Miniscrews are used in orthodontic treatment and can be applied immediately after implantation, making their initial stability crucial. However, clinical reports show that the success rate is not 100%, and many researchers have tried to identify the factors influencing success and optimize designs. A review of the literature reveals that studies on the same geometric parameter of miniscrews using different indicators and different brand samples have led to conflicting results. This study will use consistent miniscrew conditions to verify whether the design differences in the literature are reasonable. This study employs the Taguchi method and ANOVA for optimization analysis. The four control factors comprise thread pitch, thread depth, tip taper angle, and self-tapping notch. Using an L9(3) orthogonal array, the experimental models are reduced to nine. The primary stability indicators for the miniscrew include bending strength, pull-out strength, insertion torque, and self-tapping performance. The results of the single-objective experiments in this study align with the findings from the other literature. However, when analyzed collectively, they do not yield the same optimal solution. Under equal weighting, the combined multi-objective optimal solution is A2B2C1D1. This study exhibits minimal experimental error, ensuring high analytical reliability. The findings confirm that the optimal design does not converge across four single-objective analyses, as different stability indicators yield contradictory trends in design parameters. Given that these four indicators already demonstrate notable discrepancies, the influence of additional stability factors would be even more pronounced. Therefore, a multi-objective optimization approach is essential for the rational design of miniscrews.
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http://dx.doi.org/10.3390/ma18050973 | DOI Listing |
Materials (Basel)
February 2025
Department of Mechanical Engineering, Asia Eastern University of Science and Technology, New Taipei City 220303, Taiwan.
Miniscrews are used in orthodontic treatment and can be applied immediately after implantation, making their initial stability crucial. However, clinical reports show that the success rate is not 100%, and many researchers have tried to identify the factors influencing success and optimize designs. A review of the literature reveals that studies on the same geometric parameter of miniscrews using different indicators and different brand samples have led to conflicting results.
View Article and Find Full Text PDFZhong Nan Da Xue Xue Bao Yi Xue Ban
October 2024
Xiangya Stomatological Hospital and Xiangya School of Stomatology, Central South University; Hunan Engineering Research Center for Digital Intelligence and Personalized Medicine; Hunan 3D Printing Engineering Research Center of Oral Care, Changsha 410008.
Objectives: Maxillary transverse deficiency is a common malocclusion frequently observed in orthodontic clinics. Miniscrew-assisted rapid palatal expansion (MARPE) not only produces greater skeletal expansion but also offers advantages such as simple miniscrew implantation without flap elevation, enhanced patient comfort, and an expanded age range and indications for palatal expansion. However, the fixed connection between the expander and the miniscrews makes the expander difficult to remove, significantly hindering its clinical application.
View Article and Find Full Text PDFAsian J Neurosurg
March 2025
Center for Minimally Invasive Spinal Surgery, Shin Yurigaoka General Hospital, Kawasaki, Kanagawa, Japan.
Cervical open-door laminoplasty using plates and miniscrews is gaining popularity. One of the complications of this procedure is the loosening or back-out of the miniscrews inserted in the lateral mass (LM). Bone mineral density (BMD) measured by computed tomography (CT) has been used as a predictor of bone strength.
View Article and Find Full Text PDFAm J Orthod Dentofacial Orthop
February 2025
Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, China; Department of Orthodontics, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, China; Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, China. Electronic address:
Introduction: This study aimed to assess the anchorage loss in the premolars and anterior teeth during maxillary molar distalization using clear aligners combined with miniscrews, provided that no virtual movement was designed for these teeth.
Methods: A total of 38 maxillary quadrants of 21 participants were analyzed. Digital models were gathered before and after the designed initial movement of the premolars and anterior teeth and superimposed using the palatal rugae area.
Evid Based Dent
February 2025
Orofacial Pain Specialist (USA), Diplomate, American Board of Orofacial Pain (Retired), Faculty of Medical and Health Sciences, Department of Oral Pathology, Oral Medicine, Maxillofacial Imaging, Tel Aviv University Goldschleger School Dental Medicine, Tel Aviv, Israel.
A Commentary On: Zhang J, Chen G, Li W, Xu T, Gao X Upper airway changes after orthodontic extraction treatment in adults: a preliminary study using cone beam computed tomography. PLoS ONE 2015; https://doi.org/10.
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