Fully customized placement of orthodontic miniplates: a novel clinical technique

Hourfar, Jan and Kanavakis, Georgios and Goellner, Peter and Ludwig, Björn. (2014) Fully customized placement of orthodontic miniplates: a novel clinical technique. Head & Face Medicine, 10. p. 14.

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Official URL: https://edoc.unibas.ch/80669/

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The initial stability and survival rate of orthodontic mini-implants are highly dependent on the amount of cortical bone at their insertion site. In areas with limited bone availability, mini-plates are preferred to provide effective skeletal anchorage. The purpose of this paper was to present a new clinical technique for the insertion of mini-plates.; In order to apply this new technique, a cone-beam image of the insertion area is required. A software (Galaxy Sirona, Bensheim, Germany) is used to construct a three-dimensional image of the scanned area and to virtually determine the exact location of the mini-plate as well as the position of the fixation screws. A stereolithographic model (STL) is then created by means of a three-dimensional scanner.Prior to its surgical insertion, the bone plate is adapted to the stereo-lithographic model. Finally, a custom transfer jig is fabricated in order to assist with accurate placement of the mini-plate intra-operatively.; The presented technique minimizes intra-operative decision making, because the final position of the bone plate is determined pre-surgically. This significantly reduces the duration of the surgical procedure and improves its outcome.; A novel method for surgical placement of orthodontic mini-plates is presented. The technique facilitates accurate adaptation of mini-plates and insertion of retaining surgical screws; thereby enabling clinicians to more confidently increase the use of bone plates, especially in anatomical areas where the success of non-osseointegrated mini-screws is less favorable.
Faculties and Departments:03 Faculty of Medicine > Departement Zahnmedizin > Klinik Kieferorthopädie Kinderzahnmedizin
UniBasel Contributors:Kanavakis, Georgios M.
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:BioMed Central
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:20 Apr 2021 15:54
Deposited On:20 Apr 2021 15:54

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