OBJECTIVE: To evaluate the changes in surface morphology of two different types of mini-implants after clinical en masse retraction using scanning electron microscopy. MATERIAL AND METHODS: Fifty mini-implants of Dentos (Korea, Absoanchor, BH-1817-08) and Orlus (Korea, Yesanchor, C-1817) were inserted in patients in a split-mouth design who required en masse anterior retraction and absolute anchorage. Surface characteristics of mini-implants such as pitch (distance between consecutive threads), flank width (distance between root and crest), and taper were studied using scanning electron microscope (FEI nanosem450) before and after clinical use. RESULTS: Statistically significant difference (p value = 0.003) was found in a mean reduction of pitch dimension among the two groups with a mean difference of 25.000 μm. Also, a statistically significant difference was noted (p value = 0.001) in a mean reduction of flank width among Dentos implants as compared to Orlus implants. A statistically significant difference (p = 0.001) was seen in the mean reduction of taper dimension among Dentos group (0.0140 ± 0.02271) as compared to the Orlus group (0.0810 ± 0.05152). CONCLUSION: A marked reduction in surface morphology such as the pitch, flank width, and taper of both mini-implants after retrieval was observed. Dentos group of mini-implants displayed better dimensional stability post-retrieval as compared to the Orlus group of mini-implants. All the mini-screws showed milling defects in form of scratches on observation under scanning electron microscopy despite a smooth appearance to the naked eye.
To measure the inter-radicular spaces in both arches for miniscrew implant placement and to determine the most reliable sites using CBCT. A CBCT radiograph was taken for 75 subjects that met with inclusion criteria. They were divided into 3 categories- Hypodivergent, average, and hyperdivergent group. Images were calibrated by using software and printed as a film. Interradicular space on the right side of the jaw was measured in the sagittal plane after assuming the jaw to be symmetrical. Bucco-lingual and mesiodistal width were measured up to desired bone levels. In vertical growth pattern, in posterior maxilla highest mesiodistal width between 2nd premolar and 1st molar at 7mm. In the mandible, it was between the 1st and 2nd molar at 11mm. In horizontal growth pattern, in posterior maxilla highest mesiodistal width between 1st and 2nd premolar, and mandible it was between 1st and 2nd molar at 11mm. In average growth pattern, in posterior maxilla highest mesiodistal width between 2nd premolar and 1st molar and 1st molar at 7mm. In the mandible, it was between the 1st and 2nd molar at 11mm. The importance of the relationship between the growth pattern and the availability of inter radicular space may aid the clinician in planning appropriate surgical sites for miniscrew implant placement.
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