Expectations, acceptance and preferences of patients in treatment with orthodontic mini-implants

Abstract

The patients tolerated the two removal procedures equally well. As the noise associated with the handpiece increased discomfort, manual removal of the mini-implants is preferable. As regards the injection technique, our results show that local anesthesia during removal does not provide a benefit. The most pain was caused by the injection, not by removal of the mini-implants.

Miniscrews failure rate in orthodontics: systematic review and meta-analysis

“…The final sample was 46 studies that met the primary inclusion criteria. The included studies were 16 randomised clinical trials [36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51] and 30 prospective studies 24, . Among the prospective studies there were three controlled trials (CCT), twenty-eight cohort study (PCS) and one split mouth cohort study.…”

Patient expectations, acceptance and preferences for miniscrew implant treatment

“…Together with assessing treatment efficacy, it is also necessary to examine to what extent patients can tolerate the intended treatment processes. 20,21 Although the use of self-drilling MIs, which can only be introduced by manual procedures, and the insertion of MIs after predrilling using a dental handpiece are both everyday procedures in orthodontic practice, 22 exactly which method the patient tolerates or prefers has not been well explored. 6,13,15 Both scales provide a discrete form of categorization.…”

“…22 The most important finding nevertheless was that pain levels produced by the injection were greater than the pain produced by the removal without anesthesia. 22 The most important finding nevertheless was that pain levels produced by the injection were greater than the pain produced by the removal without anesthesia.…”

“…22 Many clinicians prefer hand-delivered forces and this mechanism is also least compromising for the patient's experience. MIs can be inserted by either hand-delivered forces or a handpiece method.…”

Chemical analysis and Vickers hardness of orthodontic mini-implants

“…The orthodontic mini-implant is a temporary skeletal anchorage device that allows the orthodontist to work safely because it eliminates the ensuing side effects on teeth used as anchorage in conventional treatment and does not depend on patient compliance 1 . The ease of installation and removal, possibility of insertion in different intraoral regions, low cost, small healing time, and good patient acceptance all contribute to the diffusion of the technique [2][3][4] .…”