FACTORS INFLUENCING FAILURES IN THE USE OF MINI-IMPLANTS: A LITERATURE REVIEW
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Abstract
Temporary anchorage devices or mini-screws are becoming increasingly relevant in the clinical management of orthodontic treatments. However, despite the expressive clinical results obtained, some intercurrences may affect the anchorage during the treatment. Failures may be associated with factors related to the professional, the patient or the screw. Furthermore, there are factors that can contribute to the clinical success in the use of these devices, such as the appropriate selection of the length of the mini-screws, the choice of suitable areas for insertion of the device, such as areas of attached gingiva, besides the knowledge about bone density, aiming to contribute to primary stability, practice of good oral hygiene habits or even the use of self-drilling devices. Thus, the present study aimed to review the scientifc literature available on mini-implants. Scientifc articles were selected using PubMed,Scopus,Web of Science,Cochrane Library, Embase, BVS, Opengrey, Google Scholar and Catalog of Theses and Dissertations. After applying the selection criteria, 32 articles were selected to compose this work. It is concluded that the use of mini-screws maintains ideal anchorage control, in order to avoid undesirable tooth movements, and the clinical success of temporary anchorage devices in Orthodontics is undeniable. However, it has been proven that complications whose etiology may vary between professionals, patients, or the screw itself are capable of affecting the device during orthodontic treatment, leading to failure of the mini-screws.
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