Displacement pattern of the maxillary arch depending on miniscrew position in sliding mechanics

Kee Joon Lee, Young Chel Park, Chung Ju Hwang, Young Jae Kim, Tae Hyun Choi, Hyun Mi Yoo, Seung Hyun Kyung

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Introduction: This clinical study was performed to evaluate the anteroposterior and vertical displacement patterns of the maxillary teeth in sliding mechanics depending on the position of interradicular miniscrews after the extraction of premolars. Methods: Thirty-six women requiring maximum incisor retraction because of bialveolar protrusion were divided into 2 groups: group A (n = 18), miniscrew between the premolar and the molar, and group B (n = 18), miniscrew between the premolars. Cephalometric measurements for skeletal and dental changes were made before and after space closure. Results: In both groups, significant incisor retraction with intrusion of the root apex was noted, with no significant change in the first molar position. Group B displayed significantly greater intrusion at both the incisal tip (1.59 ± 1.53 mm) and the root apex (2.89 ± 1.59 mm) than did group A. In spite of the mean reduction of the vertical skeletal measurements, we failed to find significant skeletal changes. Conclusions: Miniscrews provided firm anchorage for anterior retraction. Selection of the placement site appeared to be an important determinant for the resultant displacement pattern of the incisor segment. Discriminative intrusion or retraction might be obtained via strategic miniscrew positioning.

Original languageEnglish
Pages (from-to)224-232
Number of pages9
JournalAmerican Journal of Orthodontics and Dentofacial Orthopedics
Volume140
Issue number2
DOIs
Publication statusPublished - 2011 Aug

All Science Journal Classification (ASJC) codes

  • Orthodontics

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