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A Journal on Dentistry and Maxillofacial Surgery
Minerva Stomatologica 2010 September;59(9):465-76
Morphological observations and Fractological considerations on orthodontics miniscrews
Casaglia A. 1, Dominici F. 2, Pachì F. 3, Turlà R. 3, Cerroni L. 1 ✉
1 Department of Dental Materials, University of Rome Tor Vergata, Rome, Italy;
2 Private practitioner, Rome, Italy;
3 Departments of Ortognathodontics, University of Rome Tor Vergata, Rome, Italy
AIM: The purpose of this study was to evaluate morphological and biomechanical characteristics of a commercial mini-implant.
METHODS: Orthodontic low head mini implants, in the two available sizes of 1.5 and 2 mm, have been used. The electronic scanning microscope evaluation has been tested on 3 groups each one composed of 4 samples, observed in numerous enlargements and in the three dimensions of the space. The groups were composed of new mini implants, undamaged mini implants observed after their clinical use and mini-implants broken at the moment of their insertion or removal after their therapeutical use.
RESULTS: The microscope analysis of unused mini implants has shown how the diameter reduction of the neck represents the area of greater weakness; such parameter is very important in determining screw resistance to fracture. In fact the fracture observed in vivo always happened to this degree. Some micro carvings and cracks were shown on the surface, these irregularities could facilitate or promote the enlargement of the cracking itself.
CONCLUSION: From the results obtained it is clear that the steel is adequate for permanence in the oral cavity, and moreover the material itself is adapted to bear the pressure put on it during therapy. However, it remains advisable to make certain changes to better the surface and geometry of the miniscrews.