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An In-Vitro Study Evaluating the Fracture Resistance and Insertion Torque of Self-Drilling Mini-Implants Upon Insertion Into Synthetic High Density Mandibular Bone.

Authors: Smith, Angie L;

An In-Vitro Study Evaluating the Fracture Resistance and Insertion Torque of Self-Drilling Mini-Implants Upon Insertion Into Synthetic High Density Mandibular Bone.

Abstract

Introduction: Self-drilling mini-implants are commonly used in orthodontics, but there is little information regarding their fracture resistance in areas of high density bone without pre-drilling. Purpose: To determine the peak fracture torques of six commonly used self-drilling mini-implants, and to examine how each performs in extreme conditions without pre-drilling. Materials and Methods: Fifteen mini-implants from six different manufacturers were drilled into acrylic blocks using a custom-made insertion device incorporating a 6-DOF load cell for torque measurements. Peak fracture torques were recorded and compared for each of the six manufacturers. Additionally, ten mini-implants from each manufacturer were inserted into high density mandibular bone substitutes (Sawbones®) without pre-drilling. Measures of peak insertion torque for each manufacturer were recorded. Groups that experienced fracture upon insertion into the bone substitutes underwent further testing specifically following their manufacturer pre-drilling recommendations. Results: Resistance to fracture varied significantly among implants from different manufacturers. Tomas-pin and Aarhus experienced fractures during insertion into the non-pre-drilled bone substitutes. When manufacturer’s pre-drilling recommendations were followed, Aarhus continued to experience fractures during insertion. Conclusions: Unitek, Vector TAS, Dual Top, and Ortho Easy can be inserted into areas of thick and dense cortical bone without pre-drilling. Tomas-Pin can be inserted provided manufacturer pre-drilling recommendations are followed. The manufacturer's recommendations for the use of 1.5mm Aarhus in areas of thick cortical bone may need to be modified.

Country
Canada
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Keywords

pilot-hole, Orthodontics and Orthodontology, 610, TAD, pre-drilling, mandibular bone, cortical bone thickness., anchorage, fracture, cortical bone thickness, 617, temporary anchorage device, Orthodontic, mini-implant, miniscrew, high density bone, insertion torque

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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