Horizontal Pull-Out Strength of Orthodontic Infrazygomatic Mini-Implant: An In Vitro Study

Purpose:New modified mini-implants have recently come into use for reinforcing skeletal anchorage in orthodontic application. The aim of this study was to investigate the influence of the design of a mini-implant on its mechanical strength. Materials and Methods:We measured the insertion torques and horizontal pull-out strengths of 3 brands of infrazygomatic mini-implants (AbsoAnchor, Bioray, and Lomas; 2 mm for all). Five implants of each brand were manually driven 6 mm into the artificial bone. Significant differences in various parameters among the brands were investigated with the Kruskal–Wallis test. Results:There was no significant relationship between insertion torque and horizontal pull-out strength. The Bioray mini-implants had significantly greater horizontal pull-out strength than the AbsoAnchor mini-implants. Conclusions:The design of the mini-implant can influence its insertion torque and horizontal pull-out strength. In our findings, the horizontal pull-out strength of all mini-implants placed in the infrazygomatic crest was significantly greater than the orthodontic force applied.

[1]  R. Behrents,et al.  Pitch and longitudinal fluting effects on the primary stability of miniscrew implants. , 2009, The Angle orthodontist.

[2]  E. Lai,et al.  Comparison of treatment outcomes between skeletal anchorage and extraoral anchorage in adults with maxillary dentoalveolar protrusion. , 2008, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[3]  H. Maruo,et al.  Insertional torque and axial pull-out strength of mini-implants in mandibles of dogs. , 2008, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[4]  N. Shimizu,et al.  Cortical bone thickness in the buccal posterior region for orthodontic mini-implants. , 2008, International journal of oral and maxillofacial surgery.

[5]  Chung-Ju Hwang,et al.  Insertion torque of orthodontic miniscrews according to changes in shape, diameter and length. , 2008, The Angle orthodontist.

[6]  Tohru Yoshida,et al.  Effect of cortical bone thickness and implant placement torque on stability of orthodontic mini-implants. , 2007, The International journal of oral & maxillofacial implants.

[7]  Toru Deguchi,et al.  Root proximity is a major factor for screw failure in orthodontic anchorage. , 2007, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[8]  E. Liou,et al.  A computed tomographic image study on the thickness of the infrazygomatic crest of the maxilla and its clinical implications for miniscrew insertion. , 2007, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[9]  K. Reynolds,et al.  Effect of Screw Torque Level on Cortical Bone Pullout Strength , 2007, Journal of orthopaedic trauma.

[10]  Shin-Jae Lee,et al.  Correction of deep overbite and gummy smile by using a mini-implant with a segmented wire in a growing Class II Division 2 patient. , 2006, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[11]  R. McLain,et al.  Pedicle screw fixation strength: pullout versus insertional torque. , 2004, The spine journal : official journal of the North American Spine Society.

[12]  E D Schneiderman,et al.  Biomechanical properties of small bone screws. , 1994, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[13]  J. Holmes,et al.  Mini-implant temporary anchorage devices: orthodontic applications. , 2008, Compendium of continuing education in dentistry.