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120-Temporary Anchorage Devices in
Orthodontics Miniscrews
Clinical Applications
Awatef SHAAR (BAU-LB), Orthodontist.
Mohamad ABOULNASER- Orthodontist, BAU, Connecticut, USA.
Oussama SANDID- Orthodontist, D.C.D., D.U.O, C.E.S.B.B, C.E.S.O.D.F ,
S.Q.O.D.F, Paris. France.
Contact: dr.aboualnaser@hotmail.com
www.orthofree.com
3-Clinical Applications Miniscrews
1Closure of extraction space
2 Retraction Incisors canines
3For symmetric incisor intrusion, Deep bite
4- Molar intrusion, Open bite
5 -Molar distalization,
6-Molar meliazilation
7-Correction of canted occlusal plane,
8-Dental midline corrections
9Extrusion of impacted canines
10intermaxillary anchorage.
11-Retraction en masse
http://iosrjournals.org/iosr-jdms/papers/Vol15-Issue%2010/Version-9/K1510095562.pdf
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
3a-TADS- Closure of extraction space
• Between maxillary 1st molar and 2nd premolar buccally.
• Purpose: Retraction of the maxillary anterior teeth, Intrusion of maxillary buccal teeth
• Diameter: 1,2 mm and 1,3 mm, Length; 7-8 mm .
• The mesio-buccal root of the maxillary 1st molars are curved mesialy. to avoid root injury drill
the bone somewhat mesial to the contact point between the 2nd premolar and 1st molar .
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
3b-TADs- Retraction of anterior teeth
• Increased overjet and/or anterior crowding, Normal or increased overbite, Buccal mini-
implants (1.5mm diameter, 9mm length, short neck) inserted in U5-6 areas bilaterally.
• Powerarms (on a 19x25 steel archwire) to assist bodily incisor retraction and limit
intrusive effects on maxillary molars.
http://www.infinitas-miniimplant.co.uk/incisor-retraction/incisior-retraction.html
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
3c-TADs-Intrusion-Mandibular symphysis
facially
• Purpose: Intrusion of mandibular anterior teeth.
• Diameter: 1,2mm and 1,3mm, Length :4-6 mm.
• Microimplants Placed in the Mandibular symphysis
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
• Burstone lingual arch with lingual crown torque + buccaly mini-implamts
• Diameter 1,6 mm Length 6mm
• Miniscrew Placement in Posterior Mandibular Sites: insertion angles of 45, 60, and 90 .
Tae-Woo kim ,
http://laboratorioceosa.com/cursos-de-ortodoncia/modulos/modulo-7-
biomecanica-avanzada-y-autoligado/mini-implantes-como-alternativa-de-anclaje/
3d-TADs-Intrusion of lower molar- open bite
Awatef SHAAR ,Mohamad ABOUALNASER , Oussama SANDID
3e-TAD's- Molar intrusion
• 2 mini-implants from the buccal and palatal sides on one tooth will exert intruding force
without tipping
• Dimension: Diameter 1,6mm Length 6-8 mm
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
3f-TAD's - Open Bite
• Anterior openbite with an increased mandibular plane angle.
• Anchorage and intrusion by TPA.
• Palatal mini-implants (1.5mm diameter, 9mm length, long neck) inserted U6-7s (or U5-6s if
U7s not fully erupted) , TPA d'intrusion rigide fabriqué avec 5mm de dégagement au milieu
du palais.
http://www.infinitas-miniimplant.co.uk/anterior-open-bite/anterior-open-bite.html
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
3g-Maxillary tuberosity Area
Molar Distalization
• Purpose: Retraction of the maxillary posterior teeth
• Diameter: 1,3 -1,5 mm, Length 7-8 mm.
• Microimplants placed on the maxillary tuberosity area in lingual orthodontic treatment
https://www.ortodoncia.ws/publicaciones/2014/art31.asp
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
• Purpose: Uprighting of tilted mandibular molar.
• Retraction of the mandibular teeth or the whole dentition
• Diameter: 1,3-1,6mm., lengh: 6-10 mm.
3h-Microimplamts in the Retromolar area
Oussama SANDID, Awatef SHAAR , Mohamad ABOUALNASER
3i-Miniscrew Applications in Orthodontics Mesialization
• Examples of miniscrew-supported mechanics for predictable unilateral space
closure. Miniscrews prevented the typical reactive side effect of midline shift or
anterior anchorage loss that would have occurred with traditional orthodontic
mechanics
BjÖrn Ludwig, ; Bettina Glasl, http://www.orthodonticproductsonline.com/2008/04/miniscrews-2008-04-02/
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
Mesialization of molars using miniscrews
3j-TADs- Molar mesialization
By Yuly Mycaza
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
3k-TADs-Molar Mesialization
• Upper Molar Mesialisation
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
Correction of Occlusal Plane inclination
3l-TADs -Correction of canted occlusal plane
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
3m- TAD's - Centre line Corrections
• Centre line displacement and/or anterior crowding,
• Buccal mini-implants
• (1.5mm diameter, 9mm length, short neck) inserted UR5-6, and LR5-6
http://www.infinitas-miniimplant.co.uk/centreline-corrections/centreline-corrections.html
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
3n-TADs-Extrusion of impacted canines
• TADs
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
3p- Inter-maxillary Fixation / Traction
• Buccal mini-implants (1.5mm diameter, 6 or 9mm length) are inserted at interproximal sites according
to required tractionlocations.
• Upper labial frenectomy may be required.
• Indications:
• Inadequate root length and/or periodontal support for elastictraction.
• Orthognathic cases treated without full labial fixedappliances.
http://www.infinitas-miniimplant.com/fixed-appliance2.html
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
3q-Correction of Deepbite and Bilateral en
masse en mass distalization
Correction of Deepbite and Bilateral en masse en mass
distalization of maxillary
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
3s-Microimplants in between the maxillary 1st
and 2nd molarsbuccaly
• Purpose: Molar distalization
• Retraction of the maxillary anterior teeth ,
• Intrusion of maxillary molars
• Diameter: 1,2 and 1,3mm, Length 7-8mm
• Placement: Vertical
• The hook of 1st molar tube is used to prevent gingival impingement of coil spring
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
3t-Microimplants Between mandibular 1st and 2nd molars
buccaly
• Purpose: Retraction of mandibular anterior teeth, Retraction en masse
Intrusion and distalalization of the mandibular molar
Diameter; 1,2-1,4 mm . Length: 5-7 mm.
• Placement: Vertical
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR

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121 mini-implant-miniscrewsinorthodontics-clinicalapplication-oussama sandid-mohamad aboualnaser-awatefhaar-dentiste-orthodontiste

  • 1. 120-Temporary Anchorage Devices in Orthodontics Miniscrews Clinical Applications Awatef SHAAR (BAU-LB), Orthodontist. Mohamad ABOULNASER- Orthodontist, BAU, Connecticut, USA. Oussama SANDID- Orthodontist, D.C.D., D.U.O, C.E.S.B.B, C.E.S.O.D.F , S.Q.O.D.F, Paris. France. Contact: dr.aboualnaser@hotmail.com www.orthofree.com
  • 2. 3-Clinical Applications Miniscrews 1Closure of extraction space 2 Retraction Incisors canines 3For symmetric incisor intrusion, Deep bite 4- Molar intrusion, Open bite 5 -Molar distalization, 6-Molar meliazilation 7-Correction of canted occlusal plane, 8-Dental midline corrections 9Extrusion of impacted canines 10intermaxillary anchorage. 11-Retraction en masse http://iosrjournals.org/iosr-jdms/papers/Vol15-Issue%2010/Version-9/K1510095562.pdf Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 3. 3a-TADS- Closure of extraction space • Between maxillary 1st molar and 2nd premolar buccally. • Purpose: Retraction of the maxillary anterior teeth, Intrusion of maxillary buccal teeth • Diameter: 1,2 mm and 1,3 mm, Length; 7-8 mm . • The mesio-buccal root of the maxillary 1st molars are curved mesialy. to avoid root injury drill the bone somewhat mesial to the contact point between the 2nd premolar and 1st molar . Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 4. 3b-TADs- Retraction of anterior teeth • Increased overjet and/or anterior crowding, Normal or increased overbite, Buccal mini- implants (1.5mm diameter, 9mm length, short neck) inserted in U5-6 areas bilaterally. • Powerarms (on a 19x25 steel archwire) to assist bodily incisor retraction and limit intrusive effects on maxillary molars. http://www.infinitas-miniimplant.co.uk/incisor-retraction/incisior-retraction.html Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 5. 3c-TADs-Intrusion-Mandibular symphysis facially • Purpose: Intrusion of mandibular anterior teeth. • Diameter: 1,2mm and 1,3mm, Length :4-6 mm. • Microimplants Placed in the Mandibular symphysis Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 6. • Burstone lingual arch with lingual crown torque + buccaly mini-implamts • Diameter 1,6 mm Length 6mm • Miniscrew Placement in Posterior Mandibular Sites: insertion angles of 45, 60, and 90 . Tae-Woo kim , http://laboratorioceosa.com/cursos-de-ortodoncia/modulos/modulo-7- biomecanica-avanzada-y-autoligado/mini-implantes-como-alternativa-de-anclaje/ 3d-TADs-Intrusion of lower molar- open bite Awatef SHAAR ,Mohamad ABOUALNASER , Oussama SANDID
  • 7. 3e-TAD's- Molar intrusion • 2 mini-implants from the buccal and palatal sides on one tooth will exert intruding force without tipping • Dimension: Diameter 1,6mm Length 6-8 mm Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 8. 3f-TAD's - Open Bite • Anterior openbite with an increased mandibular plane angle. • Anchorage and intrusion by TPA. • Palatal mini-implants (1.5mm diameter, 9mm length, long neck) inserted U6-7s (or U5-6s if U7s not fully erupted) , TPA d'intrusion rigide fabriqué avec 5mm de dégagement au milieu du palais. http://www.infinitas-miniimplant.co.uk/anterior-open-bite/anterior-open-bite.html Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 9. 3g-Maxillary tuberosity Area Molar Distalization • Purpose: Retraction of the maxillary posterior teeth • Diameter: 1,3 -1,5 mm, Length 7-8 mm. • Microimplants placed on the maxillary tuberosity area in lingual orthodontic treatment https://www.ortodoncia.ws/publicaciones/2014/art31.asp Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 10. • Purpose: Uprighting of tilted mandibular molar. • Retraction of the mandibular teeth or the whole dentition • Diameter: 1,3-1,6mm., lengh: 6-10 mm. 3h-Microimplamts in the Retromolar area Oussama SANDID, Awatef SHAAR , Mohamad ABOUALNASER
  • 11. 3i-Miniscrew Applications in Orthodontics Mesialization • Examples of miniscrew-supported mechanics for predictable unilateral space closure. Miniscrews prevented the typical reactive side effect of midline shift or anterior anchorage loss that would have occurred with traditional orthodontic mechanics BjÖrn Ludwig, ; Bettina Glasl, http://www.orthodonticproductsonline.com/2008/04/miniscrews-2008-04-02/ Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 12. Mesialization of molars using miniscrews 3j-TADs- Molar mesialization By Yuly Mycaza Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 13. 3k-TADs-Molar Mesialization • Upper Molar Mesialisation Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 14. Correction of Occlusal Plane inclination 3l-TADs -Correction of canted occlusal plane Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 15. 3m- TAD's - Centre line Corrections • Centre line displacement and/or anterior crowding, • Buccal mini-implants • (1.5mm diameter, 9mm length, short neck) inserted UR5-6, and LR5-6 http://www.infinitas-miniimplant.co.uk/centreline-corrections/centreline-corrections.html Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 16. 3n-TADs-Extrusion of impacted canines • TADs Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 17. 3p- Inter-maxillary Fixation / Traction • Buccal mini-implants (1.5mm diameter, 6 or 9mm length) are inserted at interproximal sites according to required tractionlocations. • Upper labial frenectomy may be required. • Indications: • Inadequate root length and/or periodontal support for elastictraction. • Orthognathic cases treated without full labial fixedappliances. http://www.infinitas-miniimplant.com/fixed-appliance2.html Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 18. 3q-Correction of Deepbite and Bilateral en masse en mass distalization Correction of Deepbite and Bilateral en masse en mass distalization of maxillary Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 19. 3s-Microimplants in between the maxillary 1st and 2nd molarsbuccaly • Purpose: Molar distalization • Retraction of the maxillary anterior teeth , • Intrusion of maxillary molars • Diameter: 1,2 and 1,3mm, Length 7-8mm • Placement: Vertical • The hook of 1st molar tube is used to prevent gingival impingement of coil spring Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 20. 3t-Microimplants Between mandibular 1st and 2nd molars buccaly • Purpose: Retraction of mandibular anterior teeth, Retraction en masse Intrusion and distalalization of the mandibular molar Diameter; 1,2-1,4 mm . Length: 5-7 mm. • Placement: Vertical Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR