Kang Yoon-Goo, Kim Ji-Young, Lee Young-Jun, Chung Kyu-Rhim, Park Young-Guk
Department of Orthodontics, Kyunghee University, Seoul, Korea.
Angle Orthod. 2009 Mar;79(2):248-55. doi: 10.2319/122007-413.1.
To examine the stability of mini-screws that invade a dental root by measuring the retention period/failure rate, and to illustrate their effects on paradental tissues.
Three adult male beagle dogs received 48 orthodontic mini-screws. Half of the mini-screws were implanted to invade the roots, and the rest were placed in the middle of the alveolar bone. Half of the mini-screws were loaded immediately. The retention period of the mini-screws was documented. The dogs were euthanized after 8 weeks, and tissue samples were examined histologically.
The failure rate of the mini-screws that invaded the roots was 79.2%, and that of the mini-screws in the middle of the alveolar bone was 8.3%. The application of force had little effect on the failed mini-screws. Moderately injured roots were repaired with osteoid and/or cementoid tissues with normal periodontal ligaments, followed by recovery of the original configuration.
Orthodontic mini-screws had a higher failure rate when placed to invade the dental roots. However, minimally damaged dental roots do not adversely affect the healing process.