Effects of the diameter and shape of orthodontic mini-implants on microdamage to the cortical bone

Introduction The purpose of this study was to investigate the effects of the diameter and shape of orthodontic mini-implants (OMIs) on microdamage to the cortical bone during implant placement. Methods Twenty-eight self-drilling OMIs (Biomaterials Korea, Seoul, Korea; length, 6 mm; diameters, 1.5 an...

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Veröffentlicht in:American journal of orthodontics and dentofacial orthopedics 2010-07, Vol.138 (1), p.8.e1-8.e8
Hauptverfasser: Lee, Nam-Ki, Baek, Seung-Hak
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container_title American journal of orthodontics and dentofacial orthopedics
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creator Lee, Nam-Ki
Baek, Seung-Hak
description Introduction The purpose of this study was to investigate the effects of the diameter and shape of orthodontic mini-implants (OMIs) on microdamage to the cortical bone during implant placement. Methods Twenty-eight self-drilling OMIs (Biomaterials Korea, Seoul, Korea; length, 6 mm; diameters, 1.5 and 2 mm; cylindrical and tapered shapes; classified as 1.5C, 2C, 1.5T, and 2T) were placed with a surgical device in the tibias of 7 New Zealand white rabbits (mature males; mean age, 6 months; mean weight, 3.1 kg). Four OMIs of each type per rabbit were placed randomly. Maximum insertion torque (MIT) was measured. Immediately after placement of the OMIs, the block of bone with the OMI was harvested. Cortical bone thickness was measured by using microcomputed tomography, and histomorphometric analyses of the number of cracks (NC), accumulated crack length (ACL), maximum radius of the crack (MRC), and longest crack (LC) were performed. Kruskal-Wallis and Mann-Whitney U tests with the Bonferroni adjustment were done for statistical analyses. Results Increased diameter (1.5C
doi_str_mv 10.1016/j.ajodo.2010.02.019
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Methods Twenty-eight self-drilling OMIs (Biomaterials Korea, Seoul, Korea; length, 6 mm; diameters, 1.5 and 2 mm; cylindrical and tapered shapes; classified as 1.5C, 2C, 1.5T, and 2T) were placed with a surgical device in the tibias of 7 New Zealand white rabbits (mature males; mean age, 6 months; mean weight, 3.1 kg). Four OMIs of each type per rabbit were placed randomly. Maximum insertion torque (MIT) was measured. Immediately after placement of the OMIs, the block of bone with the OMI was harvested. Cortical bone thickness was measured by using microcomputed tomography, and histomorphometric analyses of the number of cracks (NC), accumulated crack length (ACL), maximum radius of the crack (MRC), and longest crack (LC) were performed. Kruskal-Wallis and Mann-Whitney U tests with the Bonferroni adjustment were done for statistical analyses. Results Increased diameter (1.5C<2C and 1.5T<2T) and tapering (1.5C<2T) resulted in increased values of MIT, NC, and LC ( P <0.01, respectively). Similarly, with increased diameters (1.5C and 1.5T<2C and 2T), there were increases of ACL and MRC ( P <0.001, respectively). However, there were no differences in the values of MIT, NC, ACL, MRC, and LC between the cylindrical and tapered OMIs with the same diameters (1.5C and 1.5T, 2C and 2T). Conclusions OMIs with larger diameters and tapered shapes caused greater microdamage to the cortical bone; this might affect bone remodeling and the stability of the OMIs.]]></description><identifier>ISSN: 0889-5406</identifier><identifier>EISSN: 1097-6752</identifier><identifier>DOI: 10.1016/j.ajodo.2010.02.019</identifier><identifier>PMID: 20620822</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Animals ; Bone and Bones - injuries ; Bone and Bones - pathology ; Dental Implantation, Endosseous - adverse effects ; Dentistry ; Implants, Experimental - adverse effects ; Male ; Orthodontic Anchorage Procedures - adverse effects ; Orthodontic Anchorage Procedures - instrumentation ; Orthodontic Appliance Design ; Rabbits ; Tibia</subject><ispartof>American journal of orthodontics and dentofacial orthopedics, 2010-07, Vol.138 (1), p.8.e1-8.e8</ispartof><rights>American Association of Orthodontists</rights><rights>2010 American Association of Orthodontists</rights><rights>Copyright (c) 2010 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c511t-1cbd961466eca012fab6f35f870c1ed430229d9d4b5df261a1261c5bda7d4d143</citedby><cites>FETCH-LOGICAL-c511t-1cbd961466eca012fab6f35f870c1ed430229d9d4b5df261a1261c5bda7d4d143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajodo.2010.02.019$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20620822$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Nam-Ki</creatorcontrib><creatorcontrib>Baek, Seung-Hak</creatorcontrib><title>Effects of the diameter and shape of orthodontic mini-implants on microdamage to the cortical bone</title><title>American journal of orthodontics and dentofacial orthopedics</title><addtitle>Am J Orthod Dentofacial Orthop</addtitle><description><![CDATA[Introduction The purpose of this study was to investigate the effects of the diameter and shape of orthodontic mini-implants (OMIs) on microdamage to the cortical bone during implant placement. Methods Twenty-eight self-drilling OMIs (Biomaterials Korea, Seoul, Korea; length, 6 mm; diameters, 1.5 and 2 mm; cylindrical and tapered shapes; classified as 1.5C, 2C, 1.5T, and 2T) were placed with a surgical device in the tibias of 7 New Zealand white rabbits (mature males; mean age, 6 months; mean weight, 3.1 kg). Four OMIs of each type per rabbit were placed randomly. Maximum insertion torque (MIT) was measured. Immediately after placement of the OMIs, the block of bone with the OMI was harvested. Cortical bone thickness was measured by using microcomputed tomography, and histomorphometric analyses of the number of cracks (NC), accumulated crack length (ACL), maximum radius of the crack (MRC), and longest crack (LC) were performed. Kruskal-Wallis and Mann-Whitney U tests with the Bonferroni adjustment were done for statistical analyses. Results Increased diameter (1.5C<2C and 1.5T<2T) and tapering (1.5C<2T) resulted in increased values of MIT, NC, and LC ( P <0.01, respectively). Similarly, with increased diameters (1.5C and 1.5T<2C and 2T), there were increases of ACL and MRC ( P <0.001, respectively). However, there were no differences in the values of MIT, NC, ACL, MRC, and LC between the cylindrical and tapered OMIs with the same diameters (1.5C and 1.5T, 2C and 2T). Conclusions OMIs with larger diameters and tapered shapes caused greater microdamage to the cortical bone; this might affect bone remodeling and the stability of the OMIs.]]></description><subject>Animals</subject><subject>Bone and Bones - injuries</subject><subject>Bone and Bones - pathology</subject><subject>Dental Implantation, Endosseous - adverse effects</subject><subject>Dentistry</subject><subject>Implants, Experimental - adverse effects</subject><subject>Male</subject><subject>Orthodontic Anchorage Procedures - adverse effects</subject><subject>Orthodontic Anchorage Procedures - instrumentation</subject><subject>Orthodontic Appliance Design</subject><subject>Rabbits</subject><subject>Tibia</subject><issn>0889-5406</issn><issn>1097-6752</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUk1v1DAQtRCoXUp_ARLKjVOW8UeczQEkVLUFqRIH4Gw59ph1SOLFziL13zPpFg5cerGl8XsznvceY685bDlw_W7Y2iH5tBVAFRBb4N0ztuHQtbVuG_GcbWC36-pGgT5nL0sZAKBTAs7YuQAtYCfEhvXXIaBbSpVCteyx8tFOuGCu7OyrsrcHXF9SXvY0al6iq6Y4xzpOh9HOK22mgsvJ28n-wGpJD10cEaKzY9WnGV-xF8GOBS8f7wv2_eb629Wn-u7L7eerj3e1azhfau5632mutEZngYtgex1kE3YtOI5eSRCi851XfeOD0NxyOlzTe9t65bmSF-ztqe8hp19HLIuZYnE40kcxHYtpG9XIjtZ-Gill15KELSHlCUkrlpIxmEOOk833hoNZXTCDeXDBrC4YEIZcINabx_7HfkL_j_NXdgK8PwGQ9PgdMZviIs4OfczkhvEpPjHgw398N5ItpPhPvMcypGOeSWrDTSGC-boGYc0BpwhIqaT8Ax-Trns</recordid><startdate>20100701</startdate><enddate>20100701</enddate><creator>Lee, Nam-Ki</creator><creator>Baek, Seung-Hak</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QP</scope></search><sort><creationdate>20100701</creationdate><title>Effects of the diameter and shape of orthodontic mini-implants on microdamage to the cortical bone</title><author>Lee, Nam-Ki ; Baek, Seung-Hak</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c511t-1cbd961466eca012fab6f35f870c1ed430229d9d4b5df261a1261c5bda7d4d143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Animals</topic><topic>Bone and Bones - injuries</topic><topic>Bone and Bones - pathology</topic><topic>Dental Implantation, Endosseous - adverse effects</topic><topic>Dentistry</topic><topic>Implants, Experimental - adverse effects</topic><topic>Male</topic><topic>Orthodontic Anchorage Procedures - adverse effects</topic><topic>Orthodontic Anchorage Procedures - instrumentation</topic><topic>Orthodontic Appliance Design</topic><topic>Rabbits</topic><topic>Tibia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Nam-Ki</creatorcontrib><creatorcontrib>Baek, Seung-Hak</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><jtitle>American journal of orthodontics and dentofacial orthopedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Nam-Ki</au><au>Baek, Seung-Hak</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of the diameter and shape of orthodontic mini-implants on microdamage to the cortical bone</atitle><jtitle>American journal of orthodontics and dentofacial orthopedics</jtitle><addtitle>Am J Orthod Dentofacial Orthop</addtitle><date>2010-07-01</date><risdate>2010</risdate><volume>138</volume><issue>1</issue><spage>8.e1</spage><epage>8.e8</epage><pages>8.e1-8.e8</pages><issn>0889-5406</issn><eissn>1097-6752</eissn><abstract><![CDATA[Introduction The purpose of this study was to investigate the effects of the diameter and shape of orthodontic mini-implants (OMIs) on microdamage to the cortical bone during implant placement. Methods Twenty-eight self-drilling OMIs (Biomaterials Korea, Seoul, Korea; length, 6 mm; diameters, 1.5 and 2 mm; cylindrical and tapered shapes; classified as 1.5C, 2C, 1.5T, and 2T) were placed with a surgical device in the tibias of 7 New Zealand white rabbits (mature males; mean age, 6 months; mean weight, 3.1 kg). Four OMIs of each type per rabbit were placed randomly. Maximum insertion torque (MIT) was measured. Immediately after placement of the OMIs, the block of bone with the OMI was harvested. Cortical bone thickness was measured by using microcomputed tomography, and histomorphometric analyses of the number of cracks (NC), accumulated crack length (ACL), maximum radius of the crack (MRC), and longest crack (LC) were performed. Kruskal-Wallis and Mann-Whitney U tests with the Bonferroni adjustment were done for statistical analyses. Results Increased diameter (1.5C<2C and 1.5T<2T) and tapering (1.5C<2T) resulted in increased values of MIT, NC, and LC ( P <0.01, respectively). Similarly, with increased diameters (1.5C and 1.5T<2C and 2T), there were increases of ACL and MRC ( P <0.001, respectively). However, there were no differences in the values of MIT, NC, ACL, MRC, and LC between the cylindrical and tapered OMIs with the same diameters (1.5C and 1.5T, 2C and 2T). Conclusions OMIs with larger diameters and tapered shapes caused greater microdamage to the cortical bone; this might affect bone remodeling and the stability of the OMIs.]]></abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>20620822</pmid><doi>10.1016/j.ajodo.2010.02.019</doi></addata></record>
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subjects Animals
Bone and Bones - injuries
Bone and Bones - pathology
Dental Implantation, Endosseous - adverse effects
Dentistry
Implants, Experimental - adverse effects
Male
Orthodontic Anchorage Procedures - adverse effects
Orthodontic Anchorage Procedures - instrumentation
Orthodontic Appliance Design
Rabbits
Tibia
title Effects of the diameter and shape of orthodontic mini-implants on microdamage to the cortical bone
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