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Skeletal Anchorage as a Therapeutic Alternative for Mandibular Second Molar Impaction: A Prospective Case-Control
Martina Mezio1, Federica Altieri1, Michele Cassetta1
1Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, 00161 Rome, Italy.
Dentistry Journal
|November 26, 2024
Summary
Skeletal anchorage significantly reduces treatment time for impacted mandibular second molars (MM2) compared to traditional brass wire methods. Both techniques effectively treat MM2 impaction without negatively impacting oral health-related quality of life (OHRQoL).
Area of Science:
- Orthodontics
- Oral Surgery
- Dental Implantology
Background:
- Mandibular second molar (MM2) impaction necessitates surgical-orthodontic treatment.
- Comparing traditional brass wire techniques with skeletal anchorage for MM2 impaction is crucial.
- Assessing treatment duration and impact on oral health-related quality of life (OHRQoL) is important.
Purpose of the Study:
- To compare the effectiveness of brass wire versus skeletal anchorage for treating impacted mandibular second molars (MM2).
- To evaluate treatment duration and OHRQoL in patients undergoing MM2 disimpaction.
- To determine if skeletal anchorage offers advantages over traditional methods for MM2 impaction.
Main Methods:
- Twelve patients with mesio-angular impacted MM2 (25°-40° angulation, 4-10 mm depth) were randomly assigned to two groups.
- Group A: Traditional brass wire technique.
- Group B: Skeletal anchorage using a miniscrew and elastic sling chain.
Main Results:
- Skeletal anchorage group (Group B) showed significantly shorter treatment times (76 days) compared to the brass wire group (Group A) (168.67 days) (p=0.0002).
- No statistically significant difference in OHRQoL (OHIP-14) was observed between the groups at 3 and 7 days post-treatment.
- Both techniques proved effective for MM2 impaction within the specified parameters.
Conclusions:
- Skeletal anchorage is a more time-efficient method for treating impacted mandibular second molars (MM2) compared to traditional brass wire techniques.
- The choice of disimpaction technique does not significantly affect short-term OHRQoL.
- Further research with larger sample sizes is recommended to confirm these findings.
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