Palatal temporary skeletal anchorage devices (TSADs): What to know and how to do?

Objectives Since palatal temporary skeletal anchorage devices (TSADs) have become important tools for orthodontic treatment, this narrative review was aimed to provide an updated and integrated guidelines for the clinical application of palatal TSADs. Setting and Sample Population A narrative review...

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Veröffentlicht in:Orthodontics & craniofacial research 2021-03, Vol.24 (S1), p.66-74
Hauptverfasser: Ahn, Hyo‐Won, Kang, Yoon‐Goo, Jeong, Hyun‐Joo, Park, Young‐Guk
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container_end_page 74
container_issue S1
container_start_page 66
container_title Orthodontics & craniofacial research
container_volume 24
creator Ahn, Hyo‐Won
Kang, Yoon‐Goo
Jeong, Hyun‐Joo
Park, Young‐Guk
description Objectives Since palatal temporary skeletal anchorage devices (TSADs) have become important tools for orthodontic treatment, this narrative review was aimed to provide an updated and integrated guidelines for the clinical application of palatal TSADs. Setting and Sample Population A narrative review article including researches on palatal TSADs in orthodontics related to anatomy, success rate and clinical application. Materials and Methods The anatomical characteristics, success rate and its consideration factors and clinical application of palatal TSADs based on the direction of tooth movement were evaluated. Results To improve the stability of TSADs, hard tissue factors such as bone depth, cortical bone thickness, bone density and soft tissue thickness were evaluated. Anatomically risky structures, including the nasopalatine foramen, canal and the greater palatine foramen, nerve, vessel need to be identified before placement. The success rate of palatal TSADs was greater than that of the buccal inter‐radicular space. Palatal TSADs have been used for various purposes because they can control tooth movement in all directions and, three‐dimensionally; their applications include the retraction of anterior teeth, protraction of posterior teeth, distalization, intrusion, expansion and constriction. They can be applied directly or indirectly to the lingual arch or transpalatal arch. Design modifications using splinted 2 miniscrews have been suggested. Conclusion Palatal TSADs allow clinicians to perform minimally invasive and easy placement with good stability by understanding the anatomical characteristics of the palatal region, and they show good control over 3‐dimensional tooth movements in various clinical cases.
doi_str_mv 10.1111/ocr.12451
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Setting and Sample Population A narrative review article including researches on palatal TSADs in orthodontics related to anatomy, success rate and clinical application. Materials and Methods The anatomical characteristics, success rate and its consideration factors and clinical application of palatal TSADs based on the direction of tooth movement were evaluated. Results To improve the stability of TSADs, hard tissue factors such as bone depth, cortical bone thickness, bone density and soft tissue thickness were evaluated. Anatomically risky structures, including the nasopalatine foramen, canal and the greater palatine foramen, nerve, vessel need to be identified before placement. The success rate of palatal TSADs was greater than that of the buccal inter‐radicular space. Palatal TSADs have been used for various purposes because they can control tooth movement in all directions and, three‐dimensionally; their applications include the retraction of anterior teeth, protraction of posterior teeth, distalization, intrusion, expansion and constriction. They can be applied directly or indirectly to the lingual arch or transpalatal arch. Design modifications using splinted 2 miniscrews have been suggested. Conclusion Palatal TSADs allow clinicians to perform minimally invasive and easy placement with good stability by understanding the anatomical characteristics of the palatal region, and they show good control over 3‐dimensional tooth movements in various clinical cases.</description><identifier>ISSN: 1601-6335</identifier><identifier>EISSN: 1601-6343</identifier><identifier>DOI: 10.1111/ocr.12451</identifier><identifier>PMID: 33278057</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>anatomy ; application ; Bone density ; Cortical bone ; Dentistry ; Orthodontic Anchorage Procedures ; Orthodontic Appliance Design ; Orthodontics ; palatal ; Success ; success rate ; Teeth ; temporary skeletal anchorage device ; Tooth Movement Techniques</subject><ispartof>Orthodontics &amp; craniofacial research, 2021-03, Vol.24 (S1), p.66-74</ispartof><rights>2020 John Wiley &amp; Sons A/S. 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Setting and Sample Population A narrative review article including researches on palatal TSADs in orthodontics related to anatomy, success rate and clinical application. Materials and Methods The anatomical characteristics, success rate and its consideration factors and clinical application of palatal TSADs based on the direction of tooth movement were evaluated. Results To improve the stability of TSADs, hard tissue factors such as bone depth, cortical bone thickness, bone density and soft tissue thickness were evaluated. Anatomically risky structures, including the nasopalatine foramen, canal and the greater palatine foramen, nerve, vessel need to be identified before placement. The success rate of palatal TSADs was greater than that of the buccal inter‐radicular space. Palatal TSADs have been used for various purposes because they can control tooth movement in all directions and, three‐dimensionally; their applications include the retraction of anterior teeth, protraction of posterior teeth, distalization, intrusion, expansion and constriction. They can be applied directly or indirectly to the lingual arch or transpalatal arch. Design modifications using splinted 2 miniscrews have been suggested. 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Setting and Sample Population A narrative review article including researches on palatal TSADs in orthodontics related to anatomy, success rate and clinical application. Materials and Methods The anatomical characteristics, success rate and its consideration factors and clinical application of palatal TSADs based on the direction of tooth movement were evaluated. Results To improve the stability of TSADs, hard tissue factors such as bone depth, cortical bone thickness, bone density and soft tissue thickness were evaluated. Anatomically risky structures, including the nasopalatine foramen, canal and the greater palatine foramen, nerve, vessel need to be identified before placement. The success rate of palatal TSADs was greater than that of the buccal inter‐radicular space. Palatal TSADs have been used for various purposes because they can control tooth movement in all directions and, three‐dimensionally; their applications include the retraction of anterior teeth, protraction of posterior teeth, distalization, intrusion, expansion and constriction. They can be applied directly or indirectly to the lingual arch or transpalatal arch. Design modifications using splinted 2 miniscrews have been suggested. Conclusion Palatal TSADs allow clinicians to perform minimally invasive and easy placement with good stability by understanding the anatomical characteristics of the palatal region, and they show good control over 3‐dimensional tooth movements in various clinical cases.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33278057</pmid><doi>10.1111/ocr.12451</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-4872-7095</orcidid><orcidid>https://orcid.org/0000-0001-7310-7421</orcidid><orcidid>https://orcid.org/0000-0002-9553-8561</orcidid></addata></record>
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source MEDLINE; Access via Wiley Online Library
subjects anatomy
application
Bone density
Cortical bone
Dentistry
Orthodontic Anchorage Procedures
Orthodontic Appliance Design
Orthodontics
palatal
Success
success rate
Teeth
temporary skeletal anchorage device
Tooth Movement Techniques
title Palatal temporary skeletal anchorage devices (TSADs): What to know and how to do?
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