Immediate loaded mini-implant in children and its effect on quality of life

Abstract

Introduction Missing anterior teeth due to trauma or congenital missing is a dental handicap affecting child aesthetic, phonetics, function and quality of life (QoL). Traditional management includes removable partial denture, resin bonded bridge, auto-transplant, and closure of the space orthodontically. Implants are the ideal solution for missing teeth but we have to wait until the end of growth. Mini-implant gives a promising future for these cases as they guard to loss of bone and space, restore function and aesthetic and improves QoL. Aim Evaluate clinically and radiographically mini-implant in a group of children, and evaluate the effect of the mini-implant on the QoL for those children. Patients and methods Fifteen children aged from 11–13 with missing anterior teeth were selected for the study, mini-implants were inserted by the flapless technique, immediately loaded with ceramic fused to metal crown. Evaluation was made by Modified Gingival Index, probing depth, periotest mobility and marginal bone loss by standardized periapical radiograph every 6 months for 2 years and oral health impact profile questioner was taken before and after insertion of the mini-implant. Results There was no statistically significant difference in the Modified Gingival Index, probing depth, periotest mobility and marginal bone loss along 24 months follow up, while the QoL questioner revealed statistically significant difference before and after insertion of the mini-implant. Conclusion Mini-implant is a successful promising solution for missing anterior teeth in children up to 11 years, but careful study of the case and follow up until the end of growth to re-evaluate the case to either maintain the mini-implant or change it to an implant of appropriate size.