Felicita A Sumathi
Department of Orthodontics, Saveetha Dental College, Chennai, Tamil Nadu, India.
Prog Orthod. 2013 Nov 12;14(1):45. doi: 10.1186/2196-1042-14-45.
This paper deals with the fabrication of a three-dimensional stent which is simple in design but provides an accurate placement of a mini-implant in three planes of space, namely, sagittal (root proximity), vertical (attached gingiva/alveolar mucosa) and transverse (angulation).
The stent is made of 0.018×0.025 in. stainless steel archwire which consists of a 'u loop' angulated at 20°, a vertical limb, a horizontal limb and a stop. The angulation of the 'u' helps in the placement of the mini-implant at 70° to the long axis of the tooth. The vertical height is determined such that the mini-implant is placed at the mucogingival junction. The mini-implant is placed with the aid of the stent, and its angulation and proximity to the adjacent roots are checked with a cone beam computed tomography image. The cone beam computed tomography image showed the mini-implant at an angle of 70° to the long axis of the tooth. There is no contact between mini-implant and the roots of the adjacent teeth.
This stent is simple, easy to fabricate, cost-effective, and provides ease of insertion/removal, and three-dimensional orientation of the mini-implant.
本文论述了一种三维支架的制作,该支架设计简单,但能在空间的三个平面(即矢状面(牙根附近)、垂直面(附着龈/牙槽黏膜)和横断面(角度))准确放置微型种植体。
该支架由0.018×0.025英寸的不锈钢弓丝制成,包括一个呈20°角的“U形环”、一个垂直臂、一个水平臂和一个阻挡部。“U”形的角度有助于将微型种植体放置在与牙齿长轴成70°的位置。确定垂直高度,以便将微型种植体放置在龈黏膜交界处。借助该支架放置微型种植体,并通过锥形束计算机断层扫描图像检查其角度和与相邻牙根的距离。锥形束计算机断层扫描图像显示微型种植体与牙齿长轴成70°角。微型种植体与相邻牙齿的牙根之间无接触。
该支架简单、易于制作、成本效益高,便于微型种植体的插入/取出以及三维定位。