Mini Implants

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Mini Implants

• Kambiz Moin, DMD, MPH, PA
• Kambiz_at_drmoin.com
• Harvard School of Dental Medicine

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Historical Background

• 1945 Gainsforth BL., Higley LB.
  AM J Orthod Oral Surgery
  31406-417
• 1983 Greekmore and Eklund
  J Clin Orthod 17266-269
• 1997 Kanomi AR
  J Clin Orthod 31763-767
• 1998 Costa A., Raffini M., Melson B.
  Int. J Adult Orthod Orthognath Surg 13201-209

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Nomenclature
Temporary Anchorage Device (TAD)
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Titanium Alloy

• Length 6, 8,10 mm
• Diameter
• 1.3 mm Absoanchor
• 1.5 mm Spider screw
• 1.8 mm Imtec
• 2.0 mm Aarhus

Self Tapping Self Drilling
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Anatomy of Mini Implants
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Anatomy of Mini Implants
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Symmetrical
Asymmetrical
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Anatomy of Mini Implant
Ball with hole
Head
Screw head
Bracket
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Anesthesia

• Topical
• Oraqix- lidocaine prilocaine 2.5/2.5
• Profpet-Lidocaine 10,Prilocaine 10, Tetracaine
  4, Phenylephrine gel 2
• Injection

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Armamentarium

• Marker
• Puncher
• Slow hand piece, 2 round bur or osseous drill
  bit (thick cortical bone, oblique insertion, thin
  mini-implant)
• Distilled water
• Driver
• 0.12Chlorhexidine Gluconate

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Contra-Angle
LT-Driver
O-Driver
Ratchet wrench
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X-ray
Placement

• Pan or P.A.
• Before and after placement

• On attached gingiva

• On Mucosal tissue

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Direction of Insertion

• Perpendicular to Bone Surface

• Diagonal to Bone Surface

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DE2010
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LO24
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Removal

• No ossointegration
• No anesthetic required
• Its very easy!

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Clinical Application
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EL9
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EL9
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MO145
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BO142
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BO142
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BO142
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MC127
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MC127
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PE39
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PE39
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PE39
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PE39
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PE39
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DU99
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DU99
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DU99
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DU99
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KE59
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KE59
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KE59
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KH4
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KH4
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RH3
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RH3
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RH3
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RH3
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RH3
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DU103
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DU103
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DU103
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CH47
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TR15
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TR15
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TR15
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SC69
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SC69
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SC69
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SC69
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SC69
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GI46
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GI46
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GI46
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BEFORE
AFTER
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Fixation screw
Resin core
Regular
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PO48
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PO48
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PO48
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PO48
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REFERENCES

• Ortho TAD The Clinical Guide and Atlas
• Edited by Jason B. Cope DDS, PHD 2007
• Micro Implants in Orthodontics
• By Jae-Hyun Sung et al 2006