Department of Oral Anatomy and Dental Research Institute, School of Dentistry, Seoul National University, Seoul 03080, Republic of Korea.
Head of Center for Future Dentistry, School of Dentistry, Seoul National University, Seoul 03080, Republic of Korea.
Biomed Res Int. 2022 Aug 1;2022:8720412. doi: 10.1155/2022/8720412. eCollection 2022.
Miniscrew has been used widely as an effective orthodontic anchorage with reliable stationary quality, ease of insertion and removal techniques, immediate or early loading, flexibility in site insertion, less trauma, minimal patient cooperation, and lower price. Nonetheless, it is not free of complications, and they could impact not only the miniscrew success rate but also patients' oral health. In this article, literature was searched and reviewed electronically as well as manually to evaluate the complications of orthodontic miniscrew. The selected articles are analyzed and subcategorized into complications during and after insertion, under loading, and during and after removal along with treatment if needed according to the time. In addition, the noteworthy associated factors such as the insertion and removal procedures, characteristics of both regional and local anatomic structures, and features of the miniscrew itself that play a significant role in the performance of miniscrews are also discussed based on literature evidence. Clinicians should notice these complications and their related factors to make a proper treatment plan with better outcomes.
微螺钉已被广泛用作一种有效的正畸支抗,具有可靠的固定质量、易于插入和取出技术、即刻或早期负载、在植入部位的灵活性、较小的创伤、最小的患者合作和更低的价格。尽管如此,它并非没有并发症,这些并发症不仅会影响微螺钉的成功率,还会影响患者的口腔健康。本文通过电子和手动搜索文献并进行了回顾,以评估正畸微螺钉的并发症。对所选文章进行了分析,并根据时间分为插入和插入后、加载时、移除时以及移除后需要治疗的并发症,并根据文献证据讨论了在微螺钉性能中起重要作用的插入和移除程序、区域和局部解剖结构的特征以及微螺钉本身的特征等值得注意的相关因素。临床医生应注意这些并发症及其相关因素,以便制定更好的治疗计划,获得更好的治疗效果。