Sharma P, Valiathan A, Sivakumar A
Department of Orthodontics and Dentofacial Orthopaedics, Manipal College of Dental Sciences, Manipal University, Manipal 576104, KRN, India.
ISRN Surg. 2011;2011:982671. doi: 10.5402/2011/982671. Epub 2011 Apr 26.
Introduction. The purpose of this study was to examine the success rate and find factors affecting the clinical success of microimplants used as orthodontic anchorage. Methods. Seventy-three consecutive patients (25 male, 48 female; mean age, 22.45 years) with a total of 139 screw implants of 2 types were examined. Success rate was determined according to 18 clinical variables. Results. The overall success rate was 87.8%. The clinical variables of microimplant factors (type), patient factors (sex, skeletal and dental relationships, overbite, jaw involved, side involved and site involved), and treatment factors (type of insertion, time of loading, purpose of microimplant insertion, mode of loading, type of anchorage used, direction of forces applied) did not show any statistical difference in success rates. Mandibular angle, vertical position of implant placement, oral hygiene status, and inflammation showed significant difference in success rates. Conclusions. Proper case selection and following the recommended protocol are extremely essential to minimise failures.
引言。本研究的目的是检验成功率,并找出影响用作正畸支抗的微型种植体临床成功的因素。方法。对73例连续患者(25例男性,48例女性;平均年龄22.45岁)共139颗两种类型的螺钉种植体进行了检查。根据18个临床变量确定成功率。结果。总体成功率为87.8%。微型种植体因素(类型)、患者因素(性别、骨骼和牙齿关系、覆合、受累颌骨、受累侧和植入部位)以及治疗因素(植入类型、加载时间、微型种植体植入目的、加载方式、使用的支抗类型、施加力的方向)的临床变量在成功率上未显示出任何统计学差异。下颌角、种植体植入的垂直位置、口腔卫生状况和炎症在成功率上显示出显著差异。结论。正确的病例选择和遵循推荐方案对于将失败率降至最低极为重要。