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126-Temporary Anchorage Devices in
Orthodontics Miniscrews
failure
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
8-Reasons for mini-implants failure
• Based on the aforementioned considerations, the hypotheses about
mini-implant loss are as follows:
• 1) Deflection of maxillary and mandibular alveolar processes when
mini-implants are more cervically placed;
• 2) Mini-implants placed too near the periodontal ligament, with
normal intra-alveolar tooth movement;
• 3) Low bone density, low thickness and low alveolar bone volume;
• 4) Low alveolar cortical bone thickness;
• 5) Excessive pressure inducing trabecular bone microfracture;
• 6) Sites of higher anatomical weakness in the mandible and the
maxilla;
• 7) Thicker gingival tissue not considered when choosing the mini-
implant
http://www.scielo.br/pdf/dpjo/v19n2/2176-9451-dpjo-19-02-00018.pdf
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
8a-Reasons for mini-implants failure
• Mini-implant loss due to placement in recent extraction site.
Alberto Consolaro , Fábio Lourenço Romano:http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
8b-Reasons for mini-implants failure
• Mini-implant loss.
Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
• Mini-implant loss.
http://www.scielo.br/pdf/dpjo/v20n1/2176-9451-dpjo-20-01-00023.pdf
8B-placement failure in area of recent extraction
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID
8c-Reasons for mini-implants failure
• Mini-implant near the dental root
Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
8d-Reasons for mini-implants failure
• Food debris around a mini-implant
Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
8e-Reasons for mini-implants failure
• Mini-implant placed in the periodontal ligament.
Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
8f-Reasons for mini-implants failure
• Mucositis around a mini-implant.
Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
8g-Reasons for mini-implants failure
• Mini-implant fracture during placement.
Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
8h-Reasons for mini-implants failure
• Appropriate mini-implant placement.
Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
8i-Reasons for mini-implants failure
• Mini-implant placed in the periodontal ligament.
Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
8j-Reasons for mini-implants failure
• Mini-implant placed in free gingiva.
Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
8k-Reasons for mini-implants failure
• Mini-implant placed in inappropriate alveolar bone.
Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
8l-Reasons for mini-implants failure
• Maxillary sinus perforation by orthodontic anchor screws
https://www.researchgate.net/publication/278042696_Maxillary
_sinus_perforation_by_orthodontic_anchor_screws
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
8m-Reasons for mini-implants failure
• Stats
Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
Incomplete osseointegration allowing for effective anchorage
with easy insertion and removal of the screw.
TADs-Osseointegration
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID

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126 failure mini-implant-miniscrews in orthodontics-case report-oussama sandid-mohamad aboualnaser-orthodontist-orthodontiste

  • 1. 126-Temporary Anchorage Devices in Orthodontics Miniscrews failure 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. 8-Reasons for mini-implants failure • Based on the aforementioned considerations, the hypotheses about mini-implant loss are as follows: • 1) Deflection of maxillary and mandibular alveolar processes when mini-implants are more cervically placed; • 2) Mini-implants placed too near the periodontal ligament, with normal intra-alveolar tooth movement; • 3) Low bone density, low thickness and low alveolar bone volume; • 4) Low alveolar cortical bone thickness; • 5) Excessive pressure inducing trabecular bone microfracture; • 6) Sites of higher anatomical weakness in the mandible and the maxilla; • 7) Thicker gingival tissue not considered when choosing the mini- implant http://www.scielo.br/pdf/dpjo/v19n2/2176-9451-dpjo-19-02-00018.pdf Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 3. 8a-Reasons for mini-implants failure • Mini-implant loss due to placement in recent extraction site. Alberto Consolaro , Fábio Lourenço Romano:http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 4. 8b-Reasons for mini-implants failure • Mini-implant loss. Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 5. • Mini-implant loss. http://www.scielo.br/pdf/dpjo/v20n1/2176-9451-dpjo-20-01-00023.pdf 8B-placement failure in area of recent extraction Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID
  • 6. 8c-Reasons for mini-implants failure • Mini-implant near the dental root Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 7. 8d-Reasons for mini-implants failure • Food debris around a mini-implant Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 8. 8e-Reasons for mini-implants failure • Mini-implant placed in the periodontal ligament. Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 9. 8f-Reasons for mini-implants failure • Mucositis around a mini-implant. Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 10. 8g-Reasons for mini-implants failure • Mini-implant fracture during placement. Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 11. 8h-Reasons for mini-implants failure • Appropriate mini-implant placement. Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 12. 8i-Reasons for mini-implants failure • Mini-implant placed in the periodontal ligament. Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 13. 8j-Reasons for mini-implants failure • Mini-implant placed in free gingiva. Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 14. 8k-Reasons for mini-implants failure • Mini-implant placed in inappropriate alveolar bone. Alberto Consolaro , Fábio Lourenço RomanoDOI: http://dx.doi.org/10.1590/2176-9451.19.2.018-024.oin Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 15. 8l-Reasons for mini-implants failure • Maxillary sinus perforation by orthodontic anchor screws https://www.researchgate.net/publication/278042696_Maxillary _sinus_perforation_by_orthodontic_anchor_screws Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 16. 8m-Reasons for mini-implants failure • Stats Oussama SANDID - Mohamad ABOUALNASER- Awatef SHAAR
  • 17. Incomplete osseointegration allowing for effective anchorage with easy insertion and removal of the screw. TADs-Osseointegration Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID