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Tooth Complications after Orthodontic Miniscrews Insertion

Author

Listed:
  • Angelo Michele Inchingolo

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
    These authors contributed equally to this work.)

  • Giuseppina Malcangi

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
    These authors contributed equally to this work.)

  • Stefania Costa

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Maria Celeste Fatone

    (PTA Trani-ASL BT, Viale Padre pio, 76125 Trani, Italy)

  • Pasquale Avantario

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Merigrazia Campanelli

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Fabio Piras

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Assunta Patano

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Irene Ferrara

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Chiara Di Pede

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Anna Netti

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Elisabetta de Ruvo

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Giulia Palmieri

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Vito Settanni

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Vincenzo Carpentiere

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Gianluca Martino Tartaglia

    (UOC Maxillo-Facial Surgery and Dentistry, Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, University of Milan, 20100 Milan, Italy)

  • Ioana Roxana Bordea

    (Department of Oral Rehabilitation, Faculty of Dentistry, Iuliu Hațieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania)

  • Felice Lorusso

    (Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy)

  • Salvatore Sauro

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
    Dental Biomaterials and Minimally Invasive Dentistry, Department of Dentistry, University CEU Cardenal Herrera, CEU Universities, C/Santiago Ramón y Cajal, s/n., Alfara del Patriarca, 46115 Valencia, Spain)

  • Daniela Di Venere

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Francesco Inchingolo

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
    These authors contributed equally to this work.)

  • Alessio Danilo Inchingolo

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
    These authors contributed equally to this work.)

  • Gianna Dipalma

    (Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
    These authors contributed equally to this work.)

Abstract

Orthodontic miniscrews (OM) are widely used in modern orthodontic clinical practice to improve skeletal anchorage and have a high safety profile. A complication at the time of OM insertion is tooth root perforation or periodontal ligament trauma. Rarely, OM injury can cause permanent damage, such as ankylosis, osteosclerosis, and loss of tooth vitality. The aim of this work was to analyze potential risks and dental complications associated with the use of OMs. A search of the PubMed, Cochrane, Web of Science, and Scopus databases was conducted without a time limit using the keywords “orthodontic mini-screw” and “dental damage”, resulting in 99 studies. After screening and eligibility, including articles obtained through a citation search, 13 articles were selected. Four studies revealed accidental injuries caused by OM. Most of the damage was localized at the root level and resolved spontaneously with restorative cement formation after prompt removal of the OM, while the pain disappeared. In some cases, irreversible nerve damage, extensive lesions to the dentin–pulp complex, and refractory periapical periodontitis occurred, requiring endodontic and/or surgical treatment. The choice of insertion site was the most important element to be evaluated during the application of OMs.

Suggested Citation

  • Angelo Michele Inchingolo & Giuseppina Malcangi & Stefania Costa & Maria Celeste Fatone & Pasquale Avantario & Merigrazia Campanelli & Fabio Piras & Assunta Patano & Irene Ferrara & Chiara Di Pede & A, 2023. "Tooth Complications after Orthodontic Miniscrews Insertion," IJERPH, MDPI, vol. 20(2), pages 1-14, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1562-:d:1036223
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    References listed on IDEAS

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    1. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
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