrazygomatic crest area - TADs - orthodontics - mini-implant

Note

The study was conducted at the Department of Orthodontics, College of Dentistry, University of Baghdad, specialized dental center in Baghdad.


Ethical Approval Statement

The research ethics committee of the College of Dentistry, University of Baghdad involved in the study approved this randomized clinical trial study, ref. number: 784, date: February 19, 2023, and project no. 784423.




Publikationsverlauf

Artikel online veröffentlicht:
07. November 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Nidhya V. Infrazygomatic crest screws in orthodontics. Eur J Mol Clin Med 2020; 7: 2515-8260
    Suche in Google Scholar
  • 2 Al-Attar A, Nissan L, Almuzian M, Abid M. Effect of mini-implant facilitated micro-osteoperforations on the alignment of mandibular anterior crowding: a randomised controlled clinical trial. J Orthod 2022; 49 (04) 379-387
    CrossrefPubMedSuche in Google Scholar
  • 3 Pathak S, Patil T, Mahamuni A, Jaju K, Rai R. Mandibular buccal shelf and infra zygomatic crest–a safe zone for mini screw insertion. Indian J Orthod Dentofacial Res 2019; 5 (02) 60-62
    CrossrefSuche in Google Scholar
  • 4 Shetty S, Madhur V, Ahammed Mahruf P, Kumar M. Factors affecting stability of orthodontic mini implants—a literature review. Sch J Dent Sci 2018; 5: 28-34
    Suche in Google Scholar
  • 5 Jedliński M, Janiszewska-Olszowska J, Mazur M, Ottolenghi L, Grocholewicz K, Galluccio G. Guided insertion of temporary anchorage device in form of orthodontic titanium miniscrews with customized 3D templates—a systematic review with meta-analysis of clinical studies. Coatings 2021; 11 (12) 1488
    CrossrefSuche in Google Scholar
  • 6 Lima Jr A, Domingos RG, Cunha Ribeiro AN, Rino Neto J, de Paiva JB. Safe sites for orthodontic miniscrew insertion in the infrazygomatic crest area in different facial types: a tomographic study. Am J Orthod Dentofacial Orthop 2022; 161 (01) 37-45
    CrossrefPubMedSuche in Google Scholar
  • 7 Migliorati M, De Mari A, Annarumma F. et al. Three-dimensional analysis of miniscrew position changes during bone-borne expansion in young and late adolescent patients. Prog Orthod 2023; 24 (01) 20
    CrossrefPubMedSuche in Google Scholar
  • 8 Tavares A, Crusoé-Rebello I-M, Neves F-S. Tomographic evaluation of infrazygomatic crest for orthodontic anchorage in different vertical and sagittal skeletal patterns. J Clin Exp Dent 2020; 12 (11) e1015-e1020
    CrossrefPubMedSuche in Google Scholar
  • 9 Liou EJ, Chen P-H, Wang Y-C, Lin JC-Y. A computed tomographic image study on the thickness of the infrazygomatic crest of the maxilla and its clinical implications for miniscrew insertion. Am J Orthod Dentofacial Orthop 2007; 131 (03) 352-356
    CrossrefPubMedSuche in Google Scholar
  • 10 Chang CH, Lin J-H, Roberts WE. Success of infrazygomatic crest bone screws: patient age, insertion angle, sinus penetration, and terminal insertion torque. Am J Orthod Dentofacial Orthop 2022; 161 (06) 783-790
    CrossrefPubMedSuche in Google Scholar
  • 11 Laursen MG, Melsen B, Cattaneo PM. An evaluation of insertion sites for mini-implants: a micro - CT study of human autopsy material. Angle Orthod 2013; 83 (02) 222-229
    CrossrefPubMedSuche in Google Scholar
  • 12 Baumgaertel S, Hans MG. Assessment of infrazygomatic bone depth for mini-screw insertion. Clin Oral Implants Res 2009; 20 (06) 638-642
    CrossrefPubMedSuche in Google Scholar
  • 13 Gill G, Shashidhar K, Kuttappa MN, Kushalappa P B D, Sivamurthy G, Mallick S. Failure rates and factors associated with infrazygomatic crestal orthodontic implants - a prospective study. J Oral Biol Craniofac Res 2023; 13 (02) 283-289
    CrossrefPubMedSuche in Google Scholar
  • 14 Chang CH, Lin JS, Roberts WE. Failure rates for stainless steel versus titanium alloy infrazygomatic crest bone screws: a single-center, randomized double-blind clinical trial. Angle Orthod 2019; 89 (01) 40-46
    CrossrefPubMedSuche in Google Scholar
  • 15 He Y, Liu J, Huang R. et al. Clinical analysis of successful insertion of orthodontic mini-implants in infrazygomatic crest. BMC Oral Health 2023; 23 (01) 348
    CrossrefPubMedSuche in Google Scholar
  • 16 Chen X, Jiang X, Chen S. Site selection of micro-implant anchorages in the infrazygomatic crest in adult orthodontic patients. Hua Xi Kou Qiang Yi Xue Za Zhi 2024; 42 (02) 207-213
    PubMedSuche in Google Scholar
  • 17 Ghosh A. Infra-zygomatic crest and buccal shelf-orthodontic bone screws: a leap ahead of micro-implants–clinical perspectives. JIOS 2018; 52 (4, suppl 2): 127-141
    CrossrefSuche in Google Scholar
  • 18 Jia X, Chen X, Huang X. Influence of orthodontic mini-implant penetration of the maxillary sinus in the infrazygomatic crest region. Am J Orthod Dentofacial Orthop 2018; 153 (05) 656-661
    CrossrefPubMedSuche in Google Scholar
  • 19 Sreenivasagan S, Subramanian AK, Nivethigaa B. Assessment of insertion torque of mini-implant and its correlation with primary stability and pain levels in orthodontic patients. J Contemp Dent Pract 2021; 22 (01) 84-88
    CrossrefPubMedSuche in Google Scholar
  • 20 Abdulla MA, Hasan RH, Al-Hyani OH. Effects of restraint stress and surface treatments on the stability of titanium dental implant osseointegration in dogs: an in vivo comparative study. J Taibah Univ Med Sci 2024; 19 (03) 461-472
    PubMedSuche in Google Scholar
  • 21 Çehreli S, Arman-Özçırpıcı A. Primary stability and histomorphometric bone-implant contact of self-drilling and self-tapping orthodontic microimplants. Am J Orthod Dentofacial Orthop 2012; 141 (02) 187-195
    CrossrefPubMedSuche in Google Scholar
  • 22 Uribe F, Mehr R, Mathur A, Janakiraman N, Allareddy V. Failure rates of mini-implants placed in the infrazygomatic region. Prog Orthod 2015; 16 (01) 31
    CrossrefPubMedSuche in Google Scholar
  • 23 Kyung H, Ly N, Hong M. Orthodontic skeletal anchorage: up-to-date review. Orthod Waves 2017; 76 (03) 123-132
    CrossrefSuche in Google Scholar
  • 24 Ibrahim SW, Al Nakkash WA. Mechanical evaluation of nano hydroxyapatite, chitosan and collagen composite coating compared with nano hydroxyapatite coating on commercially pure titanium dental implant. JBCD 2017; 29 (02) 42-48
    CrossrefSuche in Google Scholar
  • 25 Wilmes B, Rademacher C, Olthoff G, Drescher D. Parameters affecting primary stability of orthodontic mini-implants. J Orofac Orthop 2006; 67 (03) 162-174
    CrossrefPubMedSuche in Google Scholar
  • 26 Romanos GE, Toh CG, Siar CH, Swaminathan D, Ong AH. Histologic and histomorphometric evaluation of peri-implant bone subjected to immediate loading: an experimental study with Macaca fascicularis . Int J Oral Maxillofac Implants 2002; 17 (01) 44-51
    PubMedSuche in Google Scholar
  • 27 Migliorati M, Benedicenti S, Signori A. et al. Miniscrew design and bone characteristics: an experimental study of primary stability. Am J Orthod Dentofacial Orthop 2012; 142 (02) 228-234
    CrossrefPubMedSuche in Google Scholar
  • 28 Samrit V, Kharbanda OP, Duggal R, Seith A, Malhotra V. Bone density and miniscrew stability in orthodontic patients. Aust Orthod J 2012; 28 (02) 204-212
    PubMedSuche in Google Scholar
  • 29 Marquezan M, Mattos CT, Sant'Anna EF, de Souza MMG, Maia LC. Does cortical thickness influence the primary stability of miniscrews?: A systematic review and meta-analysis. Angle Orthod 2014; 84 (06) 1093-1103
    CrossrefPubMedSuche in Google Scholar
  • 30 Chang C, Liu SS, Roberts WE. Primary failure rate for 1680 extra-alveolar mandibular buccal shelf mini-screws placed in movable mucosa or attached gingiva. Angle Orthod 2015; 85 (06) 905-910
    CrossrefPubMedSuche in Google Scholar
  • 31 Sarul M, Lis J, Park H-S, Rumin K. Evidence-based selection of orthodontic miniscrews, increasing their success rate in the mandibular buccal shelf. A randomized, prospective clinical trial. BMC Oral Health 2022; 22 (01) 414
    CrossrefPubMedSuche in Google Scholar
  • 32 Reiser GM, Rabinovitz Z, Bruno J, Damoulis PD, Griffin TJ. Evaluation of maxillary sinus membrane response following elevation with the crestal osteotome technique in human cadavers. Int J Oral Maxillofac Implants 2001; 16 (06) 833-840
    PubMedSuche in Google Scholar
  • 33 Papageorgiou SN, Zogakis IP, Papadopoulos MA. Failure rates and associated risk factors of orthodontic miniscrew implants: a meta-analysis. Am J Orthod Dentofacial Orthop 2012; 142 (05) 577-595.e7
    CrossrefPubMedSuche in Google Scholar
  • 34 Motoyoshi M, Sanuki-Suzuki R, Uchida Y, Saiki A, Shimizu N. Maxillary sinus perforation by orthodontic anchor screws. J Oral Sci 2015; 57 (02) 95-100
    CrossrefPubMedSuche in Google Scholar
  • 35 Hasan SM, Alhuwaizi AF. Antibiofilm and antimicrobial effectiveness of chlorhexidine hexametaphosphate nanoparticles as a coating for orthodontic miniscrews. Pakistan J Med Health Sci 2022; 16 (03) 626-626
    CrossrefSuche in Google Scholar
  • 36 Tarigan SHP, Sufarnap E, Bahirrah S. The orthodontic mini-implants failures based on patient outcomes: systematic review. Eur J Dent 2024; 18 (02) 417-429
    Thieme ConnectPubMedSuche in Google Scholar
  • 37 Nabeel A, Saliem SS. Periimplantitis-a review. J Bagh Coll Dent 2015; 27 (02) 101-104
    CrossrefSuche in Google Scholar
  • 38 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 (01) 9-15
    CrossrefPubMedSuche in Google Scholar