Objective:

  To determine the effects of insertion angle (IA) and thread type on the fracture properties of orthodontic mini-implants (OMIs) during insertion.

 Materials and Methods:

 A total of 100 OMIs (self-drilling cylindrical 11 mm in length) were allocated into 10 groups according to thread type (dual or single) and IA (0°, 8°, 13°, 18°, and 23°) (n  =  10 per group). The OMIs were placed into artificial materials simulating human tissues: two-layer bone blocks (Sawbones), root (polymethylmethacrylate stick), and periodontal ligament (Imprint-II Garant light-body). Maximum insertion torque (MIT), total insertion energy (TIE), and peak time (PT) were measured and analyzed statistically.

 Results:

  There were significant differences in MIT, TIE, and PT among the different IAs and threads (all P < .001). When IA increased, MIT increased in both thread groups. However, TIE and PT did not show significant differences among 0°, 8°, and 13° IAs in the dual-thread group or 8°, 13°, and 18° IAs in the single-thread group. The dual-thread groups showed higher MIT at all IAs, higher TIE at 0° and 23° IAs, and longer PT at a 23° IA than the single-thread groups. In the 0°, 8°, and 13° IA groups, none of the OMIs fractured or became deformed. However, in the 18° IA group, all the OMIs were fractured or deformed. Dual-thread OMIs showed more fracturing than deformation compared to single-thread OMIs (P < .01). In the 23° IA group, all OMIs penetrated the artificial root without fracturing and deformation.

 Conclusions:

  When OMIs contact artificial root at a critical contact angle, the deformation or fracture of OMIs can occur at lower MIT values than those of penetration.

 Source: The Angel Orthodontists

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