During orthodontic treatment it is crucial to prevent the unintentional movement of the anchorage unit whilst causing movement of other teeth. Conventional methods of anchorage control came along with many shortcomings. The introduction of skeletal anchorage in the form of temporary anchorage devices (TADs) or miniscrews has greatly benefited orthodontists in finding a way of anchorage control with minimum patient compliance and without a complicated clinical insertion and removal procedures. This review article outlines about the types of TADs, parts, techniques of insertion and removal and its clinical applications in orthodontics.
Treatment of class II malocclusion requires accurate diagnosis and treatment planning. This case report outlines the successful management of a growing skeletal class II using Forsus fatigue resistant device for correction of skeletal parameters and premolar extractions for correction of dental parameters. The patient’s profile improved significantly with a 4° reduction in ANB angle. An ideal overjet, overbite and molar relation were also attained.
The examination of Gingival crevicular fluid (GCF) may be considered an acceptable way to depict the biochemical changes occurring during orthodontic tooth movement. Correlating the changes taking place in GCF with different types of orthodontic forces, the patient can be managed based on individual patients' tissue response. Thus, this can be an effective way of improving treatment efficiency and results. There is little evidence regarding which GCF biomarkers are associated with the growing phase. Most of the earlier reports provide information about correlation of GCF biomarkers with inflammation, bone remodeling and tissue damage and other processes associated with orthodontic tooth movement. This method is not being clinically used to its full diagnostic potential and requires further studies to provide additional data.
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