Advances in skeletal anchorage using mini-implants with abutments for the maxilla and miniplates in the mandible.

Benedict Wilmes

Objective / Their small size allows mini-implants to be inserted in a variety of sites. Currently, the alveolar process is the most preferred insertion site. However, due to the varying bone quality and the risk of root contact, the survival rate of implants inserted in the alveolar ridge still needs improvement. Other regions, such as the anterior palate and the mental region, provide much better conditions for TAD insertion, since the amount and quality of available bone is far superior. Mini-implants with different types of abutments and connectors allow the construction of versatile and cost-efficient appliances for a large variety of orthopedic and orthodontic applications. Utilizing TADs in the anterior palate and the mental region eliminates the risk of root injury and takes the implants out of the path of tooth movement. The design of the interchangeable abutment system provides the orthodontist with a skeletal anchorage system that integrates easily into clinical practice and allows treatment of cases that were difficult or impossible to treat previously.

Keywords: Skeletal anchorage. Mini-implant. Distalization. Class III treatment.

How to cite: Wilmes B. Avanços na ancoragem esquelética com o uso de mini-implantes com abutment na maxila e miniplacas na mandíbula. Rev Clín Ortod Dental Press. 2015 jun-jul;14(3):56-67.

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