To evaluate and compare the primary stability of self-drilling orthodontic titanium mini-implants (Modern Orthodontics) inserted at various angles into polyurethane bone blocks using a pull-out test- An In-Vitro Study
DOI:
https://doi.org/10.52783/jns.v14.3403Keywords:
Mini-Implant, Insertion Angle, Insertion Angle Pull-Out Test, Polyurethane Block, Orthodontics, AnchorageAbstract
Background: orthodontic mini implants are widely used nowadays in orthodontic practices. It is made up of various materials, due to its advantage of greater anchorage control and better patient compliance they play a pivotal role in orthodontic treatments. Primary stability of these mini implants at different angulations is tested in this study.
Aim & Objective- The objective of this study is to assess and compare the primary stability of self-drilling orthodontic titanium mini-implants (Modern Orthodontics) inserted at various angles into polyurethane bone blocks using a pull-out test.
Material & Methods- 24 new orthodontic titanium mini-implants having diameter and length of 1.6 x 8 mm were purchased and inserted in polyurethane foam bone blocks simulating cortical and cancellous bone layers having density of 50 PCF and 40 PCF respectively with help of implant driver manually. Each specimen underwent a pull-out strength test using the Universal Testing Machine at a loading speed of 1 mm/min.
Results- The mean distribution of Pull out Strength for Modern orthodontics inserted in polyurethane bone block at 900 and 600 was 205.15 ± 5.39 and 241.87 ± 11.59 respectively. A high statistically significant difference was observed in pull out strength at 600 and 900 angle (P<0.001).
Conclusion- The findings reveal that the pull-out strength at 60° exceeds that at 90°, emphasizing the critical role of the insertion angle in mini-implant stability.
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F. Mehta, K Pathak, A Bhattacharya, R Trivedi, A Sanjeliwala. A comprehensive review: Micro-implants in orthodontics. Int J Rec Sci Res 2020;9:
Kuroda S, Sugawara Y, Deguchi T, Kyung HM, Takano-Yamamoto T. Clinical use of miniscrew implants as orthodontic anchorage: success rates and postoperative discomfort. Am J Orthod Dentofacial Orthop. 2007;131:9-15.
Huang LH, Shotwell JL, Wang HL. Dental implants for orthodontic anchorage. Am J Orthod Dentofacial Orthop. 2005;127:713-22.
Chen CH, Chang CS, Hsieh CH, Tseng YC, Shen YS, Huang IY, Yang CF, Chen CM. The use of microimplants in orthodontic anchorage. J Oral Maxillofac Surg. 2006;64:1209-13.
W R Proffit, H Fields, B Larson, D M Sarver, Contemporary Orthodontics - E-Book: Contemporary Orthodontics - E-Book. Elsevier Health Sciences, 2018.
O I Iturbe, E G Núñez, C A Gayosso, J G Ibarra. Resistance to traction forces in mini-implants used in ortohodontics depending on the insertion angle. Rev Mex Orthod. 2014;2:187-91.
Baumgaertel S. Temporary skeletal anchorage devices: the case for miniscrews. Am J Orthod Dentofacial Orthop. 2014;145:558-64.
Tatli U, Alraawi M, Toroğlu MS. Effects of size and insertion angle of orthodontic mini-implants on skeletal anchorage. Am J Orthod Dentofacial Orthop. 2019;156:220-28.
Meira TM, Tanaka OM, Ronsani MM, Maruo IT, Guariza-Filho O, Camargo ES, Maruo H. Insertion torque, pull-out strength and cortical bone thickness in contact with orthodontic mini-implants at different insertion angles. Eur J Orthod. 2013;35:766-71.
Holm L, Cunningham SJ, Petrie A, Cousley RR. An in vitro study of factors affecting the primary stability of orthodontic mini-implants. Angle Orthod. 2012;82:1022-8.
Inaba M. Evaluation of primary stability of inclined orthodontic mini-implants. J Oral Sci. 2009;51:347-53.
Wilmes B, Su YY, Drescher D. Insertion angle impact on primary stability of orthodontic mini-implants. Angle Orthod. 2008;78:1065-70.
Migliorati M, Benedicenti S, Signori A, Drago S, Barberis F, Tournier H, Silvestrini-Biavati A. Miniscrew design and bone characteristics: an experimental study of primary stability. Am J Orthod Dentofacial Orthop. 2012;142:228-34.
Marquezan M, Mattos CT, Sant'Anna EF, de Souza MM, Maia LC. Does cortical thickness influence the primary stability of miniscrews?: A systematic review and meta-analysis. Angle Orthod. 2014;84:1093-103.
Mohammad H, Al-Sheakli. Comparing the primary stability of three different orthodontic mini-implant with various dimensions on artificial bone. Int J Med Res Health Sci. 2018;7:128-34.
Comuzzi L, Tumedei M, Pontes AE, Piattelli A, Iezzi G. Primary Stability of Dental Implants in Low-Density (10 and 20 pcf) Polyurethane Foam Blocks: Conical vs Cylindrical Implants. Int J Environ Res Public Health. 2020 Apr 11;17(8):2617.
Araghbidikashani M, Golshah A, Nikkerdar N and Rezaei M. In-vitro impact of insertion angle on primary stability of miniscrews. Am J Orthod Dentofacial Orthop. 2016; 150:436-43.
Lee J, Kim JY, Choi YJ, Kim KH, Chung CJ. Effects of placement angle and direction of orthopedic force application on the stability of orthodontic miniscrews. Angle Orthod. 2013 Jul;83(4):667-73.
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