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Mini-screw implant-supported pontics for the transitional management of missing permanent maxillary lateral incisors in children and adolescents: a review of currently available evidence

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Abstract

Aim

To review currently available evidence regarding the use of mini-screw implant (MSI)-supported pontics for the transitional management of missing permanent maxillary lateral incisors in children and adolescents.

Methods

Indexed databases were searched until October 2019. The following inclusion criteria were imposed: (a) children and adolescents with missing permanent maxillary lateral incisor/s; (b) temporary replacement of missing permanent maxillary lateral incisors with MSI-supported pontics; (c) clinical and radiographic assessment of the outcome [MSI stability and/or alveolar bone (ALB) development]; and (d) follow-up after pontic placement. Commentaries, letters to the Editor, reviews, and studies in adult patients and/or patients with systemic/genetic diseases, with no follow-up, and without clinical and radiographic assessment of the outcome were excluded.

Results

Six out of 225 initially-identified studies were included. All studies were case-reports/series. A variability was observed among studies-assessed regarding the treatment protocol such as in the MSI dimensions, loading time and pontic retention protocol. Results from the included studies indicate that the MSI-supported pontics remained stable, with no infraocclusion and angular bony defect formation, ALB levels and bone density were maintained, and there was vertical ALB development during the follow-up period which ranged up to 99 months. Reported complications included MSI loss due to mobility, crown repair/replacement due to discoloration, and gingival impingement.

Conclusions

The limited evidence shows that MSI-supported pontics are useful transitional restorations for missing permanent maxillary lateral incisors in children and adolescents; however, further well-designed clinical trials are needed in this regard.

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References

  • Arandi NZ, Mustafa S. Maxillary lateral incisor agenesis; a retrospective cross-sectional study. Saudi Dent J. 2018;30:155–60.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bodic F, Hamel L, Lerouxel E, Basle MF, Chappard D. Bone loss and teeth. Joint Bone Spine. 2005;72:215–21.

    Article  PubMed  Google Scholar 

  • Buyukguclu G, Ozkurt-Kayahan Z, Kazazoglu E. Reliability of the Osstell implant stability quotient and penguin resonance frequency analysis to evaluate implant stability. Implant Dent. 2018;27:429–33.

    Article  PubMed  Google Scholar 

  • Ciarlantini R, Melsen B (2012) Miniscrew-retained pontics in growing patients: a biological approach. J Clin Orthod. 46:638–40; quiz 2.

  • Ciarlantini R, Melsen B. Semipermanent replacement of missing maxillary lateral incisors by mini-implant retained pontics: a follow-up study. Am J Orthod Dentofacial Orthop. 2017;151:989–94.

    Article  PubMed  Google Scholar 

  • Clark D, Levin L. Dental implant management and maintenance: How to improve long-term implant success? Quintessence Int. 2016;47:417–23.

    PubMed  Google Scholar 

  • Collins R. Restoration of congenitally missing maxillary lateral incisors using mini implants. Tex Dent J. 2013a;130:610–6.

    PubMed  Google Scholar 

  • Collins R. Restoration of congenitally missing maxillary lateral incisors using mini implants. J Mich Dent Assoc. 2013b;95(36–40):53.

    Google Scholar 

  • Cope JB, McFadden D. Temporary replacement of missing maxillary lateral incisors with orthodontic miniscrew implants in growing patients: rationale, clinical technique, and long-term results. J Orthod. 2014;41(Suppl 1):s62–74.

    Article  PubMed  Google Scholar 

  • Dallel I, Marwen W, Ben Abdallah S, Tobji S, Ben Amor A, Canal P. Agenesis of the upper lateral incisors: study of an orthodontic population and clinical illustration. Int Orthod. 2018;16:384–407.

    PubMed  Google Scholar 

  • de Oliveira NS, Barbosa GLR, Lanza LD, Pretti H. Prosthetic rehabilitation of child victim of avulsion of anterior teeth with orthodontic mini-implant. Case Rep Dent. 2017;2017:8905965.

    PubMed  PubMed Central  Google Scholar 

  • Deguchi T, Takano-Yamamoto T, Kanomi R, Hartsfield JK Jr, Roberts WE, Garetto LP. The use of small titanium screws for orthodontic anchorage. J Dent Res. 2003;82:377–81.

    Article  PubMed  Google Scholar 

  • Gollner P, Jung BA, Wehrbein H, Liechti T. New method of temporary rehabilitation after traumatic tooth loss in a juvenile patient: a case report. Dent Traumatol. 2009;25:238–41.

    Article  PubMed  Google Scholar 

  • Graham JW. Temporary replacement of maxillary lateral incisors with miniscrews and bonded pontics. J Clin Orthod. 2007;41:321–5.

    PubMed  Google Scholar 

  • Gurgel JA, Tavarez RR, Ursi WJ, Neves MG, Bramante FS, Pinzan-Vercelino CR. Mini-implants as provisional anchorage for the replacement of missing anterior teeth: a clinical report. J Prosthet Dent. 2014;112:706–9.

    Article  PubMed  Google Scholar 

  • Hashim HA, Al-Said S. The prevalence and distribution of hypodontia in a sample of Qatari patients. J Orthod Sci. 2016;5:1–6.

    Article  PubMed  PubMed Central  Google Scholar 

  • Huja SS, Rao J, Struckhoff JA, Beck FM, Litsky AS. Biomechanical and histomorphometric analyses of monocortical screws at placement and 6 weeks postinsertion. J Oral Implantol. 2006;32:110–6.

    Article  PubMed  Google Scholar 

  • Jeong DM, Choi B, Choo H, Kim JH, Chung KR, Kim SH. Novel application of the 2-piece orthodontic C-implant for temporary crown restoration after orthodontic treatment. Am J Orthod Dentofacial Orthop. 2011;140:569–79.

    Article  PubMed  Google Scholar 

  • Jofre J, Werner A. Use of mini implants to replace a missing tooth in a growing patient: a six-year follow up case report. Eur J Paediatr Dent. 2015;16:284–6.

    PubMed  Google Scholar 

  • Josefsson E, Lindsten R. Treatment of missing maxillary lateral incisors: a clinical and aesthetic evaluation. Eur J Orthod. 2019;41:273–8.

    Article  PubMed  Google Scholar 

  • Kalia AJ. Mini screw orthodontic implant as temporary crown restoration to replace unilateral missing lateral incisor post-orthodontic treatment. J Oral Implantol. 2015;41:306–9.

    Article  PubMed  Google Scholar 

  • Kiliaridis S, Sidira M, Kirmanidou Y, Michalakis K. Treatment options for congenitally missing lateral incisors. Eur J Oral Implantol. 2016;9(Suppl 1):S5–24.

    PubMed  Google Scholar 

  • Kim DG, Jeong YH, Chien HH, Agnew AM, Lee JW, Wen HB. Immediate mechanical stability of threaded and porous implant systems. Clin Biomech (Bristol, Avon). 2017;48:110–7.

    Article  Google Scholar 

  • Kumari P, Verma M, Sainia V, Gupta A, Gupta R, Gill S. Mini-implants, mega solutions: a case series. J Prosthodont. 2016;25:682–6.

    Article  PubMed  Google Scholar 

  • Lambert PM, Morris HF, Ochi S. The influence of smoking on 3-year clinical success of osseointegrated dental implants. Ann Periodontol. 2000;5:79–89.

    Article  PubMed  Google Scholar 

  • Lim SA, Cha JY, Hwang CJ. Insertion torque of orthodontic miniscrews according to changes in shape, diameter and length. Angle Orthod. 2008;78:234–40.

    Article  PubMed  Google Scholar 

  • Matalova E, Fleischmannova J, Sharpe PT, Tucker AS. Tooth agenesis: from molecular genetics to molecular dentistry. J Dent Res. 2008;87:617–23.

    Article  PubMed  Google Scholar 

  • Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg. 2010;8:336–41.

    Article  PubMed  Google Scholar 

  • Packota GV, Hoover JN, Neufeld BD. A study of the height of intact alveolar bone on panoramic radiographs of adult patients. J Prosthet Dent. 1988;60:504–9.

    Article  PubMed  Google Scholar 

  • Paquette DE. Miniscrew-supported transitional tooth replacement: an esthetic alternative. J Clin Orthod. 2010;44:321–5.

    PubMed  Google Scholar 

  • Percinoto C, Vieira AE, Barbieri CM, Melhado FL, Moreira KS. Use of dental implants in children: a literature review. Quintessence Int. 2001;32:381–3.

    PubMed  Google Scholar 

  • Rabel A, Kohler SG, Schmidt-Westhausen AM. Clinical study on the primary stability of two dental implant systems with resonance frequency analysis. Clin Oral Investig. 2007;11:257–65.

    Article  PubMed  Google Scholar 

  • Rupp RP, Dillehay JK, Squire CF. Orthodontics, prosthodontics, and periodontics: a multidisciplinary approach. Gen Dent. 1997;45:286–9.

    PubMed  Google Scholar 

  • Sadr Haghighi AH, Pouyafar V, Navid A, Eskandarinezhad M, Abdollahzadeh BT. Investigation of the optimal design of orthodontic mini-implants based on the primary stability: a finite element analysis. J Dent Res Dent Clin Dent Prospects. 2019;13:85–9.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sfeir E, Nassif N, Moukarzel C. Use of mini dental implants in ectodermal dysplasia children: follow-up of three cases. Eur J Paediatr Dent. 2014;15:207–12.

    PubMed  Google Scholar 

  • Silva MR. Radiographic assessment of congenitally missing teeth in orthodontic patients. Int J Paediatr Dent. 2003;13:112–6.

    Article  Google Scholar 

  • Spear FM, Mathews DM, Kokich VG. Interdisciplinary management of single-tooth implants. Semin Orthod. 1997;3:45–72.

    Article  PubMed  Google Scholar 

  • Thilander B, Odman J, Lekholm U. Orthodontic aspects of the use of oral implants in adolescents: a 10-year follow-up study. Eur J Orthod. 2001;23:715–31.

    Article  PubMed  Google Scholar 

  • Thoma DS, Sailer I, Ioannidis A, Zwahlen M, Makarov N, Pjetursson BE. A systematic review of the survival and complication rates of resin-bonded fixed dental prostheses after a mean observation period of at least 5 years. Clin Oral Implants Res. 2017;28:1421–32.

    Article  PubMed  Google Scholar 

  • Uribe F, Padala S, Allareddy V, Nanda R. Cone-beam computed tomography evaluation of alveolar ridge width and height changes after orthodontic space opening in patients with congenitally missing maxillary lateral incisors. Am J Orthod Dentofacial Orthop. 2013;144:848–59.

    Article  PubMed  Google Scholar 

  • Vilhjalmsson VH, Knudsen GC, Grung B, Bardsen A. Dental auto-transplantation to anterior maxillary sites. Dent Traumatol. 2011;27:23–9.

    Article  PubMed  Google Scholar 

  • Wilmes B, Nienkemper M, Renger S, Drescher D. Mini-implant-supported temporary pontics. J Clin Orthod. 2014;48:422–9.

    PubMed  Google Scholar 

  • Woods PW, Buschang PH, Owens SE, Rossouw PE, Opperman LA. The effect of force, timing, and location on bone-to-implant contact of miniscrew implants. Eur J Orthod. 2009;31:232–40.

    Article  PubMed  Google Scholar 

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Acknowledgements

There was no external source of funding for the present study.

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Authors and Affiliations

  1. Division of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, USA

    D. Michelogiannakis & F. Javed

  2. Department of Orthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece

    H. Vastardis

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  1. D. Michelogiannakis
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  2. F. Javed
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  3. H. Vastardis
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Correspondence to H. Vastardis.

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Michelogiannakis, D., Javed, F. & Vastardis, H. Mini-screw implant-supported pontics for the transitional management of missing permanent maxillary lateral incisors in children and adolescents: a review of currently available evidence. Eur Arch Paediatr Dent 21, 285–293 (2020). https://doi.org/10.1007/s40368-020-00521-1

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