Selvaraj Snehaa, Tandon Akshay, Chandrasekaran Deepak, Purushothaman Deenadayalan, Katepogu Praveen, Mohan Reshma, Angrish Nidhi
Dental Surgery, Sri Ramaswamy Memorial (SRM) Kattankulathur Dental College and Hospital, Chennai, IND.
Orthodontics and Dentofacial Orthopedics, Sri Ramaswamy Memorial (SRM) Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Chennai, IND.
Cureus. 2024 Nov 5;16(11):e73056. doi: 10.7759/cureus.73056. eCollection 2024 Nov.
Anchorage control is crucial for achieving optimal results in orthodontic treatment. Scientific literature has documented the exploration of various methods to prevent anchorage loss, including the use of extraoral and intraoral devices. The advent of mini implants and micro implants has introduced new possibilities by allowing placement in previously inaccessible areas. These implants, also known as Temporary Anchorage Devices (TADs), significantly reduce the effort required to maintain anchorage. They are a reliable anchorage for orthodontic treatments because of their small size, ease of insertion and removal, and immediate force loading upon placement. For individuals who are uncooperative or who have periodontal disease and alveolar bone loss, mini implants provide a stable substitute for anchorage during orthodontic therapy. Studies emphasize the importance of implant length and type in determining stability and success rates. Longer implants tend to increase stability, and self-drilling designs generally offer superior anchorage compared to self-tapping variants. Furthermore, titanium implants demonstrate higher success rates than stainless steel implants, highlighting their suitability for orthodontic applications.
支抗控制对于在正畸治疗中取得最佳效果至关重要。科学文献记录了探索各种防止支抗丧失的方法,包括使用口外和口内装置。微型种植体和微种植体的出现通过允许放置在以前难以到达的区域引入了新的可能性。这些种植体,也称为临时支抗装置(TADs),显著减少了维持支抗所需的努力。由于其体积小、易于插入和取出以及放置后可立即加载力,它们是正畸治疗中可靠的支抗。对于不合作或患有牙周病和牙槽骨丧失的个体,微型种植体在正畸治疗期间提供了稳定的支抗替代物。研究强调种植体长度和类型在确定稳定性和成功率方面的重要性。较长的种植体往往会增加稳定性,与自攻型变体相比,自钻型设计通常提供更好的支抗。此外,钛种植体的成功率高于不锈钢种植体,突出了它们在正畸应用中的适用性。