Factors affecting stabilityof orthodontic implants.A Wroclaw method
Journal Title: Forum Ortodontyczne - Year 2010, Vol 6, Issue 1
Abstract
Introduction: Anchorage is a crucial issue in orthodontic treatment planning and biomechanics. Commonly applied methods of anchorage-reinforcement have some disadvantages. Miniscrew implants – TCAD – serve as intraoral, extradental and indirect anchorage. Their advantages are the main causes of increased clinicians’ interest in applying TCAD in orthodontic approach. Aim: Presentation of Wroclaw modification of TCAD implantation and assessment of various factors affecting the success rate of TCAD. Material and method: Presentation of Wroclaw method of TCAD implantation enhanced with literature review of studies evaluating various aspects of TCAD application, affecting success rate of the implantation. The search was based on PubMed and completed with other publications concerning problem of anchorage and use of skeletal anchorage in orthodontic treatment. Results: Wroclaw modification of TCAD implantation enables to gain 93% success rate. This modification, developed on the basis of presented experience as well as on outcomes of published studies enabled establishing and efficient management of factors promoting success of TCAD insertion: manner and accuracy of procedure – stab incision and properly angulated pre-drilling, ambidextrousity of the operator, proper selection of implantation area, length and diameter of TCAD, indirect, horizontal TCAD loading and patient’s compliance of hygienic regime. Conclusions: Proper proceeding and patients’ motivation may enlarge the succes rate to more than 90% making TCAD valuable device apparently improving treatment results as well as enhancing possibilities of orthodontic treatment. (Orthod. Forum 2010; 6: 5 - 14). Received: 27.01.2010 Accepted: 9.03.2010 Key words: anchorage orthodontic implants procedure TCAD
Authors and Affiliations
Joanna Antoszewska, Beata Kawala, Michał Sarul
Keywords
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