Displacement pattern of the maxillary arch depending on miniscrew position in sliding mechanics

作者：Lee Kee Joon; Park Young Chel; Hwang Chung Ju; Kim Young Jae; Choi Tae Hyun; Yoo Hyun Mi; Kyung Seung Hyun^*

来源：American Journal of Orthodontics and Dentofacial Orthopedics, 2011, 140(2): 224-232.

DOI：10.1016/j.ajodo.2010.05.020

Introduction: This clinical study was performed to evaluate the anteroposterior and vertical displacement patterns of the maxillary teeth in sliding mechanics depending on the position of interradicular miniscrews after the extraction of premolars. Methods: Thirty-six women requiring maximum incisor retraction because of bialveolar protrusion were divided into 2 groups: group A (n = 18), miniscrew between the premolar and the molar, and group B (n = 18), miniscrew between the premolars. Cephalometric measurements for skeletal and dental changes were made before and after space closure. Results: In both groups, significant incisor retraction with intrusion of the root apex was noted, with no significant change in the first molar position. Group B displayed significantly greater intrusion at both the incisal tip (1.59 +/- 1.53 mm) and the root apex (2.89 +/- 1.59 mm) than did group A. In spite of the mean reduction of the vertical skeletal measurements, we failed to find significant skeletal changes. Conclusions: Miniscrews provided firm anchorage for anterior retraction. Selection of the placement site appeared to be an important determinant for the resultant displacement pattern of the incisor segment. Discriminative intrusion or retraction might be obtained via strategic miniscrew positioning. (Am J Orthod Dentofacial Orthop 2011;140:224-32)

• 出版日期2011-8