FAILURE RATE OF EXTRA-ALVEOLAR BONE MINI-IMPLANT IN ORTHODONTIC: SYSTEMATIC REVIEW

Ngo Viet Thanh1, Nguyen Thi Thu Phuong2, Le Thi Thu Hai3
1 Thai Nguyen University of Medicine and Pharmacy
2 Ha Noi Medical University
3 108 Military Central Hospital

Main Article Content

Abstract

Objectives: To evaluate the scientific evidence related to the failure rate of extra-alveolar bone mini-implant in orthodontic.


Materials and methods: An electronic searched for articles on the databases PubMed, ScienceDirect, Google Scholar to identify all peer-reviewed articles potentially relevant to the review based on PIOCS framework. Methodological limitations were highlighted and the quality of articles was scored using tools such as: Risk of Bias in Non-randomized Studies - of Interventions (ROBINS-I) for cohort studies and Cochrane Risk of Bias Tool for randomized controlled clinical trials. Meta-analysis was conducted with selected article.


RESULTS: Sample sizes of each study ranged from 30 to 840 patients, with 55 to 1680 mini-implants. Most of studies used 2 mm diameter and 8-12 mm length mini-implants, immediately loaded with 8-14 oz. The failure rate of IZC mini-implant ranged from 6.3% to 27.3% while this percentage of BC mini-implant was 7.2% to 68.7%. The meta-analysis showed that there was no significant relationship of the failure rate between the left and the right side.


Conclusion: Althought the failure of extra-alveolar bone mini-implant was low in almost research, it needs more randomized controlled clinical trial studies to evaluate exactly.

Article Details

References

1. Park, J.H. and ed, Temporary Anchorage Devices in Clinical Orthodontics. 2020, Hobeken, NJ: WIley-Blackwell.
2. Paik, C.-H., et al., Orthodontics Miniscrew Implants: Clinical Applications. 1 ed. 2009, London: Elsevier.
3. Chen, C.H., et al., The use of microimplants in orthodontic anchorage. J Oral Maxillofac Surg, 2006. 64(8): p. 1209-13.
4. Jawalekar, D.R., et al., COMPARATIVE ASSESSMENT OF CORTICAL BONE THICKNESS AT INFRAZYGOMATIC CREST, BUCCAL SHELF AREA, ANTERIOR MAXILLA FOR PLACEMENT OF BONE SCREWS IN NORMODIVERGENT, HYPODIVERGENT AND HYPERDIVERGENT PATIENTS PROTOCOL FOR CBCT STUDY. European Journal of Molecular & Clinical Medicine, 2021. 8(3): p. 3180-3193.
5. Chang, C.H., J.S. Lin, and W.E. Roberts, Failure rates for stainless steel versus titanium alloy infrazygomatic crest bone screws: A single-center, randomized double-blind clinical trial. The Angle Orthodontist, 2019. 89(1): p. 40-46.
6. Hsu, E., et al., Comparison of the Failure Rate for InfraZygomatic Bone Screws Placed in Movable Mucosa or Attached Gingiva. Int J Orthod Implantol, 2017. 47: p. 96-106.
7. Arqub, S.A., et al., Survival estimates and risk factors for failure of palatal and buccal mini-implants. Angle Orthod, 2021.
8. Chang, C., S.S. Liu, and W.E. Roberts, Primary failure rate for 1680 extra-alveolar mandibular buccal shelf mini-screws placed in movable mucosa or attached gingiva. Angle Orthod, 2015. 85(6): p. 905-10.
9. Jia, X., X. Chen, and X. Huang, Influence of orthodontic mini-implant penetration of the maxillary sinus in the infrazygomatic crest region. American Journal of Orthodontics and Dentofacial Orthopedics, 2018. 153(5): p. 656-661.
10. Mohan, R. and R.K. Jain, Survival Analysis of Extra-Alveolar Tads Used for Orthodontic Anchorage. Biosc.Biotech.res.Comm. , 2020. 13: p. 59-64.
11. Tseng, Y.C., et al., Resonance frequency analysis of miniscrew implant stability. J Oral Sci, 2018. 60(1): p. 64-69.
12. Uribe, F., et al., Failure rates of mini-implants placed in the infrazygomatic region. Progress in orthodontics, 2015. 16: p. 31-31.
13. Azeem, M., et al., Failure rates of mini-implants inserted in the retromolar area. International Orthodontics, 2019. 17(1): p. 53-59.
14. Park, H.S., S.H. Jeong, and O.W. Kwon, Factors affecting the clinical success of screw implants used as orthodontic anchorage. Am J Orthod Dentofacial Orthop, 2006. 130(1): p. 18-25.
15. Kravitz, N.D. and B. Kusnoto, Risks and complications of orthodontic miniscrews. Am J Orthod Dentofacial Orthop, 2014. 131(4 Suppl): p. S43-51.
16. Mecenas, P., et al., Stainless steel or titanium mini-implants? Angle Orthod, 2020. 90(4): p. 587-597.