Mini-implant-anchored Mesialslider for simultaneous mesialisation and intrusion of upper molars in an anterior open bite case: a three-year follow-up

Benedict Wilmes; Vandana Katyal; Jan Willmann; Bruce Stocker; Dieter Drescher

doi:10.21307/aoj-2020-144

.blurhash-client-img { display: none !important; }

Mini-implant-anchored Mesialslider for simultaneous mesialisation and intrusion of upper molars in an anterior open bite case: a three-year follow-up

Australasian Orthodontic Journal

Volume 31 (2015): Issue 1 (January 2015)

By: Benedict Wilmes, Vandana Katyal, Jan Willmann, Bruce Stocker and Dieter Drescher

Open Access

|Aug 2021

Abstract

Background

The present case report describes the orthodontic treatment and long-term follow-up of an adult female patient (27 years) who was diagnosed with a mild Class III malocclusion characterised by an anterior and lateral open bite and three periodontally-compromised first permanent molars.

Aim

The aim of treatment was to provide an acceptable aesthetic and functional occlusion while, at the same time, improving the periodontal prognosis.

Methods

The patient was treated with fixed orthodontic appliances utilising direct and indirect skeletal anchorage derived from two mini-screws placed in the palate and one mandibular buccal mini-screw.

Results

The objectives of good aesthetics, a functional occlusion, a healthy periodontium and a balanced profile were achieved.

The total treatment time was 31 months, which comprised 13 months of maxillary fixed labial appliances and 25 months of mandibular fixed labial appliances. The three-year follow-up records showed stability of the Class III correction.

References

1. Moyers RE. Handbook of Orthodontics. 2nd edn. Chicago, Illinois: Year Book Medical Publishers, Inc., 1966.
Search in Google Scholar Back to article
2. Baik UB, Chun YS, Jung MH, Sugawara J. Protraction of mandibular second and third molars into missing first molar spaces for a patient with an anterior open bite and anterior spacing. Am J Orthod Dentofacial Orthop 2012;141:783-95.10.1016/j.ajodo.2010.07.03122640680
Search in Google Scholar Back to article
3. Nagaraj K, Upadhyay M, Yadav S. Titanium screw anchorage for protraction of mandibular second molars into first molar extraction sites. Am J Orthod Dentofacial Orthop 2008;134:583-91.10.1016/j.ajodo.2006.09.05518929277
Search in Google Scholar Back to article
4. Kyung SH, Choi JH, Park YC. Miniscrew anchorage used to protract lower second molars into first molar extraction sites. J Clin Orthod 2003;37:575-9.
Search in Google Scholar Back to article
5. Roberts WE, Nelson CL, Goodacre CJ. Rigid implant anchorage to close a mandibular first molar extraction site. J Clin Orthod 1994;28:693-704.
Search in Google Scholar Back to article
6. Wilmes B, Nienkemper M, Nanda R, Lübberink G, Drescher D. Palatally anchored maxillary molar mesialization using the mesialslider. J Clin Orthod 2013;47:172-9.
Search in Google Scholar Back to article
7. Wilmes B, Drescher D. A miniscrew system with interchangeable abutments. J Clin Orthod 2008;42:574-80.
Search in Google Scholar Back to article
8. Wilmes B. Fields of application of mini-implants. In: Ludwig B, Baumgaertel S, Bowman SJ. Mini-Implants in Orthodontics: Innovative Anchorage Concepts. Berlin, New York: Quintessence Publishing Co Ltd, 2008;91-122.
Search in Google Scholar Back to article
9. 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;82:377-81.10.1177/15440591030820051012709505
Search in Google Scholar Back to article
10. Wilmes B, Drescher D, Nienkemper M. A miniplate system for improved stability of skeletal anchorage. J Clin Orthod 2009;43:494-501.
Search in Google Scholar Back to article
11. Graber T, Vanarsdall R, Vig KWL. The decision-making process in orthodontics. In: Orthodontics: current principles and techniques. 5th edn. Philadelphia: Elsevier, 2012;3-58.
Search in Google Scholar Back to article
12. Ludwig B, Glasl B, Bowman SJ, Wilmes B, Kinzinger GS, Lisson JA. Anatomical guidelines for miniscrew insertion: palatal sites. J Clin Orthod 2011;45:433-41.
Search in Google Scholar Back to article
13. Lim HJ, Choi YJ, Evans CA, Hwang HS. Predictors of initial stability of orthodontic miniscrew implants. Eur J Orthod 2011;33:528-32.10.1093/ejo/cjq12221228119
Back to article
14. Kim YH, Yang SM, Kim S, Lee JY, Kim KE, Gianelly AA et al. Midpalatalminiscrews for orthodontic anchorage: factors affecting clinical success. Am J Orthod Dentofacial Orthop 2010;137:66-72.10.1016/j.ajodo.2007.11.03620122433
Search in Google Scholar Back to article
15. Pjetursson BE, Brägger U, Lang NP, Zwahlen M. Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs). Clin Oral Implants Res 2007;18:97-113.10.1111/j.1600-0501.2007.01439.x17594374
Search in Google Scholar Back to article
16. Josefsson E, Brattström V, Tegsjö U, Valerius-Olsson H. Treatment of lower second premolar agenesis by autotransplantation: four-year evaluation of eighty patients. Acta Odontol Scand 1999;57:111-5.10.1080/00016359942900210445365
Search in Google Scholar Back to article
17. Holberg C, Winterhalder P, Holberg N, Wichelhaus A, Rudzki-Janson I. Indirect miniscrew anchorage: biomechanical loading of the dental anchorage during mandibular molar protraction – an FEM analysis. J OrofacOrthop 2014;75:16-24.10.1007/s00056-013-0190-824448924
Search in Google Scholar Back to article
18. Uribe F, Janakiraman N, Fattal AN, Schincaglia GP, Nanda R. Corticotomy-assisted molar protraction with the aid of temporary anchorage device. Angle Orthod 2013;83:1083-92.10.2319/122612-968.1872284623834274
Search in Google Scholar Back to article
19. Jacobs C, Jacobs-Müller C, Luley C, Erbe C, Wehrbein H. Orthodontic space closure after first molar extraction without skeletal anchorage. J Orofac Orthop 2011;72:51-60.10.1007/s00056-010-0007-y21484546
Search in Google Scholar Back to article
20. Stepovich ML. A clinical study on closing edentulous spaces in the mandible. Angle Orthod 1979;49:227-33.
Search in Google Scholar Back to article
21. Jung MH, Kim TW. Biomechanical considerations in treatment with miniscrew anchorage. Part 1: the sagittal plane. J Clin Orthod 2008;42:79-83.
Search in Google Scholar Back to article
22. Sugawara J, Baik UB, Umemori M, Takahashi I, Nagasaka H, Kawamura H et al. Treatment and post treatmentdent oalveolar changes following intrusion of mandibular molars with application of a skeletal anchorage system (SAS) for open bite correction. Int J Adult Orthodon Orthognath Surg 2002;17:243-53.
Search in Google Scholar Back to article
23. Lindskog-Stokland B, Wennström JL, Nyman S, Thilander B. Orthodontic tooth movement into edentulous areas with reduced bone height. An experimental study in the dog. Eur J Orthod 1993;15:89-96.10.1093/ejo/15.2.89
Search in Google Scholar Back to article
24. Lindskog-Stokland B, Hansen K, Ekestubbe A, Wennström JL. Orthodontic tooth movement into edentulous ridge areas – a case series. Eur J Orthod 2013;35:277-85.10.1093/ejo/cjr029
Search in Google Scholar Back to article
25. Hom BM, Turley PK. The effects of space closure of the mandibular first molar area in adults. Am J Orthod 1984;85:457-69.10.1016/0002-9416(84)90085-X
Search in Google Scholar Back to article
26. Li W, Chen F, Zhang F, Ding W, Ye Q, Shi J et al. Volumetric measurement of root resorption following molar mini-screw implant intrusion using cone beam computed tomography. PloS one 2013;8:e60962.10.1371/journal.pone.0060962362166123585866
Search in Google Scholar Back to article
27. Greenlee GM, Huang GJ, Chen SS, Chen J, Koepsell T, Hujoel P. Stability of treatment for anterior open-bite malocclusion: a metaanalysis. Am J Orthod Dentofacial Orthop 2011;139:154-69.10.1016/j.ajodo.2010.10.01921300243
Search in Google Scholar Back to article

Articles in this issue

DOI: https://doi.org/10.21307/aoj-2020-144 | Journal eISSN: 2207-7480 | Journal ISSN: 2207-7472

Journal RSS Feed

Language: English

Page range: 87 - 97

Submitted on: Dec 1, 2014

Accepted on: Apr 1, 2015

Published on: Aug 15, 2021

Published by: Australian Society of Orthodontists Inc.

In partnership with: Paradigm Publishing Services

Publication frequency: 1 issue per year

Related subjects:

Medicine,

Basic medical science,

Basic medical science, other

© 2021 Benedict Wilmes, Vandana Katyal, Jan Willmann, Bruce Stocker, Dieter Drescher, published by Australian Society of Orthodontists Inc.
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 31 (2015): Issue 1 (January 2015)