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Effects of miniscrew-facilitated micro-osteoperforations on the rate of orthodontic tooth movement

A split-mouth, randomized controlled trial

Auswirkungen von Mini-Schrauben-unterstützten Mikro-Osteoperforationen auf die Geschwindigkeit kieferorthopädischer Zahnbewegungen

Eine randomisierte, kontrollierte Split-mouth-Studie

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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie Aims and scope Submit manuscript

Abstract

Purpose

The aim of the present split-mouth randomized controlled trial was to evaluate the effects of miniscrew-facilitated micro-osteoperforations (MOPs) on the rate of orthodontic tooth movement during canine retraction.

Methods

A total of 20 young adult patients (mean age 16.5 years) with the indication for bilateral maxillary first premolar extraction were included in the study. The MOPs were randomly applied to either the right or left side of the mouth with miniscrews (1.5 mm width, 8 mm length) to the extraction area, 28 days apart. The canine distalization continued for 3 months. The closure of the extraction space was measured by using a digital analysis program on the pre- and postdigital study models for both the control and experiment sides.

Results

The mean rate of extraction space closure on the MOP side was 2.51 ± 1.41 mm and on the control side was 2.88 ± 1.32 mm. There was no statistically significant difference between the groups (p > 0.05).

Conclusion

Overall, we found that MOPs did not significantly affect the rate of orthodontic tooth movement during canine retraction.

Zusammenfassung

Zielsetzung

Ziel der vorliegenden randomisierten, kontrollierten Split-mouth-Studie war es, die Auswirkungen von Mini-Schrauben-unterstützten Mikro-Osteoperforationen (MOPs) auf die Geschwindigkeit der kieferorthopädischen Zahnbewegung während der Eckzahnretraktion zu untersuchen.

Methoden

Insgesamt 20 junge erwachsene Patienten (Durchschnittsalter 16,5 Jahre) mit der Indikation für eine bilaterale Extraktion der ersten Prämolaren im Oberkiefer wurden in die Studie aufgenommen. Die MOPs wurden nach dem Zufallsprinzip im Abstand von 28 Tagen entweder auf der rechten oder linken Seite des Mundes mit Minischrauben (1,5 mm breit, 8 mm lang) im Extraktionsbereich angebracht. Die Eckzahn-Distalisierung wurde für 3 Monate fortgesetzt. Der Lückenschluss des Extraktionsbereichs wurde mit Hilfe eines digitalen Analyseprogramms an den prä- und postdigitalen Studienmodellen sowohl für die Kontroll- als auch für die Versuchsseite gemessen.

Ergebnisse

Die durchschnittliche Geschwindigkeit des Extraktionsspaltverschlusses betrug auf der MOP-Seite 2,51 ± 1,41 mm und auf der Kontrollseite 2,88 ± 1,32 mm. Es gab keinen statistisch signifikanten Unterschied zwischen den Gruppen (p > 0,05).

Schlussfolgerung

Insgesamt ließ sich feststellen, dass MOPs keinen signifikanten Einfluss auf die Geschwindigkeit der kieferorthopädischen Zahnbewegung während der Eckzahnretraktion haben.

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Funding

The authors did not receive support from any organization for the submitted work.

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Authors and Affiliations

  1. Faculty of Dentistry, Department of Orthodontics Antalya, Akdeniz University, Antalya, Turkey

    Esra Bolat Gümüş DDS PhD & Ece Kınsız DDS

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  1. Esra Bolat Gümüş DDS PhD
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Contributions

EBG designed the study, drafted the manuscript and revised the article critically for important intellectual content. EK acquired, analyzed and interpreted the data. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Ece Kınsız DDS.

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Conflict of interest

E. Bolat Gümüş and E. Kınsız declare that they have no competing interests.

Ethical standards

The study procedures were approved by the Research Ethics Committee of the Faculty of Medicine, Akdeniz University (No. 745). Written informed consent was obtained from all participants before the commencement of the study. The study was carried out in accordance with the ethical rules of the Declaration of Helsinki, including all amendments and revisions. Consent to participate: Written informed consent was obtained from all individual participants or their legal guardians in the study. Consent for publication: Patients signed informed consent regarding publishing their data.

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Bolat Gümüş, E., Kınsız, E. Effects of miniscrew-facilitated micro-osteoperforations on the rate of orthodontic tooth movement. J Orofac Orthop 84 (Suppl 2), 104–110 (2023). https://doi.org/10.1007/s00056-021-00371-6

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