The International journal of oral & maxillofacial implants最新文献

{"title":"The Influence on Osseointegration of Immediate Functional Loading on Single Crowns: A Randomized, Double-Blind, Split-Mouth Controlled Clinical Trial with Histomorphometric Evaluation.","authors":"Daichi Yonezawa, Karol Alí Apaza Alccayhuaman, Giovanna Iezzi, Adriano Piattelli, Mauro Ferri, Daniele Boticelli","doi":"10.11607/jomi.10759","DOIUrl":"10.11607/jomi.10759","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the influence of immediate loading on the osseointegration and bone density of implants placed in a healed alveolar bone crest and supporting single crowns.</p><p><strong>Materials and methods: </strong>Two solid titanium transmucosal miniimplants were placed in the distal regions of the mandible in 14 patients. One mini-implant was immediately functionally loaded, whereas the other was left unloaded. After 2 months of healing, biopsy samples were retrieved and the levels of new bone, old bone, and total bone (new &#43; old) were assessed.</p><p><strong>Results: </strong>Histologic examination was performed on biopsies from 12 patients (n &#61; 12). The new bone-to-implant contact percentage (BIC%) was 40.3% ± 16.8% and 55.1% ± 19.1% (P &#61; .043) at the unloaded and loaded sites, respectively; in addition, the total BIC% was 44.9% ± 17.0% and 59.5% ± 18.8%, respectively (P &#61; .034). The new bone density was 45.9% ± 11.6% for the unloaded implants and 45.9% ± 16.7% for the loaded implants (P &#61; .622).</p><p><strong>Conclusions: </strong>Immediate loading had a positive effect on bone apposition at the implant surface, but no effect on bone density was observed after 2 months of healing.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"699-706"},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Monolithic Zirconia Single Crowns Supported by Narrow- or Standard-Diameter Titanium-Zirconia Implants in Posterior Sites: 1-Year Results of a Randomized Controlled Trial.","authors":"Nabeel H M Alsabeeha, Fatemeh Amir-Rad, Sunyoung Ma, Maanas Shah, Haifa Hannawi, Andrew Tawse-Smith, Warwick J Duncan, Zaid H Baqain, Momen A Atieh","doi":"10.11607/jomi.10890","DOIUrl":"10.11607/jomi.10890","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the prosthetic outcomes of screw-retained monolithic zirconia (Zr) single crowns supported by either narrow-diameter (3.3 mm) or standard-diameter (4.1 mm) tissue-level titanium-zirconia (TiZr) implants in posterior sites.</p><p><strong>Materials and methods: </strong>A total of 18 participants, each with a missing molar or premolar tooth requiring an implantsupported single crown, were randomly assigned to either the test or control group. All participants received screwretained monolithic Zr single crowns supported by single tissue-level TiZr implants. Test group participants received narrow-diameter implants (3.3 mm), whereas control group participants received standard-diameter implants (4.1 mm). A modified version of the United States Public Health Service (USPHS) criteria was used to assess the prosthetic outcome across 12 parameters after 1 year of function. Data were analyzed descriptively, and statistical analysis was performed using a statistical software (SPSS, Version 28.0; IBM) with the level of significance set at P < .05.</p><p><strong>Results: </strong>Of the 18 single crowns delivered, 16 were available for review at the 1-year follow-up, including 7 in the test group and 9 in the control group. Patient characteristics and crown site distribution were similar, with no significant differences observed between the two groups (chi-square test; P < .05). There were no crown failures, meaning a crown survival rate of 100% was achieved after 1 year. The prosthetic outcome based on USPHS criteria was comparable between the two groups with no significant differences observed (chi-square test; P < .05). There were 19 prosthetic events in total (10 in the test group and 9 in the control group), with no significant differences between the groups (chi-square test; P < .05). Loss of proximal contact was the dominant event, with a total of eight events (three in the test group and five in the control group). Patient satisfaction after 1 year was high in both treatment groups, with no significant differences detected.</p><p><strong>Conclusions: </strong>Screw-retained monolithic Zr single crowns supported by either narrow- or standard-diameter tissue-level TiZr implants in posterior sites have comparable prosthetic outcomes after 1 year. Long-term results from well-designed trials are still needed to validate the findings of the present study.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mandibular Implant-Supported Overdentures Using Telescopic Crowns and Immediate Loading Protocol: A 2-Year Prospective Follow-up Study.","authors":"Le Trung Chanh, To Viet Thanh, Pham Nguyen Quan, Phan Dinh Nhat","doi":"10.11607/jomi.11150","DOIUrl":"https://doi.org/10.11607/jomi.11150","url":null,"abstract":"<p><strong>Purpose: </strong>Implant-supported overdentures have been an effective treatment method for edentulous mandibles. However, the loading time after implant placement is still controversial. The purpose of this study was to evaluate the outcome of implant-supported overdentures using telescopic crowns for the treatment of edentulous patients with immediate loading protocol.</p><p><strong>Materials and methods: </strong>This study was conducted on 22 edentulous mandibular patients visiting the Department of High Technique, National Hospital of Odonto - Stomatology, Ho Chi Minh City, Vietnam for prosthodontic rehabilitation. Each patient received four interforaminal implants. Immediate loading protocol was applied, and Ankylos Syncone copings systems was used to connect the prosthesis and the implants. The survival rate of implants and prostheses, as the primary outcome, were evaluated at 6 months, 01 year, and 02 years post-surgery. Peri-implant tissue condition, peri-implant bone loss, and patient satisfaction were the secondary outcomes.</p><p><strong>Results: </strong>The implant survival rate was 98.9% with 01 failed implant. The peri-implant bone loss changes after 6 months, 01 year, and 02 years were 0.07 ± 0.22 mm, 0.12 ± 0.3 mm, and 0.15 ± 0.2 mm, respectively. No gingival hyperplasia was recorded. The prosthesis survival rate was 86.4% with 1 fractured overdenture, 1 overdenture relining and 1 abutment fracture.</p><p><strong>Conclusions: </strong>Mandibular rehabilitation using implant-supported overdenture with telescopic crowns and immediate loading protocol showed high survival rates of both implant and prosthesis in 2-year follow-up.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-31"},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On The Use of a Sticky Bone Substitute in the Presence of a Ruptured Schneider Membrane During Sinus Lift Procedures - An Experimental Within-Rabbit Study.","authors":"Zenzaburo Taniguchi, Marco Esposito, Samuel Porfirio Xavier, Erick Ricardo Silva, Daniele Botticelli, Jacopo Buti, Shunsuke Baba","doi":"10.11607/jomi.11011","DOIUrl":"https://doi.org/10.11607/jomi.11011","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the efficacy and safety of a sticky dual-phase porcine-derived bone substitute, compared to a similar non-adhesive graft, in addressing induced perforations of the Schneider membrane during sinus lift using a within-subject design rabbit model.</p><p><strong>Materials and methods: </strong>Bilateral sinus floor elevations were performed in 12 rabbits. The sinus mucosa was intentionally perforated using a blade on both sides and randomly filled with either a cortico-cancellous bone embedded in a 20% thermosensitive gel (GTO sticky bone test) or a cortical cancellous bone and 10% collagen (mp3 control). Healing progress was evaluated after 2 and 10 weeks in 6 animals at each time-point, with cone-beam computed tomography (CBCT), micro-computed tomography (microCT) and histological assessments.</p><p><strong>Results: </strong>One animal of the 2-week group died but was substituted. No other complications were observed. At 2-week, on CBCTs, biomaterials particles were observed in the vicinity of the Schneider membrane in two out of six sinuses of each group, but never dispersed into the sinus. MicroCT and histology consistently revealed few granules beyond the elevated region. Histologically, five sinuses in the mp3 group and two sinuses in the GTO group exhibited granules outside the elevated region but in the vicinity of the perforations. In the 10-week groups, the number of affected sinuses decreased to one in the mp3 group and two in the GTO group. Throughout all observations, the graft granules consistently resided proximate to the elevated region. Micro-CT demonstrated a reduction in the volume of the elevated region by approximately 12% after 2 weeks and 50-54% after 10 weeks.</p><p><strong>Conclusions: </strong>The use of both sticky and non-sticky bone substitutes seems to prevent a substantial amount of particles from extruding through an induced perforation of the Schneiderian membrane. This suggests that it could be possible to use a sticky bone as an alternative to a barrier membrane to avoid the extrusion of bone granules in the presence of accidental perforation of the sinus membrane in clinical practice. After 10 weeks of healing, the volume of the elevated region decreased by approximately 50%, possibly due to biomaterial resorption and loss through the surgically created perforation.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Organic Mineral Adhesive Bone Graft: A Preclinical Study.","authors":"Joseph P Fiorellini, Sean Mojaver, George Kay, Yu Cheng Chang, Michael Brown, Hector Sarmiento","doi":"10.11607/jomi.xxxxx","DOIUrl":"10.11607/jomi.xxxxx","url":null,"abstract":"<p><p>The development of a successful bone grafting technology with cohesive and adhesive properties has been an elusive goal for dental and orthopedic researchers. Tetracalcium phosphate combined with phosphoserine (TTCP-PS) is a synthetic, injectable, cohesive, self-setting, mineral-organic wet-field adhesive. The objective of this study was to evaluate four formulations of TTCP-PS in comparison to the conventional grafting materials, Bioglass and deproteinized cancellous bovine bone with a bioresorbable collagen membrane in standardized defects created in the angle of the rat mandible. Microcomputed tomography and histomorphometry were utilized to evaluate bone replacement with each of these materials after in vivo residence of either 4 or 12 weeks. The results of this study demonstrate that specific TTCP-PS formulations can form bone comparable to conventional materials in an osteopromotive mechanism but with the advantage of having cohesive and adhesive properties.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seating Accuracy of Prefabricated Interim Crowns on Immediate and Delayed Implants: A Laboratory Study.","authors":"Jaafar Abduo, Douglas Lau","doi":"10.11607/jomi.11157","DOIUrl":"https://doi.org/10.11607/jomi.11157","url":null,"abstract":"<p><strong>Purpose: </strong>Evaluation of seating accuracy of interim crowns for the immediate restoration of immediate implants (I-Imp) and delayed implants (D-Imp) placed via static computer-assisted implant surgery (sCAIS).</p><p><strong>Materials and methods: </strong>A maxillary training model was modified by removing the central incisors and simulating fresh extraction socket in one site and healed ridge on the other site. An I-Imp was planned in the extraction socket and D-Imp was planned in the healed site. The planned implants were used to design sCAIS surgical template and interim crowns for immediate restoration of the implants. Fourteen surgical models received sCAIS implants after which the interim crowns were inserted. Subsequently, the models with the seated crowns were scanned by a laboratory scanner. The planning virtual model was superimposed against every surgical model to measure vertical, horizontal and proximal contact errors of each crown.</p><p><strong>Results: </strong>All the crowns were positioned more incisally than the planned crowns. This was significantly more noticeable for the D-Imp crowns (0.81 mm) than the I-Imp crowns (0.55 mm). The 2 crown groups had similar horizontal errors (I-Imp &#61;0.35 mm, D-Imp &#61; 0.36 mm). The D-Imp crowns had minimal proximal contact error (0.14 mm), but the I-Imp crowns had significantly greater proximal contact error (0.74 mm) in the form of open distal contacts. This pattern of error appears related to the relationship between the socket morphology and the planned implant position.</p><p><strong>Conclusions: </strong>Prefabricated interim I-Imp crowns suffered from greater errors that affected the proximal contact quality than DImp crowns. The observed deviation of the I-Imp crowns can be attributed to the socket morphology and its relation to the planned implant position. The deviations of the I-Imp crowns are clinically significant and will require clinical adjustments. Thus, caution is needed before routine use of prefabricated interim crowns on I-Imp.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Implant Analog Design and Additively Manufactured Casts' Printing Layer Thickness on the Linear and Angular Accuracy of Analogs for Direct Digital Workflow: An In Vitro Study.","authors":"Mustafa Borga Dönmez, Gülce Çakmak, Münir Demirel, Çiğdem Kahveci, Martin Schimmel","doi":"10.11607/jomi.11127","DOIUrl":"https://doi.org/10.11607/jomi.11127","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate how implant analog design and printing layer thickness affect the linear and angular accuracy of implant analogs in additively manufactured casts, comparing with conventional implant analogs in stone casts.</p><p><strong>Material and methods: </strong>A reference cobalt chromium mandibular model with a single implant was digitized with an industrial optical scanner and scan bodies compatible with a pressure/friction fit (S) or a screw-retained (N) implant analog for direct digital workflow. These scans were used to fabricate casts with 50 μm (S-50 and N-50) and 100 μm (S-100 and N-100) layer thickness (n&#61;10). Ten stone casts were made after single-step closed-tray polyvinylsiloxane impressions of the model (CNV). All casts were digitized with the same metal scan body and scanner used to digitize the master model, and these scans were superimposed over the scan of the master model to measure the linear (x, y, and z-axes) and angular (XY and YZ planes) deviations (Geomagic Control X). The precision of measured deviations was defined with the average deviation values. Generalized linear model analysis was used to compare the deviations within implant analogs for direct digital workflow, while 1-way analysis of variance and Dunnett's test were used to compare these analogs and conventional analogs (α &#61; .05) Results. The analog design affected the linear deviations (y-axis), while the interaction between the analog design and the layer thickness, and the analog design affected the angular deviations (XY plane, P ≤ .030). S analogs had lower linear and angular deviations than N analogs, and S-50 led to lower angular deviations than N-50 (P ≤ .030). CNV led to higher linear accuracy (y-axis) than N-50, N-100, and S-100 and led to lower angular deviations than all test groups (XY plane) (P ≤ .025).</p><p><strong>Conclusions: </strong>The analogs in S-50 casts had positional trueness similar to or higher than those in other test groups and their accuracy was mostly similar to those in CNV casts. Implant analogs for direct digital workflow deviated more towards lingual and gingival, and conventional analogs deviated more towards buccal, occlusal, and distal. All analogs had a tendency to tilt towards lingual and distal.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-23"},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CO2-Laser Irradiation Affects Positively Surface Energy of Rough Titanium Surfaces.","authors":"G E Romanos, M Varma","doi":"10.11607/jomi.11097","DOIUrl":"https://doi.org/10.11607/jomi.11097","url":null,"abstract":"<p><p>Osseointegration of implants is significant in determining implant success. Factors influencing osseointegration include the good hydrophilicity (wettability) of the implant surface.</p><p><strong>Purpose: </strong>The purpose of this study was to investigate the free surface energy before and after CO2 irradiation on rough titanium surfaces.</p><p><strong>Material and methods: </strong>Sandblasted, large grit, acidetched (SLA) implant surfaces were used for this study. Contact angle evaluations were performed for saline, albumin, and artificial blood using a contact angle goniometer in 25°C and 37°C (20 droplets in each group, 120 in total). The titanium disks were then irradiated with a CO2 laser (10,600 nm) using a non-contact, defocused, 2W continuous wave for 30 seconds. Contact angle measurements for saline, albumin and artificial blood were evaluated immediately after irradiation (new 120 in total contact angle measurements) and compared with the measurements before laser irradiation. Paired t-test using SPSS was performed for 5% statistical significance level.</p><p><strong>Results: </strong>Lower numbers of contact angle measurements were found and changes after CO2-laser irradiation were statistically significant (p < 0.05) for all groups except for albumin at 25°C, as follows: 25℃: (saline) (Pre) 111.97° ±13.67°, (Post) 79.29° ±10.83° / p<0.0001; (albumin) (Pre) 89.04° ±12.02°, (Post) 83.29° ±20.71° / p&#61;0.297; (blood) (Pre) 97.79° ±14.44°, (Post) 86.29° ±10.82° / p&#61;0.019; 37℃: (saline) (Pre) 104.12° ±13.138°, (Post) 92.66° ±4.777° / p&#61;0.001; (albumin) (Pre) 89.04° ±12.02°, (Post) 83.29° ±20.71° / p&#61;0.297 (blood) (Pre) 80.42° ±19.00°, (Post) 58.62° ±24.34° / p&#61;0.012.</p><p><strong>Conclusion: </strong>The CO2 laser irradiation in general positively affected the wettability and hydrophilicity of rough titanium (SLA) surfaces.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Xenogeneic Bone Block in Lateral Ridge Augmentation: Where Are We Now?' A Systematic Review and Meta-Analysis.","authors":"Han-Pang Liu, Sieu Yien Chiam, Era Kakar, Hom-Lay Wang","doi":"10.11607/jomi.11048","DOIUrl":"https://doi.org/10.11607/jomi.11048","url":null,"abstract":"<p><strong>Purpose: </strong>This systematic review and meta-analysis aimed to investigate the clinical outcomes of xenogeneic bone blocks (XBB) used for lateral ridge augmentation, specifically focusing on bone gain, graft survival, and implant survival.</p><p><strong>Materials and methods: </strong>Data search was conducted in Pubmed, Embase, and ClinicalTrial.gov for randomized controlled trials (RCTs), and prospective cohort studies up to March 1, 2024. Horizontal bone gain (HBG), horizontal bone resorption (HBR), graft survival rate, and implant survival rate were analyzed. Cochrane Risk of Bias Tool 2 and Newcastle-Ottawa Scale were applied to assess the quality and risks of the included studies.</p><p><strong>Results: </strong>Four RCTs and five prospective cohortstudies, comprised 120 graft sites and 141 implants in total were included for the meta- analysis. Non-comparative analysis resulted in a weighted mean horizontal bone gain (HBG) of 4.38 mm and horizontal bone resorption (HBR) of 0.85 mm. Comparative analysis with data from 4 RCTs that paired xenogeneic bone block (XBB) with autogenous bone block (ABB) exhibited a statistically significant greater HBG in XBB, with a mean difference of 0.72mm (95% CI&#61;0.067 to 1.382, p&#61;0.031, I2&#61;28.2%). The weighted graft survival rate for XBB was 91.3% (95% CI &#61; 76.6% to 97.1%, I2 &#61; 58.0 %), and the weighted implant survival rate was 84.3% (95% CI &#61; 72.6% to 91.6%, I2 &#61; 31.6 %). Histologically, mean percentage of mineralized vital bone in XBB ranged from 11.6% to 29.8%, and the resorption rate ranged from 7.3% to 21%.</p><p><strong>Conclusion: </strong>The utilization of xenogeneic bone block for lateral ridge augmentation demonstrates an acceptable survival rate and yields an adequate volume of bone for subsequent implant therapy. Nonetheless, the survival rate of implants placed in ridges augmented with xenogeneic blocks is less favorable when compared to those augmented with autogenous block grafts.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-32"},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors for Secondary-Inserted Orthodontic Miniscrew Stability Following Original Insertion Failure.","authors":"Yilin Xin, Yeke Wu, Lixing Zhao","doi":"10.11607/jomi.10740","DOIUrl":"https://doi.org/10.11607/jomi.10740","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of this study was to examine the variables that influence the stability of secondary orthodontic anchoring miniscrews after the occurrence of initial installation failure. The secondary insertion was defined as reinserted, which was inserted to the orthotopic (i.e., inserted between the roots of the original two adjacent teeth with the mesiodistal, height and insertion angle slightly altered) and ectopic (i.e., inserted between neighboring tooth roots).</p><p><strong>Materials and methods: </strong>A total of 100 miniscrews were reinserted in 71 patients who experienced primary insertion failure. The analysis considered 15 independent variables related to systemic factors and site characteristics. The success rate and risk factors associated with reinsertion were assessed using univariate analysis (Chi-square Test for categorical variables and Mann-Whitney U test for continuous variables) and correlation analysis (Spearman correlation analysis to exclude variables that might cause interference in a multivariable model). Significant parameters from univariate analysis were then integrated into a generalized estimating equation (GEE) model.</p><p><strong>Results: </strong>The success rate of reinsertion was 66.00% (66/100), and the cancellous bone density and the patient's age had a strong correlation with the stability of reinserted miniscrews.</p><p><strong>Conclusion: </strong>The study indicates that younger patients with miniscrews reinserted in areas of high cancellous bone density are more likely to experience instability. This finding warrants careful consideration by orthodontists when performing miniscrew reinsertion procedures.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}