Tarigan Siti Harlianti Putri, Sufarnap Erliera, Bahirrah Siti
Orthodontic Department, Faculty of Dentistry, Universitas Sumatera Utara, Medan, North Sumatera, Indonesia.
Eur J Dent. 2024 May;18(2):417-429. doi: 10.1055/s-0043-1772249. Epub 2023 Oct 17.
Anchorage is a challenge and essential issue for an orthodontist in determining the success of orthodontic treatment. Orthodontic anchorage is defined as resistance to unwanted tooth movement. Mini-implant is one of the devices that can be used as an anchor in orthodontic treatment. Many cases have reported successful treatment using mini-implant, but there are cases where mini-implants may fail. Failure of mini-implants can affect orthodontic treatment, and it is known that several factors may lead to mini-implant loss in orthodontic treatment. This systematic review aimed to determine the factors influencing mini-implant failure in orthodontic treatment. Articles were selected from electronic databases (PubMed, Google Scholar, The Cochrane Library, ScienceDirect) from January 2015 until 2023 according to the PRISMA method () under the PEOS (Population-Exposure-Outcome-StudyType) framework questions for systematic review. The study was registered in the International Prospective Register of Systematic Reviews (PROSPERO) database (CRD42022337684). All data collected were in English, and filtering was done by eliminating duplicate data, meta-analysis, case reports, case series, mini-reviews, and animal studies. The analysis was further divided into three groups, that is, patient-related, implant-related, and operator-related and operator-related (A graphical abstract provided as a Supplementary information [available in the online version]). Twenty-one articles were identified according to the inclusion criteria in the form of retrospective, prospective, , and randomized controlled trial studies. Mini-implant failures due to patient-related showed six etiological factors, failures due to implant-related had eight etiological factors, and only one factor was operator-related, which may lead to mini-implant failure. The data was extracted without a computerized system and only in English. Mini-implant failure can be caused by many factors; we could not accuse one major factor as a cause. However, the quality or condition of the bones and oral hygiene are factors that play a significant role in obtaining the stability of implants. Mini-implant failure is highly influenced by poor oral hygiene and peri-implant inflammation. Comprehensive diagnostic prior to mini-implant insertion should be appropriately considered. This systematic review describes several factors that can influence mini-implant failure, divided into three groups: patient-related, implant-related, and operator-related (A graphical abstract provided as a Supplementary information [available in the online version]).
支抗是正畸医生确定正畸治疗成功与否时面临的一项具有挑战性的重要问题。正畸支抗被定义为对牙齿不必要移动的抵抗。微型种植体是可用于正畸治疗作为支抗的装置之一。许多病例报告使用微型种植体治疗成功，但也有微型种植体可能失败的情况。微型种植体失败会影响正畸治疗，并且已知有几个因素可能导致正畸治疗中微型种植体脱落。本系统评价旨在确定影响正畸治疗中微型种植体失败的因素。根据PRISMA方法（），在PEOS（人群 - 暴露 - 结局 - 研究类型）框架问题下，从2015年1月至2023年的电子数据库（PubMed、谷歌学术、考克兰图书馆、科学Direct）中选取文章进行系统评价。该研究已在国际系统评价前瞻性注册库（PROSPERO）数据库（CRD42022337684）中注册。收集的所有数据均为英文，通过消除重复数据、荟萃分析、病例报告、病例系列、小型综述和动物研究进行筛选。分析进一步分为三组，即患者相关、种植体相关和操作者相关（一份图形摘要作为补充信息提供[可在在线版本中获取]）。根据纳入标准，以回顾性、前瞻性、和随机对照试验研究的形式确定了21篇文章。与患者相关的微型种植体失败显示出六个病因因素，与种植体相关的失败有八个病因因素，而与操作者相关的只有一个因素，这可能导致微型种植体失败。数据提取未使用计算机系统且仅为英文。微型种植体失败可能由多种因素引起；我们不能指责某一个主要因素为病因。然而，骨骼的质量或状况以及口腔卫生是影响种植体稳定性的重要因素。微型种植体失败受口腔卫生差和种植体周围炎症的影响很大。在插入微型种植体之前应适当考虑全面的诊断。本系统评价描述了几个可能影响微型种植体失败的因素，分为三组：患者相关、种植体相关和操作者相关（一份图形摘要作为补充信息提供[可在在线版本中获取]）。
