UTILIZATION MINI-IMPLANTS IN MANAGING CLASS II MALOCCLUSION ASSOCIATED WITH MOLAR LOSS IN ADOLESCENT AT MILITARY HOSPITAL 175: A CASE STUDY
DOI:
https://doi.org/10.59354/ydth175.2025.393Keywords:
mini-implants, adolescent, maxillary protrusion, protracted molarAbstract
Mini-implants are becoming increasingly popular in orthodontic treatment due to their ability to optimize tooth movement efficiency and reduce treatment time. However, the use of mini-implants in adolescent patients presents several challenges, including instances of loosening or loss of the mini-implants. This report presents and discusses the clinical aspects of mini-implants, highlighting the advantages and drawbacks encountered during the treatment process. By utilizing mini-implants, the adjustment of dental protrusion, maxillary alveolar bone prominence, and the approximation of mandibular molars can be effectively achieved, resulting in the restoration of facial aesthetics and dental morphology, while also optimizing masticatory function in the molar region. Treatment outcomes indicate a significant improvement in skeletal relationships between the dental arches, with a reduction in the protrusion of the anterior teeth and the second and third molars, thereby facilitating functional compensation for the first molar lost due to severe caries. These findings demonstrate that mini-implants can yield positive results when managed appropriately, underscoring their potential effectiveness in adolescent orthodontic care
References
1. Valeri C., Aloisio A., Marzo G. et al (2024). What is the impact of patient attributes, implant characteristics, surgical techniques, and placement location on the success of orthodontic mini-implants in young adults? A Systematic Review and Meta Analysis. The Saudi Dental Journal. https://doi.org/10.1016/j.sdentj.2024.07.013.
2. Bungău T. C., Vaida, L. L., Moca, A. E. et al (2022). Mini-implant rejection rate in teenage patients depending on insertion site: a retrospective study. Journal of Clinical Medicine, 11(18), 5331. https://doi.org/10.3390/jcm11185331
3. Lambert F., Botilde G., Lecloux G. et al (2017). Effectiveness of temporary implants in teenage patients: a prospective clinical trial. Clinical oral implants research, 28(9), 1152-1157. https://doi.org/10.1111/clr.12931
4. Motoyoshi M., Matsuoka M., Shimizu N. (2007). Application of orthodontic mini-implants in adolescents. International journal of oral and maxillofacial surgery, 36(8), 695-699. https://doi.org/10.1016/j.ijom.2007.03.009
5. Jayaratne Y. S. N., Uribe F., Janakiraman N. (2017). Maxillary incisors changes during space closure with conventional and skeletal anchorage methods: a systematic review. Journal of Istanbul University Faculty of Dentistry, 51(3), S90. doi: 10.17096/jiufd.52884
6. Upadhyay M., Yadav S., Nanda R. (2014). Biomechanics of incisor retraction with mini-implant anchorage. Journal of orthodontics, 41(1), s15-s23. https:// doi.org/10.1179/1465313314Y.0000000114.


