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The effects of different pilot-drilling methods on the mechanical stability of a mini-implant system at placement and removal: a preliminary study

Korean Journal of Orthodontics 2011³â 41±Ç 5È£ p.354 ~ 360
Á¶ÀϽÄ, ÃßÇý¶õ, ±è¼º±Õ, Shin Yun-Seob, ±è´ö¼ö, ±è¼ºÈÆ, Á¤±Ô¸², Huang John C.,
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Á¶ÀϽĠ( Cho Il-Sik ) - Seoul National University School of Dentistry Department of Orthodontics
ÃßÇý¶õ ( Choo Hye-Ran ) - Childrens¡¯ Hospital of Phildelphia Department of Craniofacial Orthodontics
±è¼º±Õ ( Kim Seong-Kyun ) - Seoul National University School of Dentistry Department of Prosthodontics
 ( Shin Yun-Seob ) - Kyung Hee University School of Medicine Department of Orthopaedic Surgery
±è´ö¼ö ( Kim Duck-Su ) - Kyung Hee University School of Dentistry Department of Restorative Dentistry
±è¼ºÈÆ ( Kim Seong-Hun ) - Kyung Hee University School of Dentistry Department of Orthodontics
Á¤±Ô¸² ( Chung Kyu-Rhim ) - Ajou University School of Medicine Department of Dentistry
 ( Huang John C. ) - University of California SanFrancisco Department of Orofacial Science Division of Orthodontics

Abstract


Objective:To investigate the effects of different pilot-drilling methods on the biomechanical stability of self-tapping mini-implant systems at the time of placement in and removal from artificial bone blocks.

Methods:Two types of artificial bone blocks (2-mm and 4-mm, 102-pounds per cubic foot [102-PCF] polyurethane foam layered over 100-mm, 40-PCF polyurethane foam) were custom-fabricated. Eight mini-implants were placed using the conventional motor-driven pilot-drilling method and another 8 mini-implants were placed using a novel manual pilot-drilling method (using a manual drill) within each of the 2-mm and 4-mm layered blocks. The maximum torque values at insertion and removal of the mini-implants were measured, and the total energy was calculated. The data were statistically analyzed using linear regression analysis.

Results:The maximum insertion torque was similar regardless of block thickness or pilot-drilling method. Regardless of the pilot-drilling method, the maximum removal torque for the 4-mm block was statistically higher than that for the 2-mm block. For a given block, the total energy at both insertion and removal of the mini-implant for the manual pilot-drilling method were statistically higher than those for the motor-driven pilot-drilling method. Further, the total energies at removal for the 2-mm block was higher than that for the 4-mm block, but the energies at insertion were not influenced by the type of bone blocks.

Conclusions:During the insertion and removal of mini-implants in artificial bone blocks, the effect of the manual pilot-drilling method on energy usage was similar to that of the conventional, motor-driven pilot-drilling method.

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Anchorage; Implant design; Surface treatment; Orthodontic mini-implant

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SCI(E)
KCI
KoreaMed