Bicortical titanium screws for critical orthodontic anchorage in the mandible: a preliminary report on clinical applications
Identifieur interne : 002F71 ( Istex/Corpus ); précédent : 002F70; suivant : 002F72Bicortical titanium screws for critical orthodontic anchorage in the mandible: a preliminary report on clinical applications
Auteurs : Josef W. Freudenthaler ; Hans-Peter Bantleon ; Robert HaasSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2001-08.
English descriptors
- KwdEn :
- Agenesis, Anchorage, Anchorage preparation, Anchorage situations, Anterior teeth, Anterior unit, Antirotation lever, Bicortical, Bicortical anchorage, Bicortical titanium screws, Biocortical titanium screws, Canine, Canine relation, Critical anchorage, Deciduous molar, Dental implants, Edentulous areas, European journal, Extraction site, Favorable translatory tooth movement, Force system, Freudenthaler, Further treatment, Immediate loading, Implant, Insertion, Insertion site, Insertion sites, Local anesthesia, Mandible, Mobile mucosa, Molar, Molar protraction, Oral impl, Orthodontic forces, Orthodontic treatment, Palatal implants, Patient compliance, Patient selection, Posterior teeth, Posterior tooth, Preliminary report, Protraction, Reactive unit, Second generation, Second premolar, Titanium, Titanium screw, Titanium sleeve, Total treatment time, Vacuum foil, Vienna university school.
- Teeft :
- Agenesis, Anchorage, Anchorage preparation, Anchorage situations, Anterior teeth, Anterior unit, Antirotation lever, Bicortical, Bicortical anchorage, Bicortical titanium screws, Biocortical titanium screws, Canine, Canine relation, Critical anchorage, Deciduous molar, Dental implants, Edentulous areas, European journal, Extraction site, Favorable translatory tooth movement, Force system, Freudenthaler, Further treatment, Immediate loading, Implant, Insertion, Insertion site, Insertion sites, Local anesthesia, Mandible, Mobile mucosa, Molar, Molar protraction, Oral impl, Orthodontic forces, Orthodontic treatment, Palatal implants, Patient compliance, Patient selection, Posterior teeth, Posterior tooth, Preliminary report, Protraction, Reactive unit, Second generation, Second premolar, Titanium, Titanium screw, Titanium sleeve, Total treatment time, Vacuum foil, Vienna university school.
Abstract
Abstract: Critical anchorage during orthodontic treatment in the mandible needs both time and effort and patient compliance. In 8 patients, 12 bicortical titanium screws (BIS) were used as anchorage units for orthodontic molar protraction. The criteria for patient selection were: critical anchorage in the lower jaw (i.e. retraction of anterior teeth undesirable) and molar extraction sites. After insertion of the screws in local anesthesia, orthodontic forces were applied immediately. One screw worked loose and had to be removed before the end of treatment. Problems encountered included impingement of the screw head and slight inflammatory reactions of the surrounding mobile mucosa, which necessitated premature removal of two screws. After healing, a new insertion site was chosen. Further treatment was uneventful. Anchorage for orthodontic forces as described offers several advantages. The total treatment time is reduced as the screws can be loaded immediately. The line of action of the orthodontic force coincides with the level of the center of resistance of the molar resulting in a favorable translatory tooth movement. Treatment does not depend on patient cooperation.
Url:
DOI: 10.1034/j.1600-0501.2001.012004358.x
Links to Exploration step
ISTEX:6113B39DEF98AEBD68827B88D2DD440851B82F66Le document en format XML
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In 8 patients, 12 bicortical titanium screws (BIS) were used as anchorage units for orthodontic molar protraction. The criteria for patient selection were: critical anchorage in the lower jaw (i.e. retraction of anterior teeth undesirable) and molar extraction sites. After insertion of the screws in local anesthesia, orthodontic forces were applied immediately. One screw worked loose and had to be removed before the end of treatment. Problems encountered included impingement of the screw head and slight inflammatory reactions of the surrounding mobile mucosa, which necessitated premature removal of two screws. After healing, a new insertion site was chosen. Further treatment was uneventful. Anchorage for orthodontic forces as described offers several advantages. The total treatment time is reduced as the screws can be loaded immediately. The line of action of the orthodontic force coincides with the level of the center of resistance of the molar resulting in a favorable translatory tooth movement. Treatment does not depend on patient cooperation.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>anchorage</json:string><json:string>mandible</json:string><json:string>freudenthaler</json:string><json:string>bicortical</json:string><json:string>molar</json:string><json:string>agenesis</json:string><json:string>protraction</json:string><json:string>insertion</json:string><json:string>oral impl</json:string><json:string>titanium sleeve</json:string><json:string>canine relation</json:string><json:string>biocortical titanium screws</json:string><json:string>orthodontic treatment</json:string><json:string>titanium</json:string><json:string>implant</json:string><json:string>anterior teeth</json:string><json:string>critical anchorage</json:string><json:string>orthodontic forces</json:string><json:string>bicortical titanium screws</json:string><json:string>posterior teeth</json:string><json:string>canine</json:string><json:string>second generation</json:string><json:string>insertion site</json:string><json:string>titanium screw</json:string><json:string>vacuum foil</json:string><json:string>european journal</json:string><json:string>local anesthesia</json:string><json:string>immediate loading</json:string><json:string>second premolar</json:string><json:string>posterior tooth</json:string><json:string>edentulous areas</json:string><json:string>vienna university school</json:string><json:string>favorable translatory tooth movement</json:string><json:string>total treatment time</json:string><json:string>anchorage preparation</json:string><json:string>palatal implants</json:string><json:string>dental implants</json:string><json:string>anchorage situations</json:string><json:string>further treatment</json:string><json:string>mobile mucosa</json:string><json:string>anterior unit</json:string><json:string>molar protraction</json:string><json:string>deciduous molar</json:string><json:string>extraction site</json:string><json:string>antirotation lever</json:string><json:string>patient selection</json:string><json:string>bicortical anchorage</json:string><json:string>force system</json:string><json:string>patient compliance</json:string><json:string>insertion sites</json:string><json:string>preliminary report</json:string><json:string>reactive unit</json:string></teeft></keywords><author><json:item><name>Josef W. Freudenthaler</name><affiliations><json:string>Orthodontic Department, Vienna University School of Dentistry, Vienna</json:string></affiliations></json:item><json:item><name>Hans‐Peter Bantleon</name><affiliations><json:string>Orthodontic Department, Vienna University School of Dentistry, Vienna</json:string></affiliations></json:item><json:item><name>Robert Haas</name><affiliations><json:string>Oral Surgery Department, Vienna University School of Dentistry, Vienna, Austria</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>orthodontic implant</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>immediate loading</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>critical anchorage</value></json:item></subject><articleId><json:string>CLR120410</json:string></articleId><arkIstex>ark:/67375/WNG-MVF651H0-6</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Abstract: Critical anchorage during orthodontic treatment in the mandible needs both time and effort and patient compliance. In 8 patients, 12 bicortical titanium screws (BIS) were used as anchorage units for orthodontic molar protraction. The criteria for patient selection were: critical anchorage in the lower jaw (i.e. retraction of anterior teeth undesirable) and molar extraction sites. After insertion of the screws in local anesthesia, orthodontic forces were applied immediately. One screw worked loose and had to be removed before the end of treatment. Problems encountered included impingement of the screw head and slight inflammatory reactions of the surrounding mobile mucosa, which necessitated premature removal of two screws. After healing, a new insertion site was chosen. Further treatment was uneventful. Anchorage for orthodontic forces as described offers several advantages. The total treatment time is reduced as the screws can be loaded immediately. The line of action of the orthodontic force coincides with the level of the center of resistance of the molar resulting in a favorable translatory tooth movement. Treatment does not depend on patient cooperation.</abstract><qualityIndicators><score>6.563</score><pdfWordCount>2463</pdfWordCount><pdfCharCount>15965</pdfCharCount><pdfVersion>1.2</pdfVersion><pdfPageCount>6</pdfPageCount><pdfPageSize>595 x 794 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>175</abstractWordCount><abstractCharCount>1187</abstractCharCount><keywordCount>3</keywordCount></qualityIndicators><title>Bicortical titanium screws for critical orthodontic anchorage in the mandible: a preliminary report on clinical applications</title><pmid><json:string>11488865</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Clinical Oral Implants Research</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1600-0501</json:string></doi><issn><json:string>0905-7161</json:string></issn><eissn><json:string>1600-0501</json:string></eissn><publisherId><json:string>CLR</json:string></publisherId><volume>12</volume><issue>4</issue><pages><first>358</first><last>363</last><total>6</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2001</json:string></date><geogName></geogName><orgName><json:string>Wien Austria Tel</json:string><json:string>Congress</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Class</json:string><json:string>Josef W. Freudenthaler</json:string><json:string>Hans-Peter Bantleon</json:string></persName><placeName><json:string>Chicago</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Odmann et al. 1988</json:string><json:string>Wehrbein et al. 1996, 1999</json:string><json:string>Marcotte 1990</json:string><json:string>Freudenthaler et al</json:string><json:string>Thilander et al. 1994</json:string><json:string>Burstone 1962, 1991</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-MVF651H0-6</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - engineering, biomedical</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Oral Surgery</json:string></scopus></categories><publicationDate>2001</publicationDate><copyrightDate>2001</copyrightDate><doi><json:string>10.1034/j.1600-0501.2001.012004358.x</json:string></doi><id>6113B39DEF98AEBD68827B88D2DD440851B82F66</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/6113B39DEF98AEBD68827B88D2DD440851B82F66/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/6113B39DEF98AEBD68827B88D2DD440851B82F66/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/6113B39DEF98AEBD68827B88D2DD440851B82F66/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Bicortical titanium screws for critical orthodontic anchorage in the mandible: a preliminary report on clinical applications</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Munksgaard International Publishers</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2001-08"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Bicortical titanium screws for critical orthodontic anchorage in the mandible: a preliminary report on clinical applications</title><title level="a" type="short">Biocortical titanium screws for skeletal orthodontic anchorage</title><author xml:id="author-0000"><persName><forename type="first">Josef W.</forename><surname>Freudenthaler</surname></persName><affiliation>Orthodontic Department, Vienna University School of Dentistry, Vienna</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Hans‐Peter</forename><surname>Bantleon</surname></persName><affiliation>Orthodontic Department, Vienna University School of Dentistry, Vienna</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Robert</forename><surname>Haas</surname></persName><affiliation>Oral Surgery Department, Vienna University School of Dentistry, Vienna, Austria<address><country key="AT"></country></address></affiliation></author><idno type="istex">6113B39DEF98AEBD68827B88D2DD440851B82F66</idno><idno type="ark">ark:/67375/WNG-MVF651H0-6</idno><idno type="DOI">10.1034/j.1600-0501.2001.012004358.x</idno><idno type="unit">CLR120410</idno><idno type="supplier">clr10o613</idno><idno type="toTypesetVersion">file:CLR.CLR120410.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2001.12.issue-4</idno><idno type="product">CLR</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">12</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="358">358</biblScope><biblScope unit="page" to="363">363</biblScope><biblScope unit="page-count">6</biblScope><publisher>Munksgaard International Publishers</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2001-08"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold">Abstract:</hi> Critical anchorage during orthodontic treatment in the mandible needs both time and effort and patient compliance. In 8 patients, 12 bicortical titanium screws (BIS) were used as anchorage units for orthodontic molar protraction. The criteria for patient selection were: critical anchorage in the lower jaw (i.e. retraction of anterior teeth undesirable) and molar extraction sites. After insertion of the screws in local anesthesia, orthodontic forces were applied immediately. One screw worked loose and had to be removed before the end of treatment. Problems encountered included impingement of the screw head and slight inflammatory reactions of the surrounding mobile mucosa, which necessitated premature removal of two screws. After healing, a new insertion site was chosen. Further treatment was uneventful. Anchorage for orthodontic forces as described offers several advantages. The total treatment time is reduced as the screws can be loaded immediately. The line of action of the orthodontic force coincides with the level of the center of resistance of the molar resulting in a favorable translatory tooth movement. Treatment does not depend on patient cooperation.</p></abstract><abstract xml:lang="fr" style="main"><head>Résumé</head><p>L’ancrage durant le traitement orthodontique dans la mandibule nécessite du temps, de l’effort et un patient collaborant. Chez huit patients douze vis en titane bicorticales (BIS) ont été utilisées comme ancrages pour la protraction molaire orthodontique. Les critères pour la sélection des patients étaient: ancrage critique dans la mandibule (c.‐à‐d. rétraction des dents antérieures non‐désirables) et des sites molaires d’extraction. Après l’insertion des vis sous anesthésie locale, des forces orthodontiques ont été immédiatement appliquées. Une vis est devenue lâche et a du être enlevée avant la fin du traitement. Les problèmes encourus comprenaient l’empiètement de la tête de la vis et des réactions inflammatoires légères de la muqueuse avoisinante qui ont nécessitées l’enlèvement prématuré de deux vis. Après l’enlèvement, un nouveau site d’insertion a ètè choisi. Le traitement qui a suivi n’a pas présenté de problème. L’ancrage pour des forces orthodontiques comme décrit offre différents avantages: le temps total du traitement est réduit parce que les vis peuvent être chargées immédiatement. La ligne d’action de la force orthodontique coincide avec le niveau du centre de résistance de la molaire résultant en un mouvement dentaire translatéral favorable. Enfin, le traitement ne dépend pas de la coopération du patient.</p></abstract><abstract xml:lang="de" style="main"><head>Zusammenfassung</head><p>Eine kritische Verankerung von orthodontischen Kräften im Unterkiefer braucht Zeit, Aufwand und Mitarbeit des Patienten. Bei 8 Patienten wurden zur orthodontischen Protrusion der Molaren 12 bicorticale Titanschrauben (BIS) als Verankungseinheiten eingesetzt. Die Kriterien der Patientenauswahl waren: erschwerte Verankerung im Unterkiefer (z.B. Retroklination der Frontzähne unerwünscht) oder Situationen mit fehlenden Molaren. Nach dem Einsetzen der Schrauben unter Lokalanästhesie wurden sofort orthodontische Kräfte angesetzt. Eine Schraube löste sich und musste vor Behandlungsende entfernt werden. Andere auftretende Probleme waren die Abstossung des Schraubenkopfes und eine damit verbundene leichte Entzündungsreaktion der umgebenden beweglichen Schleimhaut, welche ein vorzeitiges Entfernen von zwei Schrauben nötig machte. Nach Abheilung wurde eine neue Insertionsstelle ausgewählt. Die Weiterbehandlung war dann unauffällig. Die Verankerung für orthopädische Kräfte in der beschriebenen Art und Weise gibt uns verschiedene Vorteile: Die Gesamtbehandlungszeit kann, da die Schrauben sofort belastet werden können, stark verkürzt werden. Die Kraftlinie der orthodontischen Kraft geht durch das Zentrum der Widerstandesebene der Molaren, so dass eine günstige transversale Zahnbewegung zustande kommt. Die Behandlung ist aber auch von der Patientenkooperation unabhängig.</p></abstract><abstract xml:lang="es" style="main"><head>Resumen</head><p>El anclaje crítio durante el tratamiento ortodóntico en la mandíbula necesita tiempo y esfuerzo y conformidad del paciente. Se usaron en ocho pacientes doce tornillos bicorticales de titanio (BIS) comunidades de anclaje para protracción molar ortodóntica. Los criterios para la selección de pacientes fueron: anclaje crónico en la mandíbula (ie retracción de los dientes anteriores indeseada) y lugares de extracción molares. Tras la inserción de los tornillos bajo anestesia local se aplicaron fuerzas ortodónticas inmediatamente. Un tornillo se aflojó y tuvo que ser movido antes del final del tratamiento. Los problemas encontrados incluyeron la intrusión de la cabeza del tornillo y ligeras reacciones inflamatorias de la mucosa móvil circundante, que necesitaron de la retirada prematura de dos tornillos. Tras la cicatrización se eligió un nuevo lugar de inserción. El tratamiento posterior transcurrió sin problemas. El anclaje para fuerzas ortodónticas tal como se describe ofrece diversas ventajas: El tiempo total de tratamiento se reduce al poder cargar los tornillos inmediatamente. La línea de acción de las fuerzas ortodónticas coincide con el nivel del centro de resistencia del molar resultando en un movimiento dental traslatorio favorable. El tratamiento no depende la cooperación del paciente.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">orthodontic implant</term><term xml:id="k2">immediate loading</term><term xml:id="k3">critical anchorage</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/6113B39DEF98AEBD68827B88D2DD440851B82F66/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Munksgaard International Publishers</publisherName><publisherLoc>Copenhagen</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL ORAL IMPLANTS RESEARCH">Clinical Oral Implants Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="08004"><doi origin="wiley">10.1111/clr.2001.12.issue-4</doi><numberingGroup><numbering type="journalVolume" number="12">12</numbering><numbering type="journalIssue" number="4">4</numbering></numberingGroup><coverDate startDate="2001-08">August 2001</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0035800" status="forIssue"><doi origin="wiley">10.1034/j.1600-0501.2001.012004358.x</doi><idGroup><id type="unit" value="CLR120410"></id><id type="supplier" value="clr10o613"></id></idGroup><countGroup><count type="pageTotal" number="6"></count></countGroup><titleGroup><title type="tocHeading1">Original Articles</title></titleGroup><eventGroup><event type="firstOnline" date="2001-12-20"></event><event type="publishedOnlineFinalForm" date="2001-12-20"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-04"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-12"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-16"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="358">358</numbering><numbering type="pageLast" number="363">363</numbering></numberingGroup><correspondenceTo>
<i>Josef W. Freudenthaler</i>,
Kieferorthopädische Abteilung der Universitätszahnklinik
Währingerstr. 25a
A‐1090 Wien
Austria
Tel: +43 1 4277 67111
Fax: +43 1 4277 67119
e‐mail: <email>josef.freudenthaler@univie.ac.at</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR120410.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory><b>Date: </b> Accepted 4 September 2000</unparsedEditorialHistory><countGroup><count type="figureTotal" number="9"></count><count type="tableTotal" number="3"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="8"></count><count type="wordTotal" number="2586"></count><count type="linksPubMed" number="4"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Bicortical titanium screws for critical orthodontic anchorage in the mandible: a preliminary report on clinical applications</title><title type="shortAuthors">Freudenthaler et al</title><title type="short">Biocortical titanium screws for skeletal orthodontic anchorage</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Josef W.</givenNames><familyName>Freudenthaler</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>Hans‐Peter</givenNames><familyName>Bantleon</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2"><personName><givenNames>Robert</givenNames><familyName>Haas</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Orthodontic Department, Vienna University School of Dentistry, Vienna</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="AT"><unparsedAffiliation>Oral Surgery Department, Vienna University School of Dentistry, Vienna, Austria</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">orthodontic implant</keyword><keyword xml:id="k2">immediate loading</keyword><keyword xml:id="k3">critical anchorage</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>Abstract:</b> Critical anchorage during orthodontic treatment in the mandible needs both time and effort and patient compliance. In 8 patients, 12 bicortical titanium screws (BIS) were used as anchorage units for orthodontic molar protraction. The criteria for patient selection were: critical anchorage in the lower jaw (i.e. retraction of anterior teeth undesirable) and molar extraction sites. After insertion of the screws in local anesthesia, orthodontic forces were applied immediately. One screw worked loose and had to be removed before the end of treatment. Problems encountered included impingement of the screw head and slight inflammatory reactions of the surrounding mobile mucosa, which necessitated premature removal of two screws. After healing, a new insertion site was chosen. Further treatment was uneventful. Anchorage for orthodontic forces as described offers several advantages. The total treatment time is reduced as the screws can be loaded immediately. The line of action of the orthodontic force coincides with the level of the center of resistance of the molar resulting in a favorable translatory tooth movement. Treatment does not depend on patient cooperation.</p></abstract><abstract type="main" xml:lang="fr"><title type="main">Résumé</title><p>L’ancrage durant le traitement orthodontique dans la mandibule nécessite du temps, de l’effort et un patient collaborant. Chez huit patients douze vis en titane bicorticales (BIS) ont été utilisées comme ancrages pour la protraction molaire orthodontique. Les critères pour la sélection des patients étaient: ancrage critique dans la mandibule (c.‐à‐d. rétraction des dents antérieures non‐désirables) et des sites molaires d’extraction. Après l’insertion des vis sous anesthésie locale, des forces orthodontiques ont été immédiatement appliquées. Une vis est devenue lâche et a du être enlevée avant la fin du traitement. Les problèmes encourus comprenaient l’empiètement de la tête de la vis et des réactions inflammatoires légères de la muqueuse avoisinante qui ont nécessitées l’enlèvement prématuré de deux vis. Après l’enlèvement, un nouveau site d’insertion a ètè choisi. Le traitement qui a suivi n’a pas présenté de problème. L’ancrage pour des forces orthodontiques comme décrit offre différents avantages: le temps total du traitement est réduit parce que les vis peuvent être chargées immédiatement. La ligne d’action de la force orthodontique coincide avec le niveau du centre de résistance de la molaire résultant en un mouvement dentaire translatéral favorable. Enfin, le traitement ne dépend pas de la coopération du patient.</p></abstract><abstract type="main" xml:lang="de"><title type="main">Zusammenfassung</title><p>Eine kritische Verankerung von orthodontischen Kräften im Unterkiefer braucht Zeit, Aufwand und Mitarbeit des Patienten. Bei 8 Patienten wurden zur orthodontischen Protrusion der Molaren 12 bicorticale Titanschrauben (BIS) als Verankungseinheiten eingesetzt. Die Kriterien der Patientenauswahl waren: erschwerte Verankerung im Unterkiefer (z.B. Retroklination der Frontzähne unerwünscht) oder Situationen mit fehlenden Molaren. Nach dem Einsetzen der Schrauben unter Lokalanästhesie wurden sofort orthodontische Kräfte angesetzt. Eine Schraube löste sich und musste vor Behandlungsende entfernt werden. Andere auftretende Probleme waren die Abstossung des Schraubenkopfes und eine damit verbundene leichte Entzündungsreaktion der umgebenden beweglichen Schleimhaut, welche ein vorzeitiges Entfernen von zwei Schrauben nötig machte. Nach Abheilung wurde eine neue Insertionsstelle ausgewählt. Die Weiterbehandlung war dann unauffällig. Die Verankerung für orthopädische Kräfte in der beschriebenen Art und Weise gibt uns verschiedene Vorteile: Die Gesamtbehandlungszeit kann, da die Schrauben sofort belastet werden können, stark verkürzt werden. Die Kraftlinie der orthodontischen Kraft geht durch das Zentrum der Widerstandesebene der Molaren, so dass eine günstige transversale Zahnbewegung zustande kommt. Die Behandlung ist aber auch von der Patientenkooperation unabhängig.</p></abstract><abstract type="main" xml:lang="es"><title type="main">Resumen</title><p>El anclaje crítio durante el tratamiento ortodóntico en la mandíbula necesita tiempo y esfuerzo y conformidad del paciente. Se usaron en ocho pacientes doce tornillos bicorticales de titanio (BIS) comunidades de anclaje para protracción molar ortodóntica. Los criterios para la selección de pacientes fueron: anclaje crónico en la mandíbula (ie retracción de los dientes anteriores indeseada) y lugares de extracción molares. Tras la inserción de los tornillos bajo anestesia local se aplicaron fuerzas ortodónticas inmediatamente. Un tornillo se aflojó y tuvo que ser movido antes del final del tratamiento. Los problemas encontrados incluyeron la intrusión de la cabeza del tornillo y ligeras reacciones inflamatorias de la mucosa móvil circundante, que necesitaron de la retirada prematura de dos tornillos. Tras la cicatrización se eligió un nuevo lugar de inserción. El tratamiento posterior transcurrió sin problemas. El anclaje para fuerzas ortodónticas tal como se describe ofrece diversas ventajas: El tiempo total de tratamiento se reduce al poder cargar los tornillos inmediatamente. La línea de acción de las fuerzas ortodónticas coincide con el nivel del centro de resistencia del molar resultando en un movimiento dental traslatorio favorable. El tratamiento no depende la cooperación del paciente.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Bicortical titanium screws for critical orthodontic anchorage in the mandible: a preliminary report on clinical applications</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Biocortical titanium screws for skeletal orthodontic anchorage</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Bicortical titanium screws for critical orthodontic anchorage in the mandible: a preliminary report on clinical applications</title></titleInfo><name type="personal"><namePart type="given">Josef W.</namePart><namePart type="family">Freudenthaler</namePart><affiliation>Orthodontic Department, Vienna University School of Dentistry, Vienna</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hans‐Peter</namePart><namePart type="family">Bantleon</namePart><affiliation>Orthodontic Department, Vienna University School of Dentistry, Vienna</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Robert</namePart><namePart type="family">Haas</namePart><affiliation>Oral Surgery Department, Vienna University School of Dentistry, Vienna, Austria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Munksgaard International Publishers</publisher><place><placeTerm type="text">Copenhagen</placeTerm></place><dateIssued encoding="w3cdtf">2001-08</dateIssued><edition>Date: Accepted 4 September 2000</edition><copyrightDate encoding="w3cdtf">2001</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">9</extent><extent unit="tables">3</extent><extent unit="formulas">0</extent><extent unit="references">8</extent><extent unit="linksCrossRef">0</extent><extent unit="words">2586</extent></physicalDescription><abstract>Abstract: Critical anchorage during orthodontic treatment in the mandible needs both time and effort and patient compliance. In 8 patients, 12 bicortical titanium screws (BIS) were used as anchorage units for orthodontic molar protraction. The criteria for patient selection were: critical anchorage in the lower jaw (i.e. retraction of anterior teeth undesirable) and molar extraction sites. After insertion of the screws in local anesthesia, orthodontic forces were applied immediately. One screw worked loose and had to be removed before the end of treatment. Problems encountered included impingement of the screw head and slight inflammatory reactions of the surrounding mobile mucosa, which necessitated premature removal of two screws. After healing, a new insertion site was chosen. Further treatment was uneventful. Anchorage for orthodontic forces as described offers several advantages. The total treatment time is reduced as the screws can be loaded immediately. The line of action of the orthodontic force coincides with the level of the center of resistance of the molar resulting in a favorable translatory tooth movement. Treatment does not depend on patient cooperation.</abstract><abstract lang="fr">L’ancrage durant le traitement orthodontique dans la mandibule nécessite du temps, de l’effort et un patient collaborant. Chez huit patients douze vis en titane bicorticales (BIS) ont été utilisées comme ancrages pour la protraction molaire orthodontique. Les critères pour la sélection des patients étaient: ancrage critique dans la mandibule (c.‐à‐d. rétraction des dents antérieures non‐désirables) et des sites molaires d’extraction. Après l’insertion des vis sous anesthésie locale, des forces orthodontiques ont été immédiatement appliquées. Une vis est devenue lâche et a du être enlevée avant la fin du traitement. Les problèmes encourus comprenaient l’empiètement de la tête de la vis et des réactions inflammatoires légères de la muqueuse avoisinante qui ont nécessitées l’enlèvement prématuré de deux vis. Après l’enlèvement, un nouveau site d’insertion a ètè choisi. Le traitement qui a suivi n’a pas présenté de problème. L’ancrage pour des forces orthodontiques comme décrit offre différents avantages: le temps total du traitement est réduit parce que les vis peuvent être chargées immédiatement. La ligne d’action de la force orthodontique coincide avec le niveau du centre de résistance de la molaire résultant en un mouvement dentaire translatéral favorable. Enfin, le traitement ne dépend pas de la coopération du patient.</abstract><abstract lang="de">Eine kritische Verankerung von orthodontischen Kräften im Unterkiefer braucht Zeit, Aufwand und Mitarbeit des Patienten. Bei 8 Patienten wurden zur orthodontischen Protrusion der Molaren 12 bicorticale Titanschrauben (BIS) als Verankungseinheiten eingesetzt. Die Kriterien der Patientenauswahl waren: erschwerte Verankerung im Unterkiefer (z.B. Retroklination der Frontzähne unerwünscht) oder Situationen mit fehlenden Molaren. Nach dem Einsetzen der Schrauben unter Lokalanästhesie wurden sofort orthodontische Kräfte angesetzt. Eine Schraube löste sich und musste vor Behandlungsende entfernt werden. Andere auftretende Probleme waren die Abstossung des Schraubenkopfes und eine damit verbundene leichte Entzündungsreaktion der umgebenden beweglichen Schleimhaut, welche ein vorzeitiges Entfernen von zwei Schrauben nötig machte. Nach Abheilung wurde eine neue Insertionsstelle ausgewählt. Die Weiterbehandlung war dann unauffällig. Die Verankerung für orthopädische Kräfte in der beschriebenen Art und Weise gibt uns verschiedene Vorteile: Die Gesamtbehandlungszeit kann, da die Schrauben sofort belastet werden können, stark verkürzt werden. Die Kraftlinie der orthodontischen Kraft geht durch das Zentrum der Widerstandesebene der Molaren, so dass eine günstige transversale Zahnbewegung zustande kommt. Die Behandlung ist aber auch von der Patientenkooperation unabhängig.</abstract><abstract lang="es">El anclaje crítio durante el tratamiento ortodóntico en la mandíbula necesita tiempo y esfuerzo y conformidad del paciente. Se usaron en ocho pacientes doce tornillos bicorticales de titanio (BIS) comunidades de anclaje para protracción molar ortodóntica. Los criterios para la selección de pacientes fueron: anclaje crónico en la mandíbula (ie retracción de los dientes anteriores indeseada) y lugares de extracción molares. Tras la inserción de los tornillos bajo anestesia local se aplicaron fuerzas ortodónticas inmediatamente. Un tornillo se aflojó y tuvo que ser movido antes del final del tratamiento. Los problemas encontrados incluyeron la intrusión de la cabeza del tornillo y ligeras reacciones inflamatorias de la mucosa móvil circundante, que necesitaron de la retirada prematura de dos tornillos. Tras la cicatrización se eligió un nuevo lugar de inserción. El tratamiento posterior transcurrió sin problemas. El anclaje para fuerzas ortodónticas tal como se describe ofrece diversas ventajas: El tiempo total de tratamiento se reduce al poder cargar los tornillos inmediatamente. La línea de acción de las fuerzas ortodónticas coincide con el nivel del centro de resistencia del molar resultando en un movimiento dental traslatorio favorable. El tratamiento no depende la cooperación del paciente.</abstract><subject lang="en"><genre>keywords</genre><topic>orthodontic implant</topic><topic>immediate loading</topic><topic>critical anchorage</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0905-7161</identifier><identifier type="eISSN">1600-0501</identifier><identifier type="DOI">10.1111/(ISSN)1600-0501</identifier><identifier type="PublisherID">CLR</identifier><part><date>2001</date><detail type="volume"><caption>vol.</caption><number>12</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>358</start><end>363</end><total>6</total></extent></part></relatedItem><identifier type="istex">6113B39DEF98AEBD68827B88D2DD440851B82F66</identifier><identifier type="ark">ark:/67375/WNG-MVF651H0-6</identifier><identifier type="DOI">10.1034/j.1600-0501.2001.012004358.x</identifier><identifier type="ArticleID">CLR120410</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Munksgaard International Publishers</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/6113B39DEF98AEBD68827B88D2DD440851B82F66/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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