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Published on: February 23, 2024
Torque ratio as a predictable factor on primary stability of orthodontic miniscrew implants
Masahide Inoue1, Shingo Kuroda, Akihiro Yasue
1*Graduate Student, Department of Orthodontics and Dentofacial Orthopedics, The University of Tokushima Graduate School of Oral Sciences, Tokushima, Japan. †Associate Professor, Department of Orthodontics and Dentofacial Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan. ‡Senior Assistant Professor, Department of Orthodontics and Dentofacial Orthopedics, The Tokushima University Hospital, Tokushima, Japan. §Professor, Department of Orthodontics, School of Dentistry, Kyungpook National University, Daegu, South Korea. ‖Professor and Chair, Department of Orthodontics and Dentofacial Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan.
The torque ratio (TR) may predict the success of orthodontic miniscrews. A higher TR indicates better primary stability, suggesting TR can be a key factor in implant success.
Area of Science:
- Orthodontic implantology
- Biomaterials science
Background:
- Orthodontic miniscrews are crucial for anchorage.
- Assessing primary stability is vital for successful treatment outcomes.
Purpose of the Study:
- To investigate the torque ratio (TR) as a predictor of primary stability in orthodontic miniscrews.
- To determine the influence of TR on the success rates of miniscrew implants.
Main Methods:
- Evaluated 112 titanium miniscrews of varying diameters in 58 orthodontic patients.
- Measured maximum insertion torque (MIT) and maximum removal torque (MRT).
- Analyzed success rates using multiple logistic regression, considering age, TR, and screw proximity.
Main Results:
- Miniscrew success rates ranged from 82.1% to 89.5%.
- MIT and MRT correlated positively but did not directly impact success rates.
- TR was significantly higher in successful cases, and TR, age, and screw proximity influenced success.
Conclusions:
- The torque ratio (TR) shows potential as a predictive factor for orthodontic miniscrew primary stability.
- Miniscrew implants with a significantly lower MRT than MIT may require replacement.
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