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Temporary Anchorage Devices in Orthodontics

Miniscrews - Mini-implants
biomechanics
Awatef SHAAR (BAU-LB)
Mohamad ABOUALNASER (Connecticut-USA)
Oussama SANDID (Paris-FR)
Orthodontists
Contact: dr.aboualnaser@hotmail.com
Miniscrews and biomechanics in
orthodontics
10-TADs-Biomechanics
Ravindra Nanda, Madhur Upadhyay, https://academic.oup.com/ejo/article/35/5/634/495624/Skeletal-and-dental-considerations-inorthodontic

Biomechanical design of the force system involved: (A) during en-masse retraction of the anterior
teeth with mini-implant anchorage. Here, F >> r > i. (B) After space closure. Note the increase in the
a gulatio of the total fo ce elati e to the occlusal pla e. He e, F >> i) (F, total force; I, intrusive
component; r, retractive component; M, moment on the anterior segment; m, moment on the entire
arch)

Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID


10 a-TADs-Biomechanics
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID

A) Illustration of the moment generated by both forces due to the


archwire torsion in the 6-mm hook group; B) Illustration of the moment
generated by the retraction force applied to the 6-mm hook group.

Antnio Carlos de Oliveira Ruellas1 , Matheus Melo Pithon2 , Rogrio Lacerda dos Santos3http://www.scielo.br/pdf/dpjo/v18n2/a21v18n2.pdf
10 b -TADs-Biomechanics
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID

(a) Effect of space closure with conventional sliding mechanics without miniscrew. Anterior and posterior
segments rotate around CR of each segment, archwire forced to bend near rotation of entire arch. These
changes can easily be prevented with precurved archwires. (b) Retraction force from miniscrew anchorage
with continuous archwire produces rotation of entire arch around Cres of dentition. (c) Rotation of anterior
segment around Cres of anterior teeth.

https://www.hindawi.com/journals/crid/2011/475638/fig1/
10 c-TADs-Biomechanics
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID

Intrusive force on posterior teeth causing posterior open bite and anterior deep bite.

https://www.hindawi.com/journals/crid/2011/475638/fig1/
10 d -TADs-Biomechanics
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID

(a) Right lateral views of biomechanics of space closure with MSPA. (c) Transverse view of
miniscrew biomechanics.

https://www.hindawi.com/journals/crid/2011/475638/fig1/
10 e -TADs-Biomechanics
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID

Biomechanics for the palatal root movement of the maxillary anterior teeth with microimplants

https://www.researchgate.net/figure/50363068_fig10_Fig-11-Biomechanics-for-the-palatal-root-movement-of-the-maxillary-anterior-teeth-with
10 f-Miniscrews for upper incisor intrusion
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID O SANDID

Force vectors for the intrusion of the six-tooth anterior segment (green box). Black and
white circles, miniscrew heads; red arrows, load vectors.
T pes, Dia ete , le gth, A gulatio , Acti atio , du atio

https://synapse.koreamed.org/DOIx.php?id=10.4041/kjod.2016.46.5.310&vmode=PUBREADER
10 g -TADs-Biomechanics
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID

A. Denture preparation : An .022 . edge ise applia ce is se ue tiall placed. . . a illa


and .018 . 5 mandibular archwires are inserted. Maxillary and mandibular posterior micro-implants,
and elasto mers are applied to the canine brackets and mandibular archwire just mesial to omega stop
loop. B. End of denture preparation : The arches are leveled, the rotations are corrected, the canines have
been retracted, and the mandibular terminal molar has been tipped to an anchorage prepared position
10 h -TADs-Biomechanics
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID

This is the combined intrusion and retraction force system suggested for the high angle
protrusion cases

Johnny Joung-Lin Liaw1, Daniel Wei-Yee Wang2, http://www.apospublications.com/article.asp?issn=2321


1407;year=2015;volume=5;issue=2;spage=56;epage=62;aulast=Liaw
10 I -TADs-Biomechanics
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID
Openbite: 2 mini-implants from the buccal and palatal sides on one tooth will exert intruding
force without tipping.
Midpalatal and 2 buccal mini-implants with TPA to intrude molars

Tae-Woo Kim
10 j -TADs-Biomechanics
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID

Illustration of the Class III mechanics employed in the vertical control, anchored
in mini-implants on the upper arch, between the first molars and second
premolars

Mrcio Costa Sobral1 , Fernando A. L. Habib2 , Ana Carla de Souza Nascimento,http://www.scielo.br/pdf/dpjo/v18n2/a26v18n2.pdf


10 k -TADs-Biomechanics
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID

The line of force applied from the miniscrew to the hook prewelded to the
archwire creates vertical components, favoring the correction of a deep overbite.

http://pocketdentistry.com/chapter-2-miniscrews-and-biomechanics-in-orthodontics/
10 L-TADs-Biomechanics
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID

The line of force action is parallel to the archwire, creating a resultant in the
same direction. This should be done in cases where the overbite is under control

http://pocketdentistry.com/chapter-2-miniscrews-and-biomechanics-in-orthodontics/
10 m-Palatal Mini-implant- Open bite
- Mid-palatal Mini-implant
- Expanded TPA
- Expanded main archwire 19 x 25 SS with slight crown buccal torque.
- Diameter 1,6mm , Length 6mm

Tae Woo Kim


10 n -TADs-Intrusion of lower molar- open bite
Awatef SHAAR ,Mohamad ABOUALNASER , Oussama SANDID

Burstone lingual arch with lingual crown torque + buccaly mini-implamts


Diameter 1,6 mm Length 6mm
Miniscrew Placement in Posterior Mandibular Sites: insertion angles of 45, 60, and 90 .

Tae-Woo kim ,
http://laboratorioceosa.com/cursos-de-ortodoncia/modulos/modulo-7-
biomecanica-avanzada-y-autoligado/mini-implantes-como-alternativa-de-anclaje/
Intersting link

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