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World Journal of Advanced Research and Reviews
Article . 2025 . Peer-reviewed
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ZENODO
Article . 2025
License: CC BY
Data sources: ZENODO
ZENODO
Article . 2025
License: CC BY
Data sources: Datacite
ZENODO
Article . 2025
License: CC BY
Data sources: Datacite
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Safe areas for mini-implant placement in orthodontics: Bibliographic review

Authors: Espinoza, Erika Cristina Castro; Ochoa, María Esthela Litardo; Arévalo, Camila Alejandra Valverde; Siguencia, Valeria del Rosío;

Safe areas for mini-implant placement in orthodontics: Bibliographic review

Abstract

Orthodontic anchorage using mini-implants has established itself as an effective means of optimizing biomechanical control during orthodontic treatment. However, its success largely depends on the selection of the insertion site, as an inappropriate location can compromise anatomical structures and decrease primary stability. The purpose of this review was to identify the safest areas for mini-implant placement, integrating evidence published between 2010 and 2025. Studies using cone-beam computed tomography (CBCT), anatomical analyses, and systematic reviews that evaluated interradicular spaces, cortical thickness, and variations according to age, sex, and skeletal pattern were included. The results show that, in the maxilla, the safest interradicular spaces are located between the second premolar and first molar, as well as between the first and second molars on the buccal surface; in the anterior region, the appropriate site is between the central and lateral incisors, 6 mm from the cementoenamel junction. In the mandible, the preferred site is between the first and second molars, 6 mm or more apically, and in the anterior region, between the lateral incisor and canine. The paramedian region of the palate, especially between the first and second premolars, provides the thickest cortex and the greatest stability. Extra-alveolar alternatives include the infrazygomatic crest and the mandibular buccal cortex. In conclusion, although safe sites exist, mini-implant stability is influenced by individual anatomical factors, so individualized CBCT planning is recommended.

Related Organizations
Keywords

Safe zones, Infrazygomatic ridge, Mini-implants, Interradicular

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selected citations
These citations are derived from selected sources.
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
Green
gold