Fully customized placement of orthodontic miniplates: a novel clinical technique
Identifieur interne : 001A54 ( Main/Exploration ); précédent : 001A53; suivant : 001A55Fully customized placement of orthodontic miniplates: a novel clinical technique
Auteurs : Jan Hourfar [Allemagne] ; Georgios Kanavakis [États-Unis] ; Peter Goellner [Suisse] ; Björn Ludwig [Allemagne]Source :
- Head & Face Medicine [ 1746-160X ] ; 2014.
Abstract
The initial stability and survival rate of orthodontic mini-implants are highly dependent on the amount of cortical bone at their insertion site. In areas with limited bone availability, mini-plates are preferred to provide effective skeletal anchorage. The purpose of this paper was to present a new clinical technique for the insertion of mini-plates.
In order to apply this new technique, a cone-beam image of the insertion area is required. A software (Galaxy Sirona, Bensheim, Germany) is used to construct a three-dimensional image of the scanned area and to virtually determine the exact location of the mini-plate as well as the position of the fixation screws. A stereolithographic model (STL) is then created by means of a three-dimensional scanner.
Prior to its surgical insertion, the bone plate is adapted to the stereo-lithographic model. Finally, a custom transfer jig is fabricated in order to assist with accurate placement of the mini-plate intra-operatively.
The presented technique minimizes intra-operative decision making, because the final position of the bone plate is determined pre-surgically. This significantly reduces the duration of the surgical procedure and improves its outcome.
A novel method for surgical placement of orthodontic mini-plates is presented. The technique facilitates accurate adaptation of mini-plates and insertion of retaining surgical screws; thereby enabling clinicians to more confidently increase the use of bone plates, especially in anatomical areas where the success of non-osseointegrated mini-screws is less favorable.
Url:
DOI: 10.1186/1746-160X-10-14
PubMed: 24886597
PubMed Central: 4016661
Affiliations:
- Allemagne, Suisse, États-Unis
- Bade-Wurtemberg, Canton de Berne, District de Karlsruhe, Massachusetts
- Berne, Heidelberg
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Orthopedics, Tufts University School of Dental Medicine, 1 Kneeland Street DHS#1145, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Orthodontics and Dentofacial Orthopedics, Tufts University School of Dental Medicine, 1 Kneeland Street DHS#1145, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Goellner, Peter" sort="Goellner, Peter" uniqKey="Goellner P" first="Peter" last="Goellner">Peter Goellner</name><affiliation wicri:level="3"><nlm:aff id="I3">Private practice, Bern, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Private practice, Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region type="région" nuts="3">Canton de Berne</region></placeName></affiliation></author><author><name sortKey="Ludwig, Bjorn" sort="Ludwig, Bjorn" uniqKey="Ludwig B" first="Björn" last="Ludwig">Björn Ludwig</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Orthodontics, University of Saarland, Homburg/Saar, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Orthodontics, University of Saarland, Homburg/Saar</wicri:regionArea><wicri:noRegion>Homburg/Saar</wicri:noRegion><wicri:noRegion>Homburg/Saar</wicri:noRegion><wicri:noRegion>Homburg/Saar</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24886597</idno><idno type="pmc">4016661</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4016661</idno><idno type="RBID">PMC:4016661</idno><idno type="doi">10.1186/1746-160X-10-14</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002208</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002208</idno><idno type="wicri:Area/Pmc/Curation">002208</idno><idno type="wicri:explorRef" 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of Orthodontics, University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Kanavakis, Georgios" sort="Kanavakis, Georgios" uniqKey="Kanavakis G" first="Georgios" last="Kanavakis">Georgios Kanavakis</name><affiliation wicri:level="2"><nlm:aff id="I2">Department of Orthodontics and Dentofacial Orthopedics, Tufts University School of Dental Medicine, 1 Kneeland Street DHS#1145, Boston, MA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Orthodontics and Dentofacial Orthopedics, Tufts University School of Dental Medicine, 1 Kneeland Street DHS#1145, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Goellner, Peter" sort="Goellner, Peter" uniqKey="Goellner P" first="Peter" last="Goellner">Peter Goellner</name><affiliation wicri:level="3"><nlm:aff id="I3">Private practice, Bern, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Private practice, Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region type="région" nuts="3">Canton de Berne</region></placeName></affiliation></author><author><name sortKey="Ludwig, Bjorn" sort="Ludwig, Bjorn" uniqKey="Ludwig B" first="Björn" last="Ludwig">Björn Ludwig</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Orthodontics, University of Saarland, Homburg/Saar, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Orthodontics, University of Saarland, Homburg/Saar</wicri:regionArea><wicri:noRegion>Homburg/Saar</wicri:noRegion><wicri:noRegion>Homburg/Saar</wicri:noRegion><wicri:noRegion>Homburg/Saar</wicri:noRegion></affiliation></author></analytic><series><title level="j">Head & Face Medicine</title><idno type="eISSN">1746-160X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>The initial stability and survival rate of orthodontic mini-implants are highly dependent on the amount of cortical bone at their insertion site. In areas with limited bone availability, mini-plates are preferred to provide effective skeletal anchorage. The purpose of this paper was to present a new clinical technique for the insertion of mini-plates.</p></sec><sec><title>Methods</title><p>In order to apply this new technique, a cone-beam image of the insertion area is required. A software (Galaxy Sirona, Bensheim, Germany) is used to construct a three-dimensional image of the scanned area and to virtually determine the exact location of the mini-plate as well as the position of the fixation screws. A stereolithographic model (STL) is then created by means of a three-dimensional scanner.</p><p>Prior to its surgical insertion, the bone plate is adapted to the stereo-lithographic model. Finally, a custom transfer jig is fabricated in order to assist with accurate placement of the mini-plate intra-operatively.</p></sec><sec><title>Results</title><p>The presented technique minimizes intra-operative decision making, because the final position of the bone plate is determined pre-surgically. This significantly reduces the duration of the surgical procedure and improves its outcome.</p></sec><sec><title>Conclusions</title><p>A novel method for surgical placement of orthodontic mini-plates is presented. The technique facilitates accurate adaptation of mini-plates and insertion of retaining surgical screws; thereby enabling clinicians to more confidently increase the use of bone plates, especially in anatomical areas where the success of non-osseointegrated mini-screws is less favorable.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Papageorgiou, Sn" uniqKey="Papageorgiou S">SN Papageorgiou</name></author><author><name sortKey="Zogakis, Ip" uniqKey="Zogakis I">IP Zogakis</name></author><author><name sortKey="Papadopoulos, Ma" uniqKey="Papadopoulos M">MA Papadopoulos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Motoyoshi, M" uniqKey="Motoyoshi M">M Motoyoshi</name></author><author><name sortKey="Inaba, M" uniqKey="Inaba M">M Inaba</name></author><author><name sortKey="Ono, A" uniqKey="Ono A">A Ono</name></author><author><name sortKey="Ueno, S" uniqKey="Ueno S">S 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Karabuda</name></author><author><name sortKey="Ozdemir, T" uniqKey="Ozdemir T">T Ozdemir</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Morea, C" uniqKey="Morea C">C Morea</name></author><author><name sortKey="Hayek, Je" uniqKey="Hayek J">JE Hayek</name></author><author><name sortKey="Oleskovicz, C" uniqKey="Oleskovicz C">C Oleskovicz</name></author><author><name sortKey="Dominguez, Gc" uniqKey="Dominguez G">GC Dominguez</name></author><author><name sortKey="Chilvarquer, I" uniqKey="Chilvarquer I">I Chilvarquer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miyawaki, S" uniqKey="Miyawaki S">S Miyawaki</name></author><author><name sortKey="Koyama, I" uniqKey="Koyama I">I Koyama</name></author><author><name sortKey="Inoue, M" uniqKey="Inoue M">M Inoue</name></author><author><name sortKey="Mishima, K" uniqKey="Mishima K">K Mishima</name></author><author><name sortKey="Sugahara, T" uniqKey="Sugahara T">T Sugahara</name></author><author><name sortKey="Takano Yamamoto, T" uniqKey="Takano Yamamoto T">T Takano-Yamamoto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Okshi, A" uniqKey="Al Okshi A">A Al-Okshi</name></author><author><name sortKey="Nilsson, M" uniqKey="Nilsson M">M Nilsson</name></author><author><name sortKey="Petersson, A" uniqKey="Petersson A">A Petersson</name></author><author><name sortKey="Wiese, M" uniqKey="Wiese M">M Wiese</name></author><author><name sortKey="Lindh, C" uniqKey="Lindh C">C Lindh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davies, J" uniqKey="Davies J">J Davies</name></author><author><name sortKey="Johnson, B" uniqKey="Johnson B">B Johnson</name></author><author><name sortKey="Drage, N" uniqKey="Drage N">N Drage</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ludlow, J" uniqKey="Ludlow J">J Ludlow</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gijbels, F" uniqKey="Gijbels F">F Gijbels</name></author><author><name sortKey="Jacobs, R" uniqKey="Jacobs R">R Jacobs</name></author><author><name sortKey="Sanderink, G" uniqKey="Sanderink G">G Sanderink</name></author><author><name sortKey="De Smet, E" uniqKey="De Smet E">E De Smet</name></author><author><name sortKey="Nowak, B" uniqKey="Nowak B">B Nowak</name></author><author><name sortKey="Van Dam, J" uniqKey="Van Dam J">J Van Dam</name></author><author><name sortKey="Van Steenberghe, D" uniqKey="Van Steenberghe D">D Van Steenberghe</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Suisse</li><li>États-Unis</li></country><region><li>Bade-Wurtemberg</li><li>Canton de Berne</li><li>District de Karlsruhe</li><li>Massachusetts</li></region><settlement><li>Berne</li><li>Heidelberg</li></settlement></list><tree><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Hourfar, Jan" sort="Hourfar, Jan" uniqKey="Hourfar J" first="Jan" last="Hourfar">Jan Hourfar</name></region><name sortKey="Ludwig, Bjorn" sort="Ludwig, Bjorn" uniqKey="Ludwig B" first="Björn" last="Ludwig">Björn Ludwig</name></country><country name="États-Unis"><region name="Massachusetts"><name sortKey="Kanavakis, Georgios" sort="Kanavakis, Georgios" uniqKey="Kanavakis G" first="Georgios" last="Kanavakis">Georgios Kanavakis</name></region></country><country name="Suisse"><region name="Canton de Berne"><name sortKey="Goellner, Peter" sort="Goellner, Peter" uniqKey="Goellner P" first="Peter" last="Goellner">Peter Goellner</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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