Orthodontic Implants: Concepts for the Orthodontic Practitioner
Identifieur interne : 002D55 ( Pmc/Curation ); précédent : 002D54; suivant : 002D56Orthodontic Implants: Concepts for the Orthodontic Practitioner
Auteurs : Carlos Nelson Elias [Brésil] ; Antônio Carlos De Oliveira Ruellas [Brésil] ; Daniel Jogaib Fernandes [Brésil]Source :
- International Journal of Dentistry [ 1687-8728 ] ; 2012.
Abstract
Orthodontic implants have become a reliable method in orthodontic practice for providing temporary additional anchorage. These devices are useful to control skeletal anchorage in less compliant patients or in cases where absolute anchorage is necessary. There are a great number of advantages in this new approach which include easy insertion, decreased patient discomfort, low price, immediate loading, reduced diameter, versatility in the forces to be used, ease of cleaning, and ease of removal. However, a proper management of the screws by the practitioner is necessary in order to increase the success rate of the technique. The purpose of this paper is to update practitioners on the current concepts of orthodontic implants and orthodontic mechanics.
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DOI: 10.1155/2012/549761
PubMed: 23209470
PubMed Central: 3502859
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Orthodontic Implants: Concepts for the Orthodontic Practitioner</title><author><name sortKey="Elias, Carlos Nelson" sort="Elias, Carlos Nelson" uniqKey="Elias C" first="Carlos Nelson" last="Elias">Carlos Nelson Elias</name><affiliation wicri:level="1"><nlm:aff id="I1">Biomaterials Laboratory, Military Institute of Engineering, 22290-270 Rio de Janeiro, RJ, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Biomaterials Laboratory, Military Institute of Engineering, 22290-270 Rio de Janeiro, RJ</wicri:regionArea></affiliation></author><author><name sortKey="De Oliveira Ruellas, Antonio Carlos" sort="De Oliveira Ruellas, Antonio Carlos" uniqKey="De Oliveira Ruellas A" first="Antônio Carlos" last="De Oliveira Ruellas">Antônio Carlos De Oliveira Ruellas</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Orthodontics, Federal University of Rio de Janeiro, 21941-617 Rio de Janeiro, RJ, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Orthodontics, Federal University of Rio de Janeiro, 21941-617 Rio de Janeiro, RJ</wicri:regionArea></affiliation></author><author><name sortKey="Fernandes, Daniel Jogaib" sort="Fernandes, Daniel Jogaib" uniqKey="Fernandes D" first="Daniel Jogaib" last="Fernandes">Daniel Jogaib Fernandes</name><affiliation wicri:level="1"><nlm:aff id="I1">Biomaterials Laboratory, Military Institute of Engineering, 22290-270 Rio de Janeiro, RJ, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Biomaterials Laboratory, Military Institute of Engineering, 22290-270 Rio de Janeiro, RJ</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23209470</idno><idno type="pmc">3502859</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3502859</idno><idno type="RBID">PMC:3502859</idno><idno type="doi">10.1155/2012/549761</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002D55</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002D55</idno><idno type="wicri:Area/Pmc/Curation">002D55</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002D55</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Orthodontic Implants: Concepts for the Orthodontic Practitioner</title><author><name sortKey="Elias, Carlos Nelson" sort="Elias, Carlos Nelson" uniqKey="Elias C" first="Carlos Nelson" last="Elias">Carlos Nelson Elias</name><affiliation wicri:level="1"><nlm:aff id="I1">Biomaterials Laboratory, Military Institute of Engineering, 22290-270 Rio de Janeiro, RJ, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Biomaterials Laboratory, Military Institute of Engineering, 22290-270 Rio de Janeiro, RJ</wicri:regionArea></affiliation></author><author><name sortKey="De Oliveira Ruellas, Antonio Carlos" sort="De Oliveira Ruellas, Antonio Carlos" uniqKey="De Oliveira Ruellas A" first="Antônio Carlos" last="De Oliveira Ruellas">Antônio Carlos De Oliveira Ruellas</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Orthodontics, Federal University of Rio de Janeiro, 21941-617 Rio de Janeiro, RJ, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Orthodontics, Federal University of Rio de Janeiro, 21941-617 Rio de Janeiro, RJ</wicri:regionArea></affiliation></author><author><name sortKey="Fernandes, Daniel Jogaib" sort="Fernandes, Daniel Jogaib" uniqKey="Fernandes D" first="Daniel Jogaib" last="Fernandes">Daniel Jogaib Fernandes</name><affiliation wicri:level="1"><nlm:aff id="I1">Biomaterials Laboratory, Military Institute of Engineering, 22290-270 Rio de Janeiro, RJ, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Biomaterials Laboratory, Military Institute of Engineering, 22290-270 Rio de Janeiro, RJ</wicri:regionArea></affiliation></author></analytic><series><title level="j">International Journal of Dentistry</title><idno type="ISSN">1687-8728</idno><idno type="eISSN">1687-8736</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Orthodontic implants have become a reliable method in orthodontic practice for providing temporary additional anchorage. These devices are useful to control skeletal anchorage in less compliant patients or in cases where absolute anchorage is necessary. There are a great number of advantages in this new approach which include easy insertion, decreased patient discomfort, low price, immediate loading, reduced diameter, versatility in the forces to be used, ease of cleaning, and ease of removal. However, a proper management of the screws by the practitioner is necessary in order to increase the success rate of the technique. The purpose of this paper is to update practitioners on the current concepts of orthodontic implants and orthodontic mechanics.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Papadopoulos, Ma" uniqKey="Papadopoulos M">MA Papadopoulos</name></author><author><name sortKey="Tarawneh, F" uniqKey="Tarawneh F">F Tarawneh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Morais, Ls" uniqKey="Morais L">LS Morais</name></author><author><name sortKey="Serra, Gg" uniqKey="Serra G">GG Serra</name></author><author><name sortKey="Muller, Ca" uniqKey="Muller C">CA Muller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baumgaertel, S" uniqKey="Baumgaertel S">S Baumgaertel</name></author><author><name sortKey="Razavi, Mr" uniqKey="Razavi M">MR Razavi</name></author><author><name sortKey="Hans, Mg" uniqKey="Hans M">MG 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Baumgaertel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Jw" uniqKey="Kim J">JW Kim</name></author><author><name sortKey="Ahn, Sj" uniqKey="Ahn S">SJ Ahn</name></author><author><name sortKey="Chang, Yi" uniqKey="Chang Y">YI Chang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, Nk" uniqKey="Lee N">NK Lee</name></author><author><name sortKey="Baek, Sh" uniqKey="Baek S">SH Baek</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, Hs" uniqKey="Park H">HS Park</name></author><author><name sortKey="Jeong, Sh" uniqKey="Jeong S">SH Jeong</name></author><author><name sortKey="Kwon, Ow" uniqKey="Kwon O">OW Kwon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moon, Ch" uniqKey="Moon C">CH Moon</name></author><author><name sortKey="Lee, Dg" uniqKey="Lee D">DG Lee</name></author><author><name sortKey="Lee, Hs" uniqKey="Lee H">HS Lee</name></author><author><name sortKey="Im, Js" uniqKey="Im J">JS Im</name></author><author><name sortKey="Baek, Sh" uniqKey="Baek S">SH Baek</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huja, Ss" uniqKey="Huja S">SS Huja</name></author><author><name sortKey="Litsky, As" uniqKey="Litsky A">AS Litsky</name></author><author><name sortKey="Beck, Fm" uniqKey="Beck F">FM Beck</name></author><author><name sortKey="Johnson, Ka" uniqKey="Johnson K">KA Johnson</name></author><author><name sortKey="Larsen, Pe" uniqKey="Larsen P">PE Larsen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burstone, Cr" uniqKey="Burstone C">CR Burstone</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Jw" uniqKey="Kim J">JW Kim</name></author><author><name sortKey="Baek, Sh" uniqKey="Baek S">SH Baek</name></author><author><name sortKey="Kim, Tw" uniqKey="Kim T">TW Kim</name></author><author><name 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article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Dent</journal-id><journal-id journal-id-type="iso-abbrev">Int J Dent</journal-id><journal-id journal-id-type="publisher-id">IJD</journal-id><journal-title-group><journal-title>International Journal of Dentistry</journal-title></journal-title-group><issn pub-type="ppub">1687-8728</issn><issn pub-type="epub">1687-8736</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23209470</article-id><article-id pub-id-type="pmc">3502859</article-id><article-id pub-id-type="doi">10.1155/2012/549761</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title>Orthodontic Implants: Concepts for the Orthodontic Practitioner</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Elias</surname><given-names>Carlos Nelson</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>de Oliveira Ruellas</surname><given-names>Antônio Carlos</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Fernandes</surname><given-names>Daniel Jogaib</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Biomaterials Laboratory, Military Institute of Engineering, 22290-270 Rio de Janeiro, RJ, Brazil</aff><aff id="I2"><sup>2</sup>Department of Orthodontics, Federal University of Rio de Janeiro, 21941-617 Rio de Janeiro, RJ, Brazil</aff><author-notes><corresp id="cor1">*Carlos Nelson Elias: <email>elias@ime.eb.br</email></corresp><fn fn-type="other"><p>Academic Editor: Timo Sorsa</p></fn></author-notes><pub-date pub-type="ppub"><year>2012</year></pub-date><pub-date pub-type="epub"><day>11</day><month>11</month><year>2012</year></pub-date><volume>2012</volume><elocation-id>549761</elocation-id><history><date date-type="received"><day>20</day><month>7</month><year>2012</year></date><date date-type="rev-recd"><day>24</day><month>9</month><year>2012</year></date><date date-type="accepted"><day>18</day><month>10</month><year>2012</year></date></history><permissions><copyright-statement>Copyright © 2012 Carlos Nelson Elias et al.</copyright-statement><copyright-year>2012</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Orthodontic implants have become a reliable method in orthodontic practice for providing temporary additional anchorage. These devices are useful to control skeletal anchorage in less compliant patients or in cases where absolute anchorage is necessary. There are a great number of advantages in this new approach which include easy insertion, decreased patient discomfort, low price, immediate loading, reduced diameter, versatility in the forces to be used, ease of cleaning, and ease of removal. However, a proper management of the screws by the practitioner is necessary in order to increase the success rate of the technique. The purpose of this paper is to update practitioners on the current concepts of orthodontic implants and orthodontic mechanics.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>This photograph shows inaccuracies in the support structure due to a Nance button anchorage reinforcement appliance used for a long period.</p></caption><graphic xlink:href="IJD2012-549761.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Typical orthodontic implants (a). Head type button (b). Head type bracket (c). Tip type self-tapping (d). Tip type self-drilling (e). (Courtesy of Marcos Joqueira, Conexão Sistemas e Próteses Co. Brazil.)</p></caption><graphic xlink:href="IJD2012-549761.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>SEM images of OI surface morphology. (a) OI without surface treatment. (b) OI with acid surface treatment. Notice the grooves in the OI surface of the thread when compared with another which received acid surface treatment.</p></caption><graphic xlink:href="IJD2012-549761.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Self-drilling orthodontic implant procedure: (a) marking the space between adjacent roots; (b) punch soft tissue anesthesia; (c) pilot drilling with a lance (d) perpendicular insertion of OI without lateral movements or excessive torque.</p></caption><graphic xlink:href="IJD2012-549761.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>OI installation with the handpiece (a). OI insertion in the palate with a digital key and protection of the throat with gauze (b).</p></caption><graphic xlink:href="IJD2012-549761.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Different directions for OI installation. (a) Length of bone contact with OI inserted perpendicular to the cortical bone and (b) length of bone contact with OI inserted tilted with respect to cortical bone.</p></caption><graphic xlink:href="IJD2012-549761.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>Primary stability evaluation with a tweezer immediately after implant insertion.</p></caption><graphic xlink:href="IJD2012-549761.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>Counterclockwise orthodontic implant thread with bracket head.</p></caption><graphic xlink:href="IJD2012-549761.008"></graphic></fig><fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label><caption><p>Soft tissue coverage of the orthodontic implant head.</p></caption><graphic xlink:href="IJD2012-549761.009"></graphic></fig><fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label><caption><p>Interdental brush dipped in 0.12% chlorhexidine during OI hygiene control.</p></caption><graphic xlink:href="IJD2012-549761.010"></graphic></fig><fig id="fig11" orientation="portrait" position="float"><label>Figure 11</label><caption><p>Fractured OI tip that was kept buried.</p></caption><graphic xlink:href="IJD2012-549761.011"></graphic></fig><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Influence of the angulation of the orthodontic implant and the OI-bone interface contact (BIC).</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Cortical thickness </th><th align="center" rowspan="1" colspan="1">Angulation</th><th align="center" rowspan="1" colspan="1">5°</th><th align="center" rowspan="1" colspan="1">10°</th><th align="center" rowspan="1" colspan="1">15°</th><th align="center" rowspan="1" colspan="1">20°</th><th align="center" rowspan="1" colspan="1">25°</th><th align="center" rowspan="1" colspan="1">30°</th><th align="center" rowspan="1" colspan="1">35°</th><th align="center" rowspan="1" colspan="1">40°</th><th align="center" rowspan="1" colspan="1">45°</th></tr></thead><tbody><tr><td align="left" rowspan="2" colspan="1">2.0 mm</td><td align="center" rowspan="1" colspan="1">OI-bone contact length (mm)</td><td align="center" rowspan="1" colspan="1">2.01</td><td align="center" rowspan="1" colspan="1">2.03</td><td align="center" rowspan="1" colspan="1">2.07</td><td align="center" rowspan="1" colspan="1">2.13</td><td align="center" rowspan="1" colspan="1">2.21</td><td align="center" rowspan="1" colspan="1">2.31</td><td align="center" rowspan="1" colspan="1">2.44</td><td align="center" rowspan="1" colspan="1">2.61</td><td align="center" rowspan="1" colspan="1">2.83</td></tr><tr><td align="center" rowspan="1" colspan="1">% increase BIC</td><td align="center" rowspan="1" colspan="1">0.38</td><td align="center" rowspan="1" colspan="1">1.54</td><td align="center" rowspan="1" colspan="1">3.52</td><td align="center" rowspan="1" colspan="1">6.41</td><td align="center" rowspan="1" colspan="1">10.33</td><td align="center" rowspan="1" colspan="1">15.45</td><td align="center" rowspan="1" colspan="1">22.05</td><td align="center" rowspan="1" colspan="1">30.50</td><td align="center" rowspan="1" colspan="1">41.37</td></tr><tr><td align="left" colspan="11" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="2" colspan="1">2.5 mm</td><td align="center" rowspan="1" colspan="1">OI-bone contact length (mm)</td><td align="center" rowspan="1" colspan="1">2.51</td><td align="center" rowspan="1" colspan="1">2.54</td><td align="center" rowspan="1" colspan="1">2.59</td><td align="center" rowspan="1" colspan="1">2.66</td><td align="center" rowspan="1" colspan="1">2.76</td><td align="center" rowspan="1" colspan="1">2.89</td><td align="center" rowspan="1" colspan="1">3.05</td><td align="center" rowspan="1" colspan="1">3.26</td><td align="center" rowspan="1" colspan="1">3.53</td></tr><tr><td align="center" rowspan="1" colspan="1">% increase BIC</td><td align="center" rowspan="1" colspan="1">0.38</td><td align="center" rowspan="1" colspan="1">1.54</td><td align="center" rowspan="1" colspan="1">3.52</td><td align="center" rowspan="1" colspan="1">6.41</td><td align="center" rowspan="1" colspan="1">10.33</td><td align="center" rowspan="1" colspan="1">15.45</td><td align="center" rowspan="1" colspan="1">22.05</td><td align="center" rowspan="1" colspan="1">30.50</td><td align="center" rowspan="1" colspan="1">41.37</td></tr></tbody></table></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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