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Korean J Orthod. 2012 Oct;42(5):242-8. doi: 10.4041/kjod.2012.42.5.242. Epub 2012 Oct 29.

Comparison of success rates of orthodontic mini-screws by the insertion method.

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  • 1Goun Miso Dental Clinic, Seongnam, Korea.

Abstract

OBJECTIVE:

The aim of this study was to compare the success rates of the manual and motor-driven mini-screw insertion methods according to age, gender, length of mini-screws, and insertion sites.

METHODS:

We retrospectively reviewed 429 orthodontic mini-screw placements in 286 patients (102 in men and 327 in women) between 2005 and 2010 at private practice. Age, gender, mini-screw length, and insertion site were cross-tabulated against the insertion methods. The Cochran-Mantel-Haenszel test was performed to compare the success rates of the 2 insertion methods.

RESULTS:

The motor-driven method was used for 228 mini-screws and the manual method for the remaining 201 mini-screws. The success rates were similar in both men and women irrespective of the insertion method used. With respect to mini-screw length, no difference in success rates was found between motor and hand drivers for the 6-mm-long mini-screws (68.1% and 69.5% with the engine driver and hand driver, respectively). However, the 8-mm-long mini-screws exhibited significantly higher success rates (90.4%, p < 0.01) than did the 6-mm-long mini-screws when placed with the engine driver. The overall success rate was also significantly higher in the maxilla (p < 0.05) when the engine driver was used. Success rates were similar among all age groups regardless of the insertion method used.

CONCLUSIONS:

Taken together, the motor-driven insertion method can be helpful to get a higher success rate of orthodontic mini-screw placement.

KEYWORDS:

Hand driver; Mini-screw; Motor-driven driver; Orthodontic engine driver

PMID:
23173117
PMCID:
PMC3495255
DOI:
10.4041/kjod.2012.42.5.242
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