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Application of TADs and Comparisons of

TADs-assisted and conventional mechanism


B202096040
wilsontai0209@hotmail.com

Introduction
anchorage,
(miniscrew implants) absolute anchorage
TPA(transpalatal arch)
miniscrew implants

Abstract
term paper miniscrew implants

Contemporary Orthodontics by PROFFIT 4th edition(2007) Temporary Anchorage Devices


in Orthodontics by NANDA (2009)

Indication

conventional anchorage mechanics


Anchorage loss

Clinical applications

Posterior intrusion
Upper incisors intrusion and retraction
Maxillary molars retraction or entire maxillary arch retraction class II malocclusion

Mechanics

mini-implant 300gw
mini-implant

Direct and indirect anchorage

Direct anchorage mini-implant


intrusion Indirect anchorage
mini-implant anchor unit

anchor unit
2004 University of Aarhus, Denmark
180 mini-implant 19 (10.5%)
direct anchorage


1.

sliding vs loop mechanics


loops included wire
anchorage mini-implant
B

sliding mechanics A

2.

rotation of occlusal plane from a lateral view


compensating/reverse curve of Spee posterior
anchorage posterior mesial tipping mini-implant
posterior intrusion or distal tipping
posterior open bite or anterior deep bite

3.

rotation of occlusal plane from a frontal view


mini-implant


1.

root and bodily movement center of resistant


anchorage value mini-implant
center of resistant

2.

Controlled tipping
150~250gw passive main wire controlled tipping
intrusion

3.

Root movement anterior root torque


100gw labial crown torque root torque

segmented arch mechanics extrusion and labial flaring

segmented arch mechanics extrusion and labial flaring


anchorage cinch back main wire anchorage

4.

Root movement anterior intrusion plus root torque


mini-implant intrusion intrusion
40~75gw class II division 2 anterior deep bite, very upright incisor,
excessive gummy smile

segmented arch mechanics 1/3


asymmetric V-bend in utility arch molar extrusion and distal tipping
Esen Aydogdu 2011
1

utility arch TADs-assisted arch mandibular incisors intrusion anchor molar

5.

Bodily movement
mini-implant center of resistance bodily
movement mini-implant center of
resistance preadjusted rectangular wire torque
mini-implant molar apical area or palatal slope


1.

Molar intrusion

molar intrusion prosthesis adjunctive orthodontics

molar intrusion
palatal and buccal side 2~4 mini-implants 200gw
center of resistance

center of resistance
palatal side palatal root intrusion
mini-implant transpalatal arch(TPA) TPA
palatal tipping of molars buccal side
mini-implants
molar intrusion leveling of
crowns infrabony pocket periodontal pocket
intrusion Crown-root ratio

2
crown-root ratio

2.

Molar distalization in mixed and permanent dentition


head gear pendulum and distal jet C,E
mini-implant pendulum and distal jet
mini-implant
buccal or palatal slopepalatal suture
palatal anterior rugae() area 2~3mm
molor distal tipping

mini-implant center of
resistance
pure bodily movement root torque
palatal slope, midpalate, buccal alveolar bone
indirect anchorage
mini-implant elastic chain and coil spring 3

tranpalatal arch(TPA) molar distalization toe-in bend


molar rotation molar distalization EYBOLU 2004
4 molar distalization = 2.067 mm molar
mesiobuccal rotation 9.400

3.

Molar uprighting
mesial tippingmesial marginal ridge distal contour

I. separator mesail marginal ridge

II. T- loop in stainless steel


III. Segmented arch mechanics
IV. Ni-Ti continuous archwire
V. Surgical uprighting

mini-implant mild to moderate mesial tipping


mini-implant molar severe mesial tipping mini-implant molar

I. mild mesial tipping center of resistance bracket


II. moderate mesial tipping bracket uprighting spring

III. severe mesial tippingcrown bracket or tube buttommini-implant

4.

Molar protraction

atrophy ridge

Mini-implant center of resistance


bodily movement A
posterior crossbite or open bite5
B
root movement
uprighting spring miniscrew-assisted root spring(MARS)

Retromolar implant indirect anchorage Retromolar implant


molar cinch back keyhole vertical loop
molar extrusion steel ligature anchorage wire

Discussion

mini-implant absolute anchorage

mini-implant

Reference
Contemporary Orthodontics by PROFFIT
Temporary Anchorage Devices in Orthodontics by NANDA
Orthodontics - Current Principles and Technique by GRABER
1Effects of mandibular incisor intrusion obtained using a conventional utility arch vs bone anchorage by Esen Aydogdu (2011)
th
2Contemporary Orthodontics by PROFFIT 4 edition(2007), p676
3Treatment of Class II Protrusion with Severe Crowding Using Indirect Miniscrew Anchorage by Nak-Chun Choi (2007)
4Asymmetric Maxillary First Molar Distalization with the Transpalatal Arch by EYBOLU (2004)
5Mandibular Molar Protraction with Temporary Anchorage Devices by KRAVITZ (2008)