The Orthodontic Mini-Implant Clinical Handbook is the must-have book for trainee and practicing orthodontists. It provides the essential theoretical and clinical mini-implant information to enable the clinician to easily introduce skeletal anchorage into their practice across a wide variety of common clinical scenarios.
The initial chapters cover general principles with subsequent chapters employing a step-by-step approach to guide the novice through the most common clinical uses for orthodontic mini-implants including: incisor retraction, molar distalisation, transverse and asymmetry corrections, and orthognathic surgery uses.
Preface vii
1. Mini-implant Principles and Potential Complications 1
The origins of orthodontic bone anchorage 1
Using the right terminology 1
Principal design features 2
Clinical indications for mini-implants 2
Potential mini-implant complications 2
References 6
2. Maximising Mini-implant Success: Clinical Factors 9
Overall success rates 9
Factors affecting mini-implant success 9
References 13
3. Maximising Mini-implant Success: Design Factors 17
Infinitas mini-implant design features 17
The Infinitas guidance system 19
References 22
4. Introducing Mini-implants to Your Clinical Practice 25
Patient consent 25
Key points to consider for valid consent 26
Staff training 29
Patient selection 29
References 29
5. Planning and Insertion Techniques 31
Mini-implant planning 31
Mini-implant insertion 37
References 44
6. Incisor Retraction 45
Treatment options 46
Key treatment planning considerations 46
Biomechanical principles 47
Mid-treatment problems and solutions 49
Posterior mini-implant clinical steps 50
References 61
7. Molar Distalisation 63
Treatment options 63
Key treatment planning considerations 64
Biomechanical principles 64
Mid-treatment problems and solutions 64
Mandibular arch distalisation 64
Maxillary arch distalisation 68
Mid-palatal distaliser options 73
References 82
8. Molar Protraction 83
Treatment options 83
Key treatment planning considerations 83
Biomechanical principles 84
Mid-treatment problems and solutions 84
Clinical steps for molar protraction using alveolar site anchorage 87
Clinical steps for mid-palate (indirect) anchorage 96
References 98
9. Intrusion and Anterior Openbite Treatments 99
Single Tooth and Anterior Segment Intrusion Treatments 99
Treatment options 99
Relevant clinical details 99
Biomechanical principles 100
Clinical tips and technicalities 100
Anterior Openbite Treatment 104
Treatment options 105
Relevant clinical details 105
Biomechanical principles 105
Clinical tips and technicalities 106
Simultaneous mandibular molar intrusion 108
Clinical steps for maxillary molar intrusion 108
References 122
10. Transverse and Asymmetry Corrections 123
Asymmetry problems 123
Dental Centreline Correction 123
Treatment options 123
Relevant clinical details 123
Biomechanical principles 126
Clinical tips and technicalities 126
Mid-treatment problems and solutions 126
Clinical steps for centreline correction 126
Unilateral Intrusion (Vertical Asymmetry Correction) 131
Treatment options 131
Relevant clinical details 131
Biomechanical principles 131
Clinical tips and technicalities 131
Mid-treatment problems and solutions 131
Clinical steps for unilateral intrusion 132
Transverse Correction of Ectopic Teeth 137
Treatment options 137
Relevant clinical details 137
Biomechanical principles 137
Clinical tips and technicalities 138
Mid-treatment problems and solutions 138
Clinical steps for ectopic tooth alignment 138
11. Orthognathic Surgical Uses 145
Treatment options 145
Relevant clinical details 146
Biomechanical principles 146
Clinical tips and technicalities 147
Clinical steps 149
References 174
Index 175
