By Richard Cousley
The Orthodontic Mini-Implant medical Handbook is the must-have ebook for trainee and practising orthodontists. It offers the basic theoretical and scientific mini-implant details to permit the clinician to simply introduce skeletal anchorage into their perform throughout a wide selection of universal medical scenarios.
The preliminary chapters hide common ideas with next chapters making use of a step by step method of consultant the amateur during the commonest scientific makes use of for orthodontic mini-implants together with: incisor retraction, molar distalisation, transverse and asymmetry corrections, and orthognathic surgical procedure uses.
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Additional info for The Orthodontic Mini-implant Clinical Handbook
E. 0 mm diameter or 9 mm length if there is sufficient interproximal space and alveolar width, respectively 4. Adolescent patient? 5 mm diameter may be sufficient when multiple mini-implants linked in mid-palate site Anterior to canine → 6 mm body length Edentulous or retromolar site → long neck length Palatal or edentulous site → long neck length 4. Adolescent patient? 0 mm body diameter Posterior to canine → 9 mm body length Buccal → short neck length 9 rather than 6 mm: increases secondary stability.
The occlusal boundary of the attached tissue is superficially indicated by the gingival margin. However, remember that the correct limit, set by the alveolar bone crest level, is approximately 2 mm more occlusal than the soft tissue margin. The apical boundary (on the buccal aspect) is formed by the mucogingival junction (MGJ) and any adjacent frenal attachments (Fig. 3). 3 The upper and lower mucogingival junctions are highlighted as black lines between the attached and free mucosal tissues. dental model because the sulcus is easily stretched during the impression process.
The bone depth in such sites may be gauged on a lateral cephalograph (Fig. 10) or a CBCT. If the depth 36 The Orthodontic Mini-implant Clinical Handbook is too shallow then the mini-implant tip may perforate the palatal/lingual side of the alveolus or nasal floor, respectively. This is less likely when mini-implants are inserted obliquely hence enabling the safe use of 9 mm body length versions in the anterior alveolus, especially if the insertion level is restricted by a narrow band of attached gingiva (Fig.