Periodontal status following orthodontic mini‐screw insertion: A prospective clinical split‐mouth study

Abstract Background Anchorage control is one of the most important determinants of orthodontic treatments. Mini‐screws are used to achieve the desired anchorage. Despite all their advantages, there is a possibility that treatment will not be successful due to conditions related to their interaction...

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Main Authors: Negar Moeini, Hamoun Sabri, Pablo Galindo‐Fernandez, Hoorieh Mirmohamadsadeghi, Nasrin Keshavarz Valian
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:Clinical and Experimental Dental Research
Subjects:
Online Access:https://doi.org/10.1002/cre2.757
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author Negar Moeini
Hamoun Sabri
Pablo Galindo‐Fernandez
Hoorieh Mirmohamadsadeghi
Nasrin Keshavarz Valian
author_facet Negar Moeini
Hamoun Sabri
Pablo Galindo‐Fernandez
Hoorieh Mirmohamadsadeghi
Nasrin Keshavarz Valian
author_sort Negar Moeini
collection DOAJ
description Abstract Background Anchorage control is one of the most important determinants of orthodontic treatments. Mini‐screws are used to achieve the desired anchorage. Despite all their advantages, there is a possibility that treatment will not be successful due to conditions related to their interaction with the periodontal tissue. Objective To evaluate the status of the periodontal tissue at the sites adjacent to the orthodontic mini‐implants. Methods A total of 34 teeth (17 case and 17 control) in 17 orthodontic patients requiring a mini‐screw in the buccal area to proceed with their treatment were included in the study. Oral health instruction was provided to the patients prior to the intervention. In addition, scaling and root planing of the root surface were done using manual instruments and ultrasonic instruments if needed. For tooth anchorage, a mini‐screw with Elastic Chain or Coil Spring was used. The following periodontal indices were examined in the mini‐screw receiving tooth and the contralateral tooth: plaque index, pocket probing depth, attached gingiva level (AG), and gingival index. Measurements were made before the placement of the mini‐screws and 1, 2, and 3 months following that. Results The results revealed a significant difference only in the amount of AG between the tooth with mini‐screw and the control tooth (p = 0.028); for other periodontal indices, there were no significant differences between the two groups. Conclusion This study showed that periodontal indices in adjacent teeth of the mini‐screws do not change significantly compared to other teeth and mini‐screws can be used as a suitable anchorage without posing a threat to the periodontal health. Using mini‐screws is a safe intervention for orthodontic treatments.
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spelling doaj.art-4c41247d219d4ba0a2ef79afa066aa082023-08-21T15:34:09ZengWileyClinical and Experimental Dental Research2057-43472023-08-019459660510.1002/cre2.757Periodontal status following orthodontic mini‐screw insertion: A prospective clinical split‐mouth studyNegar Moeini0Hamoun Sabri1Pablo Galindo‐Fernandez2Hoorieh Mirmohamadsadeghi3Nasrin Keshavarz Valian4Department of Periodontics Shahid Beheshti University of Medical Sciences School of Dentistry Tehran Tehran IranDepartment of Periodontics and Oral Medicine University of Michigan School of Dentistry Ann Arbor Michigan USAOral Surgery and Implant Dentistry Department, School of Dentistry University of Granada Granada Andalucía SpainDepartment of Orthodontics Shahid Beheshti University of Medical Sciences School of Dentistry Tehran Tehran IranDepartment of Periodontics Shahid Beheshti University of Medical Sciences School of Dentistry Tehran Tehran IranAbstract Background Anchorage control is one of the most important determinants of orthodontic treatments. Mini‐screws are used to achieve the desired anchorage. Despite all their advantages, there is a possibility that treatment will not be successful due to conditions related to their interaction with the periodontal tissue. Objective To evaluate the status of the periodontal tissue at the sites adjacent to the orthodontic mini‐implants. Methods A total of 34 teeth (17 case and 17 control) in 17 orthodontic patients requiring a mini‐screw in the buccal area to proceed with their treatment were included in the study. Oral health instruction was provided to the patients prior to the intervention. In addition, scaling and root planing of the root surface were done using manual instruments and ultrasonic instruments if needed. For tooth anchorage, a mini‐screw with Elastic Chain or Coil Spring was used. The following periodontal indices were examined in the mini‐screw receiving tooth and the contralateral tooth: plaque index, pocket probing depth, attached gingiva level (AG), and gingival index. Measurements were made before the placement of the mini‐screws and 1, 2, and 3 months following that. Results The results revealed a significant difference only in the amount of AG between the tooth with mini‐screw and the control tooth (p = 0.028); for other periodontal indices, there were no significant differences between the two groups. Conclusion This study showed that periodontal indices in adjacent teeth of the mini‐screws do not change significantly compared to other teeth and mini‐screws can be used as a suitable anchorage without posing a threat to the periodontal health. Using mini‐screws is a safe intervention for orthodontic treatments.https://doi.org/10.1002/cre2.757mini‐implantsmini‐screworthodontic anchorageperiodontal health
spellingShingle Negar Moeini
Hamoun Sabri
Pablo Galindo‐Fernandez
Hoorieh Mirmohamadsadeghi
Nasrin Keshavarz Valian
Periodontal status following orthodontic mini‐screw insertion: A prospective clinical split‐mouth study
Clinical and Experimental Dental Research
mini‐implants
mini‐screw
orthodontic anchorage
periodontal health
title Periodontal status following orthodontic mini‐screw insertion: A prospective clinical split‐mouth study
title_full Periodontal status following orthodontic mini‐screw insertion: A prospective clinical split‐mouth study
title_fullStr Periodontal status following orthodontic mini‐screw insertion: A prospective clinical split‐mouth study
title_full_unstemmed Periodontal status following orthodontic mini‐screw insertion: A prospective clinical split‐mouth study
title_short Periodontal status following orthodontic mini‐screw insertion: A prospective clinical split‐mouth study
title_sort periodontal status following orthodontic mini screw insertion a prospective clinical split mouth study
topic mini‐implants
mini‐screw
orthodontic anchorage
periodontal health
url https://doi.org/10.1002/cre2.757
work_keys_str_mv AT negarmoeini periodontalstatusfollowingorthodonticminiscrewinsertionaprospectiveclinicalsplitmouthstudy
AT hamounsabri periodontalstatusfollowingorthodonticminiscrewinsertionaprospectiveclinicalsplitmouthstudy
AT pablogalindofernandez periodontalstatusfollowingorthodonticminiscrewinsertionaprospectiveclinicalsplitmouthstudy
AT hooriehmirmohamadsadeghi periodontalstatusfollowingorthodonticminiscrewinsertionaprospectiveclinicalsplitmouthstudy
AT nasrinkeshavarzvalian periodontalstatusfollowingorthodonticminiscrewinsertionaprospectiveclinicalsplitmouthstudy