Present: the Use of Mini-Implants in Modern Orthodontics for Distalization of Molars

Authors

DOI:

https://doi.org/10.33295/1992-576X-2025-2-17

Keywords:

mini-implants, molar distalization, distal occlusion, orthodontics

Abstract

Objective: To assess volume loss during treatment of Class II occlusion pathology according to Engle using appliances supported by miniscrews.

Materials and methods: Pubmed, Scopus and review articles were included in the comprehensive search. The methodological quality of retrospective studies was assessed using the Quantitative Research Quality Assessment Tool developed for the Effective Public Health Practice project, and prospective studies were assessed using the Newcastle-Ottawa Scale.

Results. We found a total of 14 articles that met the inclusion criteria. The quality of all 4 retrospective studies was rated as moderate according to the quality assessment tool, while some studies were rated as better than others according to the Newcastle-Ottawa scale. There were 7 studies that received high scores and 3 studies that received medium scores. The mean variation in molar distalization scores ranged from 1.8 mm to 6.4 mm and molar distal inclination from 1.65° to 11.3°, while premolars and incisors ranged from 1.75 mm to 5.4 mm and 0.1 mm to 2.7 mm, respectively.

Conclusions: Miniscrew-supported appliances are quite effective for distalization of molars with distal movement of premolars with minimal loss of anchorage (anchor fixation) and distal inclination of molars.

Downloads

Download data is not yet available.

Author Biographies

L. Hryva, Bogomolets National Medical University, Kyiv, Ukraine

Postgraduate student of the Department of Orthodontics and Propaedeutics of Orthopedic Dentistry

N. Zhachko, Bogomolets National Medical University, Kyiv, Ukraine

Associate Professor of the Department of Orthodontics and Propaedeutics of Orthopedic Dentistry

References

Shpack N, Brosh T, Mazor Y, et al. (2014). Long- and short-term effects of headgear traction with and without the maxillary second molars. Am J Orthod Dentofacial Orthop, 146(4), 467–76. DOI: https://doi.org/10.1016/j.ajodo.2014.06.015

Patel MP, Henriques JF, Freitas KM, Grec RH. (2014). Cephalometric effects of the Jones Jig appliance followed by fixed appliances in Class II malocclusion treatment. Dental Press J Orthod, 19(3), 44–51. DOI: https://doi.org/10.1590/2176-9451.19.3.044-051.oar

Kinzinger GS, Eren M, Diedrich PR. (2008). Treatment effects of intraoral appliances with conventional anchorage designs for non-compliance maxillary molar distalization: a literature review. Eur J Orthod, 30(6), 558–71. DOI: https://doi.org/10.1093/ejo/cjn047

Erverdi N, Koyuturk O, Kuçukkeles N. (1997). Nickel-titanium coil springs and repelling magnets: a comparison of two different intra-oral molar distalization techniques. Br J Orthod, 24(1), 47–53. DOI: https://doi.org/10.1093/ortho/24.1.47

Fuziy A, Rodrigues de Almeida R, Janson G, Angelieri F, Pinzan A. (2006). Sagittal, vertical, and transverse changes consequent to maxillary molar distalization with the pendulum appliance. Am J Orthod Dentofacial Orthop, 130(4), 502–10. DOI: https://doi.org/10.1016/j.ajodo.2004.12.031

Cozzani M, Pasini M, Zallio F, et al.(2014). Comparison of maxillary molar distalization with an implant-supported distal jet and a traditional tooth-supported distal jet appliance. Int J Dent, 2014:937059. DOI: https://doi.org/10.1155/2014/937059

Cozzani M, Fontana M, Maino G, Maino G, Palpacelli L, Caprioglio A. (2016). Comparison between direct vs indirect anchorage in two miniscrew-supported distalizing devices. Angle Orthod, 86(3), 399–406. DOI: https://doi.org/10.2319/040715-231.1

Onçag G, Seçkin O, Dinçer B, Arikan F. (2007). Osseointegrated implants with pendulum springs for maxillary molar distalization: a cephalometric study. Am J Orthod Dentofacial Orthop, 131(1), 16–26. DOI: https://doi.org/10.1016/j.ajodo.2005.02.034

Cornelis MA, De Clerck HJ. (2007). Maxillary molar distalization with miniplates assessed on digital models: a prospective clinical trial. Am J Orthod Dentofacial Orthop, 132(3), 373–7. DOI: https://doi.org/10.1016/j.ajodo.2007.04.031

Crismani AG, Bertl MH, Celar AG, Bantleon HP, Burstone CJ. (2010). Miniscrews in orthodontic treatment: review and analysis of published clinical trials. Am J Orthod Dentofacial Orthop, 137(1), 108–13. DOI: https://doi.org/10.1016/j.ajodo.2008.01.027

Costa A, Raffainl M, Melsen B. (1998). Miniscrews as orthodontic anchorage: a preliminary report. Int J Adult Orthod Orthognath Surg, 13(3), 201–9. PMID: 9835819

Schatzle M, Mannchen R, Zwahlen M, Lang NP. (2009). Survival and failure rates of orthodontic temporary anchorage devices: a systematic review. Clin Oral Implants Res, 20(12), 1351–9. DOI: https://doi.org/10.1111/j.1600-0501.2009.01754.x

Chen Y, Kyung HM, Zhao WT, Yu WJ. (2009). Critical factors for the success of orthodontic mini-implants: a systematic review. Am J Orthod Dentofacial Orthop, 135(3), 284–291. DOI: https://doi.org/10.1016/j.ajodo.2007.08.017

Papageorgiou SN, Zogakis IP, Papadopoulos MA.(2012). Failure rates and associated risk factors of orthodontic miniscrew implants: a meta-analysis. Am J Orthod Dentofacial Orthop, 142(5), 577–595.e7. DOI: https://doi.org/10.1016/j.ajodo.2012.05.016

Maino G, Mariani L, Bozzo I, Maino G, Caprioglio A. (2013). Maxillary molar distalization with MGBM-system in class II malocclusion. J Orthod Sci, 2(3), 101–8. DOI: https://doi.org/10.4103/2278-0203.119683

Mariani L, Maino G, Caprioglio A. (2014). Skeletal versus conventional intraoral anchorage for the treatment of class II malocclusion: dentoalveolar and skeletal effects. Prog Orthod, 15(1), 43. DOI: https://doi.org/10.1186/s40510-014-0043-z

Kircelli BH, Pektaş ZO, Kircelli C. (2006). Maxillary molar distalization with a bone- anchored pendulum appliance. Angle Orthod, 76(4), 650–9. DOI: https://doi.org/10.1043/0003-3219(2006)076[0650:MMDWAB]2.0.CO;2

Sar C, Kaya B, Ozsoy O, Ozcirpici AA. (2013). Comparison of two implant-supported molar distalization systems. Angle Orthod, 83(3), 460–7 . DOI: https://doi.org/10.2319/080512-630.1

Escobar SA, Tellez PA, Moncada CA, Villegas Ca, Latorre CM, Oberti G. (2007). Distalization of maxillary molars with the bone-supported pendulum: A clinical study. Am J Orthod Dentofacial Orthop, 131(4), 545–9. DOI: https://doi.org/10.1016/j.ajodo.2006.08.012

Polat-Ozsoy O, Kircelli BH, Arman-Ozçirpici A, Pektaş ZO, Uçkan S. (2008). Pendulum appliances with 2 anchorage designs: conventional anchorage vs bone anchorage. Am J Orthod Dentofacial Orthop, 133(3), 339.e9–339.e17. DOI: https://doi.org/10.1016/j.ajodo.2007.10.002

Yamada K, Kuroda S, Deguchi T, Takano-Yamamoto T, et al. (2009). Distal movement of maxillary molars using miniscrew anchorage in the buccal interradicular region. Angle Orthod. 79(1), 78–84. DOI: https://doi.org/10.2319/020408-68.1

Caprioglio A, Cafagna A, Fontana M, Cozzani M. (2015). Comparative evaluation of molar distalization therapy using pendulum and distal screw appliances. Korean J Orthod, 45(4), 171–9. DOI: https://doi.org/10.4041/kjod.2015.45.4.171

Duran GS, Gorgulu S, Dindaroglu F. (2016). Three-dimensional analysis of tooth movements after palatal miniscrew-supported molar distalization. Am J Orthod Dentofacial Orthop, 150(1), 188–97. DOI: https://doi.org/10.1016/j.ajodo.2015.12.024

Gelgor IE, Buyukyilmaz T, Karaman AI, Dolanmaz D, Kalayci A.(2004). Intraosseous screw-supported upper molar distalization. Angle Orthod, 74(6), 838–850. DOI: https://doi.org/10.1043/0003-3219(2004)074<0838:ISUMD>2.0.CO;2

Gelgor IE, Karaman AI, Buyukyilmaz T. (2007). Comparison of 2 distalization systems supported by intraosseous screws. Am J Orthod Dentofacial Orthop, 13192, 161.e1–8. DOI: https://doi.org/10.1016/j.ajodo.2006.03.027

Kinzinger GS, Gulden N, Yildizhan F, Diedrich PR. (2009). Efficiency of a skeletonized distal jet appliance supported by miniscrew anchorage for noncompliancemaxillary molar distalization. Am J Orthod Dentofacial Orthop, 136(4), 578–86. DOI: https://doi.org/10.1016/j.ajodo.2007.10.049

Bechtold TE, Kim JW, Choi TH, Park YC, Lee KJ.(2013). Distalization pattern of the maxillary arch depending on the number of orthodontic miniscrews. Angle Orthod, 83(2), 266–273. DOI: https://doi.org/10.2319/032212-123.1

Moher D, Liberati A, Tetzlaff J, Altman DG. PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol, 62(10), 1006–12. DOI: https://doi.org/10.1016/j.jclinepi.2009.06.005

Thomas BH, Ciliska D, Dobbins M, Micucci S. (2004). A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions. Worldviews Evid Based Nurs, 1(3), 176–184. DOI: https://doi.org/10.1111/j.1524-475X.2004.04006.x

Deeks JJ, Dinnes J, D’Amico R, et al. (2003). Evaluating non-randomized intervention studies. Health Technol Assess, 7(27), 1–173. DOI: https://doi.org/10.3310/hta7270

Stang A. (2010). Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 25(9), 603–605. DOI: https://doi.org/10.1007/s10654-010-9491-z

Yang X, Li C, Bai D, et al. (2014). Treatment effectiveness of Frankel function regulator on the Class III malocclusion: a systematic review and meta-analysis. Am J Orthod Dentofacial Orthop, 146(2), 143–54. DOI: https://doi.org/10.1016/j.ajodo.2014.04.017

Published

2025-04-30

How to Cite

Hryva  Л. Г., & Zhachko Н. (2025). Present: the Use of Mini-Implants in Modern Orthodontics for Distalization of Molars. Actual Dentistry, (2), 17–21. https://doi.org/10.33295/1992-576X-2025-2-17

Issue

Section

ORTHODONTICS