Temporary Anchorage Devices in Orthodontics

Miniscrews - Mini-implants
Awatef SHAAR (BAU-LB)
Mohamad ABOUALNASER (Connecticut-USA)
Oussama SANDID (Paris-FR)
Orthodontists
Contact: dr.aboualnaser@hotmail.com
 Plan
Introduction
Definition
1-Conventional anchorage in orthodontics
2-Advantages And Disadvantages Of Miniscrews
3-Clinical Applications of Miniscrews
4-Descriptions types of miniscrews
5-Common sites of placement
6-CBCT - Planning of TAD placement
7-Case report
8-Risks and complications of miniscrew anchorage
9-Surgical procedures for placement of orthodontic miniimplants
10-Biomechanics
Conclusions
 Introduction
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID

The success of orthodontic treatment hinges depends on the anchorage protocol planned for a
particular case.
- Implants have become one of the best sources of reliable anchorage
- Use of extraoral anchorage devices such as headgears requires full patient
cooperation, which is sometimes not possible and is unpredictable. ,
Introduction of implants in orthodontics have solved this problem.

- Maximum Anchorage
- Skeletal Anchorage
- Relatively predictable outcomes
- Favorable esthetics

- Reduction of orthodontic appliances

- Incomplete osseointegration represents a distinct advantage in orthodontic applications, allowing for
effective anchorage with easy insertion and removal of the screw
 Definition

Mini-implants, also called mini-screws or temporary anchorage devices

(TAD), are very small screw-like gadgets used more widely in orthodontic
tooth movement and anchorage.
1-
1a-Conventional extra-oral Anchorage in orthodontics
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID

Headgear Orthopedic chin cup

Protraction mask J Hook Headgear

 2-Advantages Of Miniscrews
Awatef SHAAR , Mohamad ABOUALNASER , Oussama SANDID

1- Provide comfort for the patient; Minimal dependence on patient cooperation.

2-24 X 7 Force delivery, Continuous forces, simplified mechanics ,
3- Remarkable reduction (upto 40%) in treatment timing
4-Reduction in number of extractions, minimize the risk of surgery
5- The major advantage of these implants is that they make it possible to move multiple teeth
without loss of anchorage, strong anchorage
6- can be placed in areas where natural anchorage or conventional orthodontic appliances are
impractical, including the edentulous spaces in the alveolus of either arch, the palate, the
zygomatic process, the retromolar regions, and the ramus.
- Easy insertion and removal, improved results, Incomplete osseointegration allowing for effective
anchorage with easy insertion and removal of the screw.

http://pocketdentistry.com/
 2-Disadvantages Of Miniscrews
Awatef SHAAR ,Mohamad ABOUALNASER , Oussama SANDID

1- The need for an invasive surgical procedure, Irritation of mucous membrane, Injury
to roots or neurovascular bundles. Root proximity is a major factor for screw
2- The limitations on placement sites i posed by the i pla ts le gth.
3- The time required for osseointegration prior to force application.
4- Cost.
5- Mobility of screw fracture after removal;
6- Different insertion sites that have different anatomical features;
7-Problem in site selection in patients with poor Bone quality