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Updated: May 30, 2026
Measuring Maxillary Posterior Tooth Movement: A Model Assessment using Palatal and Dental Superimposition
Published on: February 23, 2024
Displacement pattern of the maxillary arch depending on miniscrew position in sliding mechanics
Kee-Joon Lee1, Young-Chel Park, Chung-Ju Hwang
1Department of Orthodontics, Oral Science Research Center, Institute of Craniofacial Deformity, Yonsei University, Seoul, Korea.
Introduction:
This clinical study was performed to evaluate the anteroposterior and vertical displacement patterns of the maxillary teeth in sliding mechanics depending on the position of interradicular miniscrews after the extraction of premolars.
Methods:
Thirty-six women requiring maximum incisor retraction because of bialveolar protrusion were divided into 2 groups: group A (n = 18), miniscrew between the premolar and the molar, and group B (n = 18), miniscrew between the premolars. Cephalometric measurements for skeletal and dental changes were made before and after space closure.
Results:
In both groups, significant incisor retraction with intrusion of the root apex was noted, with no significant change in the first molar position. Group B displayed significantly greater intrusion at both the incisal tip (1.59 ± 1.53 mm) and the root apex (2.89 ± 1.59 mm) than did group A. In spite of the mean reduction of the vertical skeletal measurements, we failed to find significant skeletal changes.
Conclusions:
Miniscrews provided firm anchorage for anterior retraction. Selection of the placement site appeared to be an important determinant for the resultant displacement pattern of the incisor segment. Discriminative intrusion or retraction might be obtained via strategic miniscrew positioning.
