Implants for Orthodontics ?

Dr. Mit. asks:

I am an orthodontist in Indiana. I would like to place mini implants for anchorage in the anterior region for effective intrusion of anterior teeth.

Do any of you have experience in determining site, angulation, etc? What are the positive and/or negatives for this technique? Any studies? Thanks

8 thoughts on “Implants for Orthodontics ?

  1. Mini-Implants do not Osseointegrate and have a habit of coming out. This requires a trip to the surgeon to replace the screws and a trip to the Orthodontist to reset the wires. If you goal is to reduce chair time or reduce the length of treatment why not look at the palatal implant from Straumann. Once integrated it provides a fixed point and does not on occassion pop out. The surgery on the mini’s might look less expensive but will likely bring up problems and chair time needs that an Osseointegrated Palatal Implant will not.

  2. A wonderful Mini-Implant hands-on workshop will be given at the USC Periodontal & Implant Symposium on January 28, 2007. This hands-on workshop covers topics such as molar intrusion, periodontal change, mechanics, biomechanics, and stability. You can register online.

  3. Hi Dr. MIt
    there are many Studies in regard to the avantage of mini implant anchor.
    I have been using titannium mini anchor for the last 2 yrs and have found it very helpful.
    if you wish I can email you a list of references or PDF articles to start jump your utilization of the MI.
    I use only lingual orthodontics in my practice so the anterior lingual region is limited.
    if you do labial braces you will find that in the labial anterior region, you can easily place the Mini implant.

    here is my experience with Mini implant.
    1. you can use any titanium mini screw, you can even use the titanium dentatus post and sterilize it in the autoclave.
    2. make sure you round off all corner that protrude through the gingiva
    3. immediately load the implant with elastic force or spring. the pulling force acting on the screw will stabelize it. (remember you want firm stable implant but you do not want osseo-intergration so immediate loading will inhibite that.)
    4. you need local anesthetic to place the implant but not for it removal.
    5. tell patient that MI is design not to intergrate with the bone so that it is ease to place and remove at will. (sometime by itself.)
    Mini anchor is more like ear ring or tongue ring rather than dental implants. so when one is lost put in another at a different position. do not make a big deal out of it.
    7. place the implant yourself this is one simple technique that the surgeon is not too familiar with and it is not even worth their while to learn about or master.

  4. it is excelent addition in the orthodontics. This requires a trip to the surgeon to replace the screws and a trip to the Orthodontist to reset the wires. If you goal is to reduce chair time or reduce the length of treatment why not look at the palatal implant from Straumann. Once integrated it provides a fixed point and does not on occassion pop out. The surgery on the mini’s might look less expensive but will likely bring up problems and chair time needs that an Osseointegrated Palatal Implant
    dr.ejaz khawer

  5. I have placed a number of mini’s for an orthodontist who just didn’t want the responsibility. They are not difficult to place especially in the anterior region, since there is good access, but watch the angulation, you don’t want to nick a root . Just be careful what you promise.They can come loose in the maxilla more often than the mandible, so have a plan for that possibility. Try one on a model of the patients dentition, just for the practice and then you’ll have a better feel for it.

  6. Use of non osseointegrated screw is very easy between the roots of tow adgecent teeth and not need any training you will pentrate only the cortical bone with drill,spongy bone not need to pentrate by drill it is very easy to move the scrow manualy in the spongy bone without proplem and without any complication to the teeth roots,but I like for anchorage very small osseointegrated implant because non osseointegrated screw became loose in use and not withstand orthodontic force,remember when you begin intrusion of the upper anterior teeth you must tie back all upper teeth to prevent extrusion of the anterior teeth.

  7. I think implants are game changers in field of orthodontics.
    I would advice every orthodontist to incorporate implants in his practice.
    The best implants come from land of korea and bio -mk makes the best implants.

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