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Published on: February 10, 2014
Survival analysis of temporary anchorage devices: A retrospective analysis in a Nigerian orthodontic patient
Onyinye Dorothy Umeh1, Uzoma Linda Offojebe2, Ikenna Gerald Isiekwe2
1Department of Child Dental Health, Faculty of Dental Sciences, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.
Objectives:
Temporary anchorage devices (TADs) are skeletal anchorage devices. They are minimally invasive and placed by the orthodontist to prevent unwanted tooth movement. This study evaluated the survival rate of orthodontic TADs at 6 months. This study also assessed the effect of age, gender, side, site, dental arch of placement, and length of the TADs on its survival rate.
Materials And Methods:
Ethical approval was obtained from the Health Research Ethics Committee of the hospital. The study sample comprised orthodontic patients who required the placement of TADs during treatment at a private dental facility in Lagos. Data for the study were obtained from the case files of the study subjects and included the subjects' age, gender, date of placement of the TADs, the site, side and arch of placement, the length of the TADs, and the survival rate of 6 months after placement.
Results:
We reviewed 90 placed TADs and observed a survival rate of 88.9%. Most TAD failures occurred in the first month of placement (p = 001). There was no observable statistically significant effect of all other variables assessed (age, gender, arch, site, side, or implant length) on the survival rate of the TADs.
Conclusions:
The survival rate of TADs was high. Most TAD failures significantly occurred within one month of placement. There was no significant association between all other clinical variables and orthodontic mini-implant survival.
