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Intrusion of overerupted maxillary molars with miniscrew implant anchorage: A radiographic evaluation

Journal of Huazhong University of Science and Technology [Medical Sciences] volume 33, pages 780–785 (2013)Cite this article

Summary

The aim of this retrospective study was to quantitatively evaluate the treatment effects of intrusion of overerupted maxillary molars using miniscrew implant anchorage and to investigate the apical root resorption after molar intrusion. The subjects included 30 patients whose average ages were 35.5±9.0 years. All patients had received intrusion treatments for overerupted maxillary molars with miniscrew anchorage. There were 38 maxillary first molars and 26 maxillary second molars to be intruded. Two miniscrews were inserted in the buccal and palatal alveolar bone mesial to the overerupted molar. Force of 100–150 g was applied by the elastic chains between screw head and attachment on each side. Lateral cephalograms and panoramic radiographs taken before and after intrusion were used to evaluate dental changes and root resorption of molars. Only 6 of the 128 miniscrews failed. The first and second molars were significantly intruded by averages of 3.4 mm and 3.1 mm respectively (P<0.001). The average intrusion time was more than 6 months. The crown of the molars mesially tilted by averages of 3.1 degrees and 3.3 degrees (P<0.001) for first and second molars. The amounts of root resorption were 0.2–0.4 mm on average. The intrusion treatment of overerupted molars with miniscrew anchorages could be used as an efficient and reliable method to recover lost restoration space for prosthesis. Radiographically speaking, root resorption of molars was not clinically significant after application of intrusive forces of 200 to 300 g.

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Authors and Affiliations

  1. Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, 100081, China

    Chun-lei Xun  (寻春雷) & Xiang-long Zeng  (曾祥龙)

  2. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, 100081, China

    Xing Wang  (王 兴)

  3. Center of Stomatology, General Hospital of Chinese People’s Armed Police Forces, Beijing, 100039, China

    Hong Zhao  (赵 弘)

Authors
  1. Chun-lei Xun  (寻春雷)
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  2. Hong Zhao  (赵 弘)
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  3. Xiang-long Zeng  (曾祥龙)
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  4. Xing Wang  (王 兴)
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Correspondence to Chun-lei Xun  (寻春雷).

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Xun, Cl., Zhao, H., Zeng, Xl. et al. Intrusion of overerupted maxillary molars with miniscrew implant anchorage: A radiographic evaluation. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 33, 780–785 (2013). https://doi.org/10.1007/s11596-013-1197-5

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  • DOI: https://doi.org/10.1007/s11596-013-1197-5

Key words

  • overerupted molar
  • miniscrew implant anchorage
  • molar intrusion