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KJO Korean Journal of Orthodontics

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eISSN 2005-372X
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Korean J Orthod

Published online December 21, 2020

Copyright © The Korean Association of Orthodontists.

Complications reported with the use of orthodontic miniscrews: a systematic review.

Antonino Lo Giudice,1 Lorenzo Rustico,2 Miriam Longo, 2 Giacomo Oteri, 2 Moschos A. Papadopoulos, 3 Riccardo Nucera2

1Department of Medical-Surgical Specialties – Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario “V. Emanuele,” Via Santa Sofia 78, 95123, Catania, Italy.
2Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, School of Dentistry, University of Messina, Policlinico Universitario “G. Martino,” Via Consolare Valeria 98123, Messina, Italy.
3Department of Orthodontics, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Correspondence to:Lorenzo Rustico, Research Assistant, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, School of Dentistry, University of Messina, Policlinico Universitario “G. Martino,” Via Consolare Valeria 98123, Messina, Italy.
Email: lorenzo.rustico@gmail.com

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction: The aim of this systematic review was to evaluate the complications and sideeffects associated with the clinical use of orthodontic miniscrews by systematically reviewing the best available evidence. Materials and Methods: a survey of articles published up to March 2020 investigating the complications associated with miniscrews insertion, in both maxillary and mandibular jaws, was performed using 7 electronic databases. Clinical studies, case reports, or case series reporting complications associated with the use of orthodontic miniscrew implants were included. Two authors independently performed study selection, data extraction, and risk of bias assessment. Results: 24 articles were included. The risk of bias assessment revealed low methodological quality for the included studies. The most frequent adverse event reported was root injury with an associated periradicular lesion, vitality loss, pink discoloration of the tooth, and transitory loss of pulp sensitivity. Chronic inflammation of soft tissue surrounding the miniscrew with mucosa overgrowth was also reported. Other adverse events reported were: lesion of buccal mucosa at the insertion site, soft tissue necrosis, perforation of the floor of the nasal cavity, or maxillary sinus. Adverse events were also found after miniscrew removals such as secondary bleeding, miniscrew fracture, scars, and exostosis. Conclusion: The clinicians should preliminarily assess generic and specific insertion site complications and side-effects.

Keywords: Orthodontic mini-implant, Evidence-based orthodontics, Anchorage, Microimplant, TADS.

Article

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Korean J Orthod

Published online December 21, 2020

Copyright © The Korean Association of Orthodontists.

Complications reported with the use of orthodontic miniscrews: a systematic review.

Antonino Lo Giudice,1 Lorenzo Rustico,2 Miriam Longo, 2 Giacomo Oteri, 2 Moschos A. Papadopoulos, 3 Riccardo Nucera2

1Department of Medical-Surgical Specialties – Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario “V. Emanuele,” Via Santa Sofia 78, 95123, Catania, Italy.
2Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, School of Dentistry, University of Messina, Policlinico Universitario “G. Martino,” Via Consolare Valeria 98123, Messina, Italy.
3Department of Orthodontics, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Correspondence to:Lorenzo Rustico, Research Assistant, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, School of Dentistry, University of Messina, Policlinico Universitario “G. Martino,” Via Consolare Valeria 98123, Messina, Italy.
Email: lorenzo.rustico@gmail.com

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction: The aim of this systematic review was to evaluate the complications and sideeffects associated with the clinical use of orthodontic miniscrews by systematically reviewing the best available evidence. Materials and Methods: a survey of articles published up to March 2020 investigating the complications associated with miniscrews insertion, in both maxillary and mandibular jaws, was performed using 7 electronic databases. Clinical studies, case reports, or case series reporting complications associated with the use of orthodontic miniscrew implants were included. Two authors independently performed study selection, data extraction, and risk of bias assessment. Results: 24 articles were included. The risk of bias assessment revealed low methodological quality for the included studies. The most frequent adverse event reported was root injury with an associated periradicular lesion, vitality loss, pink discoloration of the tooth, and transitory loss of pulp sensitivity. Chronic inflammation of soft tissue surrounding the miniscrew with mucosa overgrowth was also reported. Other adverse events reported were: lesion of buccal mucosa at the insertion site, soft tissue necrosis, perforation of the floor of the nasal cavity, or maxillary sinus. Adverse events were also found after miniscrew removals such as secondary bleeding, miniscrew fracture, scars, and exostosis. Conclusion: The clinicians should preliminarily assess generic and specific insertion site complications and side-effects.

Keywords: Orthodontic mini-implant, Evidence-based orthodontics, Anchorage, Microimplant, TADS.