AI Article Synopsis
- The study aimed to evaluate and compare the stability of buccal shelf mini-screws using two different placement techniques: self-drilling and pre-drilling.
- A randomized controlled trial was conducted with 7 patients where screws were placed in one quadrant with each technique and their stability measured over four months using the Resonance Frequency Analysis method.
- Results showed that pre-drilling resulted in significantly higher stability for the screws than self-drilling, underscoring the importance of insertion techniques for orthodontic clinicians.
Article Abstract
Objectives: To examine and compare the stability of buccal shelf mini-screws using self-drilling and pre-drilling implant placement techniques.
Methodology: It was a split-mouth, randomized controlled trial comprising of 7 patients, each receiving two buccal shelf bone screws. The screws were placed using a self-drilling protocol in one quadrant and a pre-drilling protocol in the opposing quadrant decided via coin toss randomization. Stability was examined at the time of placement and 1,2, 3 and 4 months thereafter, using the Resonance Frequency Analysis method with the Osstell Beacon device. The Implant Stability Quotient (ISQ) obtained was then compared and assessed between both quadrants. Friedman's Two-Way Analysis of Variance and the Wilcoxon signed rank test were utilized for the intergroup comparison. A statistically significant result was defined as one with a p-value of less than 0.05.
Results: A statistically significant difference between the mean ISQ reading in the pre-drilling and self-drilling group was observed, indicating higher stability of bone screws placed with the pre-drilling protocol. The primary stability of the buccal shelf screws decreased after placement, but the secondary stability remained stable.
Conclusion: Buccal shelf bone screws placed with a pre-drilling protocol depicted greater primary and secondary stability as compared to the self-drilling protocol, as depicted by the ISQ readings obtained. Resonance Frequency Analysis can be used as a valuable tool to assess the stability of buccal shelf bone screws.
Clinical Relevance: The use of buccal shelf screws has increased tremendously over the past few years due to their myriad applications and have now become an essential part of an orthodontist's armamentarium. It is therefore essential for clinicians to be well-informed about all aspects of their use including insertion techniques. The results of this trial indicate that the pre-drilling protocol provides better stability and therefore treatment outcomes.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11452459 | PMC |
| http://dx.doi.org/10.1007/s00784-024-05925-7 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Successful management and stability of maxillary class II dentoalveolar protrusion with extractions of upper second and lower third molars, using en-masse distalization and vertical control with bone miniscrews: Adult case report with 7-year follow-up.
Int Orthod
October 2024
State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, 237 Luoyu Road, Wuhan 430079, P. R. China; Orthodontic Department Division II, School & Hospital of Stomatology, Wuhan University, Wuhan, China. Electronic address:
This case report describes the successful long-term management of a 19-year-old female patient presenting with a skeletal Class II pattern, mild anterior open bite, and mandibular retrognathia. The orthodontic treatment approach involved the distal movement of the maxillary and mandibular dentitions through the extraction of the maxillary second molars and mandibular third molars, combined with the use of extra-alveolar infrazygomatic crest (IZC) and buccal shelf (BS) miniscrews for anchorage. The treatment outcome achieved a stable, well-aligned dentition with ideal intercuspation and an improved facial profile.
View Article and Find Full Text PDFComparative assessment of the stability of buccal shelf mini-screws with and without pre-drilling- a split-mouth, randomized controlled trial.
Clin Oral Investig
October 2024
Department of Oral Pathology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Article Synopsis
- The study aimed to evaluate and compare the stability of buccal shelf mini-screws using two different placement techniques: self-drilling and pre-drilling.
- A randomized controlled trial was conducted with 7 patients where screws were placed in one quadrant with each technique and their stability measured over four months using the Resonance Frequency Analysis method.
- Results showed that pre-drilling resulted in significantly higher stability for the screws than self-drilling, underscoring the importance of insertion techniques for orthodontic clinicians.
Evaluation of Bi-layer Silk Fibroin Grafts for Inlay Vaginoplasty in a Rat Model.
Tissue Eng Regen Med
October 2024
Department of Urology, University of California, Irvine, Building 55, 101 The City Drive South., Rm. 300, Orange, CA, USA.
Background: Autologous tissues derived from bowel, buccal mucosa and skin are primarily used to repair or replace diseased vaginal segments as well as create neovaginas for male-to-female transgenders. These grafts are often limited by scarce tissue supply, donor site morbidity and post-operative complications. Bi-layer silk fibroin (BLSF) biomaterials represent potential alternatives for vaginoplasty given their structural strength and elasticity, low immunogenicity, and processing flexibility.
View Article and Find Full Text PDFDigital comparative analysis in three dimensions of two impression techniques for the bilateral distal extension of partially edentulous mandibular arches: A pilot clinical study.
J Prosthet Dent
May 2024
Professor, Prosthodontics Unit, School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia; and Professor, Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, University City, United Arab Emirates.
Statement Of Problem: The stability of mandibular removable partial dentures with bilateral distal extensions may be improved with the controlled tissue support achieved by using the altered cast impression technique, although this process is time-consuming and technique-sensitive.
Purpose: The purpose of this pilot clinical study was to compare casts generated from a conventional definitive impression with casts generated from an altered cast impression using a 3-dimensional (3D) analysis software program.
Material And Methods: Three partially edentulous participants with mandibular Kennedy Class I were enrolled, and impressions were made with the 2 techniques and poured in stone.
Three new species of free-living marine nematodes of the genus (Nematoda: Microlaimidae) from the continental shelf off northeastern Brazil (Atlantic Ocean).
PeerJ
May 2024
Zoologia, Universidade Federal de Pernambuco, Recife, PE, Brazil.
Three new species of the genus (Nematoda: Microlaimidae) are described from sample sediments collected in the South Atlantic, along the Continental Shelf break of Northeastern Brazil. possesses four setiform cephalic sensillae, a buccal cavity with three small teeth, arched and slender spicules and a wave-shaped gubernaculum. is characterized by four small cephalic sensillae, a buccal cavity with three teeth (one large dorsal tooth), cephalated spicules and a strongly arched gubernaculum in the distal region.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!