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Published on: February 10, 2014
Is anchorage reinforcement with implants effective in orthodontics?
1Department of Orthodontics, Institute Of Dental Studies and Technology, Delhi, India.
Evidence-Based Dentistry
|March 28, 2008
Summary
Osseo-integrated palatal implants show promise for reinforcing orthodontic anchorage, offering an acceptable alternative to headgear. However, more high-quality randomized clinical trials are needed to confirm their effectiveness and patient outcomes.
Area of Science:
- Orthodontics
- Dental Implantology
Background:
- This review systematically searched multiple databases for randomized clinical trials (RCTs) on surgically assisted orthodontic anchorage reinforcement.
- Studies involving RCTs or quasi-RCTs for orthodontic anchorage reinforcement were selected.
Discussion:
- Only one relevant trial was identified, comparing midpalatal osseo-integrated implants with headgear for absolute anchorage.
- The trial indicated less mesial movement of the maxillary molar with implants (1.5 mm) compared to headgear (3.0 mm), though not statistically significant.
- The study concluded that midpalatal implants effectively reinforce anchorage and are a viable alternative to headgear.
Key Insights:
- Limited evidence suggests osseo-integrated palatal implants are acceptable for orthodontic anchorage reinforcement.
- Insufficient data exists regarding patient acceptance, discomfort, and failure rates associated with these implants.
- The single included trial found implants reduced maxillary molar mesial movement compared to headgear.
Outlook:
- High-quality RCTs are urgently needed in this rapidly evolving field of orthodontic practice.
- Further research should address patient-reported outcomes like acceptance and comfort.
- Funding for independent, high-quality trials is recommended, potentially from implant manufacturers.
