Surface Treatment of Dental Mini-Sized Implants and Screws: A Systematic Review with Meta-Analysis

Miniscrews are devices that allow for absolute skeletal anchorage. However, their use has a higher failure rate (10–30%) than dental implants (10%). To overcome these flaws, chemical and/or mechanical treatment of the surface of miniscrews has been suggested. There is no consensus in the current lit...

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Main Authors: Ana Luísa Figueiredo, Raquel Travassos, Catarina Nunes, Madalena Prata Ribeiro, Mariana Santos, Flavia Iaculli, Anabela Baptista Paula, Carlos Miguel Marto, Francisco Caramelo, Inês Francisco, Francisco Vale
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Journal of Functional Biomaterials
Subjects:
Online Access:https://www.mdpi.com/2079-4983/15/3/68
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author Ana Luísa Figueiredo
Raquel Travassos
Catarina Nunes
Madalena Prata Ribeiro
Mariana Santos
Flavia Iaculli
Anabela Baptista Paula
Carlos Miguel Marto
Francisco Caramelo
Inês Francisco
Francisco Vale
author_facet Ana Luísa Figueiredo
Raquel Travassos
Catarina Nunes
Madalena Prata Ribeiro
Mariana Santos
Flavia Iaculli
Anabela Baptista Paula
Carlos Miguel Marto
Francisco Caramelo
Inês Francisco
Francisco Vale
author_sort Ana Luísa Figueiredo
collection DOAJ
description Miniscrews are devices that allow for absolute skeletal anchorage. However, their use has a higher failure rate (10–30%) than dental implants (10%). To overcome these flaws, chemical and/or mechanical treatment of the surface of miniscrews has been suggested. There is no consensus in the current literature about which of these methods is the gold standard; thus, our objective was to carry out a systematic review and meta-analysis of the literature on surface treatments of miniscrews. The review protocol was registered (PROSPERO CRD42023408011) and is in accordance with the PRISMA guidelines. A bibliographic search was carried out on PubMed via MEDLINE, Cochrane Library, Embase and Web of Science. The initial search of the databases yielded 1684 results, with 98 studies included in the review, with one article originating from the search in the bibliographic references of the included studies. The results of this systematic review show that the protocols of miniscrew surface treatments, such as acid-etching; sandblasting, large-grit and acid-etching; photofunctionalization with ultraviolet light; and photobiomodulation, can increase stability and the success of orthodontic treatment. The meta-analysis revealed that the treatment with the highest removal torque is SLA, followed by acid-etching. On the other hand, techniques such as oxidative anodization, anodization with pre-calcification and heat treatment, as well as deposition of chemical compounds, require further investigation to confirm their effectiveness.
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spelling doaj.art-abdc528034fe49f884b7eaf56866ea2c2024-03-27T13:48:38ZengMDPI AGJournal of Functional Biomaterials2079-49832024-03-011536810.3390/jfb15030068Surface Treatment of Dental Mini-Sized Implants and Screws: A Systematic Review with Meta-AnalysisAna Luísa Figueiredo0Raquel Travassos1Catarina Nunes2Madalena Prata Ribeiro3Mariana Santos4Flavia Iaculli5Anabela Baptista Paula6Carlos Miguel Marto7Francisco Caramelo8Inês Francisco9Francisco Vale10Institute of Orthodontics, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, PortugalInstitute of Orthodontics, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, PortugalInstitute of Orthodontics, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, PortugalInstitute of Orthodontics, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, PortugalInstitute of Orthodontics, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, PortugalDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, 80138 Naples, ItalyInstitute of Orthodontics, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, PortugalLaboratory for Evidence-Based Sciences and Precision Dentistry (LACBE–MDP), Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, PortugalLaboratory for Evidence-Based Sciences and Precision Dentistry (LACBE–MDP), Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, PortugalInstitute of Orthodontics, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, PortugalInstitute of Orthodontics, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, PortugalMiniscrews are devices that allow for absolute skeletal anchorage. However, their use has a higher failure rate (10–30%) than dental implants (10%). To overcome these flaws, chemical and/or mechanical treatment of the surface of miniscrews has been suggested. There is no consensus in the current literature about which of these methods is the gold standard; thus, our objective was to carry out a systematic review and meta-analysis of the literature on surface treatments of miniscrews. The review protocol was registered (PROSPERO CRD42023408011) and is in accordance with the PRISMA guidelines. A bibliographic search was carried out on PubMed via MEDLINE, Cochrane Library, Embase and Web of Science. The initial search of the databases yielded 1684 results, with 98 studies included in the review, with one article originating from the search in the bibliographic references of the included studies. The results of this systematic review show that the protocols of miniscrew surface treatments, such as acid-etching; sandblasting, large-grit and acid-etching; photofunctionalization with ultraviolet light; and photobiomodulation, can increase stability and the success of orthodontic treatment. The meta-analysis revealed that the treatment with the highest removal torque is SLA, followed by acid-etching. On the other hand, techniques such as oxidative anodization, anodization with pre-calcification and heat treatment, as well as deposition of chemical compounds, require further investigation to confirm their effectiveness.https://www.mdpi.com/2079-4983/15/3/68miniscrewsskeletal anchoragestabilitysurface propertiesorthodontics
spellingShingle Ana Luísa Figueiredo
Raquel Travassos
Catarina Nunes
Madalena Prata Ribeiro
Mariana Santos
Flavia Iaculli
Anabela Baptista Paula
Carlos Miguel Marto
Francisco Caramelo
Inês Francisco
Francisco Vale
Surface Treatment of Dental Mini-Sized Implants and Screws: A Systematic Review with Meta-Analysis
Journal of Functional Biomaterials
miniscrews
skeletal anchorage
stability
surface properties
orthodontics
title Surface Treatment of Dental Mini-Sized Implants and Screws: A Systematic Review with Meta-Analysis
title_full Surface Treatment of Dental Mini-Sized Implants and Screws: A Systematic Review with Meta-Analysis
title_fullStr Surface Treatment of Dental Mini-Sized Implants and Screws: A Systematic Review with Meta-Analysis
title_full_unstemmed Surface Treatment of Dental Mini-Sized Implants and Screws: A Systematic Review with Meta-Analysis
title_short Surface Treatment of Dental Mini-Sized Implants and Screws: A Systematic Review with Meta-Analysis
title_sort surface treatment of dental mini sized implants and screws a systematic review with meta analysis
topic miniscrews
skeletal anchorage
stability
surface properties
orthodontics
url https://www.mdpi.com/2079-4983/15/3/68
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