Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (12): 1837-1841.doi: 10.3969/j.issn.2095-4344.2015.12.007

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Primary stability of mini-screw: buccal cortical thickness in maxillary posterior area of malocclusion

Zou Shuang-shuang, Lei Yong-hua, Zhang Ya-mei, Liu Lu   

  1. Center of Stomatology, Xiangya Hospital of Central South University, Changsha 410000, Hunan Province, China
  • Revised:2015-02-06 Online:2015-03-19 Published:2015-03-19
  • Contact: Lei Yong-hua, M.D., Professor, Center of Stomatology, Xiangya Hospital of Central South University, Changsha 410000, Hunan Province, China
  • About author:Zou Shuang-shuang, Master, Center of Stomatology, Xiangya Hospital of Central South University, Changsha 410000, Hunan Province, China
  • Supported by:

    the Innovation Program of Postgraduates of Central South University, No. 2013zzts305

Abstract:

BACKGROUND: Mini-screw stability is primarily related to alveolar bone cortical thickness. It is necessary to learn cortical thickness to choose suitable implanting sites and predict success rate.
OBJECTIVE: To evaluate the buccal cortical thickness in maxillary posterior area of Class II Division I malocclusion adolescents.
METHODS: Fifty-two adolescents (including 26 male and 26 female) of Class II Division I malocclusion scanned by Cone Beam Computer Tomography were involved in this study. The buccal cortical thickness of six posterior interradicular sites (14-15, 15-16, 16-17, 24-25, 25-26, 26-27) at four bone levels (2, 4, 6, 8 mm) from the 
alveolar crest in both boys and girls were measured.
RESULTS AND CONCLUSION: (1) There was no statistically significant difference in alveolar cortical thickness between left and right sides in the girls (P > 0.05); cortical thickness of 5-6 and 6-7 at 8 mm was thicker than that at 2 mm (P < 0.05) and cortical thickness of 6-7 at 2 mm was smaller than that at 8 mm (P < 0.05). The cortical thickness increased from crest to base of alveolar crest and reached the peak at 8 mm. Cortical thickness of 6-7 was thicker than 4-5 at 8 mm depth (P < 0.05). The results of males were the same as females. (2) There was no statistically significant difference in alveolar cortical thickness of the same site between males and females (P > 0.05). All sites in this study were suitable for mini-screw implantation; from the first molar to posterior dental arch, buccal cortical thickness is well-distributed; it is dangerous for implantation in the areas around the first molar more than 6 mm, where the frequent presence of the maxillary sinus is observed. There is an increase of buccal cortical thickness from crest to base of alveolar crest, obtaining good initial stability.


中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


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Key words: Dental Implants, Alveolar Bone Loss, Denture Retention

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