International Journal of Oral Implantology & Clinical Research

Register      Login

VOLUME 8 , ISSUE 1 ( January-April, 2017 ) > List of Articles

CASE REPORT

Mini-implant supported Orthodontic Molar Intrusion: An Unconventional Approach for Pre-implant Prosthetics

Prathmesh R Mehta, Rishi A Bhimani, Anand N Badavannavar

Citation Information : Mehta PR, Bhimani RA, Badavannavar AN. Mini-implant supported Orthodontic Molar Intrusion: An Unconventional Approach for Pre-implant Prosthetics. Int J Oral Implantol Clin Res 2017; 8 (1):26-30.

DOI: 10.5005/jp-journals-10012-1163

License: CC BY 3.0

Published Online: 01-07-2014

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Aim

To demonstrate two cases in which mini-implant-supported orthodontic molar intrusion has been performed to regain ideal crown height space (CHS) for implant prosthesis.

Background

Tooth loss is associated with esthetic, functional, and psychological consequences on an individual. Replacement of missing teeth by dental implants has gained significant importance due to promising advantages of implants over conventional prosthesis. Edentulism often results in supra-eruption of antagonistic teeth into the edentulous site, resulting in reduced vertical dimension for tooth replacement, posing a restorative challenge for clinicians. Hence, it is necessary to regain the lost vertical dimension prior to the implant prosthesis, either conventionally by endodontic and prosthetic intervention or by orthodontic intrusion with the aid of temporary anchorage devices (TADs). Mini-implants are a category of TADs that provide a minimally invasive technique for molar intrusion.

Case report

Two patients with missing mandibular molars desiring tooth replacement presented with supra-eruption of antagonist teeth, posing a difficulty during prosthetic treatment. Orthodontic intrusion using mini-implants was performed to regain the lost vertical space simultaneously along with dental implant placement followed by prosthetic rehabilitation.

Conclusion

The present twin case report demonstrates the successful role of mini-implants in orthodontic molar intrusion for establishing an ideal CHS for implant prosthesis to reestablish masticatory function.

Clinical significance

The twin case report demonstrates mini-implant-supported orthodontic molar intrusion as a replacement for conventional gross tooth reduction, for regaining the lost vertical space in cases of supra-eruption of maxillary molar associated with edentulism.

How to cite this article

Mehta PR, Bhimani RA, Badavannavar AN. Mini-implant supported Orthodontic Molar Intrusion: An Unconventional Approach for Pre-implant Prosthetics. Int J Oral Implantol Clin Res 2017;8(1):26-30.


HTML PDF Share
  1. Temporary anchorage devices in orthodontics: a paradigm shift. Semin Orthod 2005 Mar;11(1):3-9.
  2. Contemporary orthodontics. 5th ed. St. Louis, MO: Elsevier Publishers; 2013.
  3. Rationale for application of immediate load in implant dentistry: Part I. Implant Dent 2004 Sep;13(3):207-215.
  4. Contemporary implant dentistry. 3rd ed. St. Louis, MO: Elsevier Publishers; 2013.
  5. Evaluation of interarch space foe implant restorations in edentulous patients. A laboratory technique. J Prosthodont 2000 Jun;9(2):102-105.
  6. Assessing the space limitation inside a complete denture for implant attachments. J Prosthet Dent 2003 Jan;89(1):82-85.
  7. The use of miniscrew implants for temporary skeletal anchorage in orthodontics: a comprehensive review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007 May;103(5):e6-e15.
  8. Maxillary molar intrusion using Mini-implants to gain vertical space in the antagonist arch for rehabilitation with implant prosthesis: an interdisciplinary approach. Int J Clin Implant Dent 2015 Sep-Oct;1(3):119-122.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.