S-Space College of Dentistry/School of Dentistry (치과대학/치의학대학원) Dept. of Dentistry (치의학과) Journal Papers (저널논문_치의학과)
Success rate and risk factors associated with mini-implants reinstalled in the maxilla
- Issue Date
- ANGLE ORTHODONTIST; Vol.78, No.5, pp.895-901
- Objective: To determine the difference in the success rate for two types of oral installed mini-implants (OMIs): one type of initially installed OMI and a new implant of the same type that is reinstalled. Materials and Methods: The subjects consisted of 58 patients (19 male, 39 female; mean age = 21.78 +/- 5.85 years) who had received at least one OMI (self-drilling type, conical shape with 2.0-mm upper diameter and 5-mm length) in the attached gingiva of the upper buccal posterior regions for maximum anchorage during en masse retraction. If an OMI failed, a new one was immediately installed in the same area after 4 to 6 weeks or in an adjacent area immediately. The total number of initially installed OMIs (II-OMI) was; 109 and the total number of reinstalled OMIs (RI-OMI) was 34. Statistical analysis was performed using chi(2) test, Kaplan-Meier method, log-rank test, and Cox proportional hazards regression model. Results: The success rate and mean duration were 75.2% and 10.0 months, respectively, for II-OMI and 66.7% and 6.4 months, respectively, for RI-OMI. Age, vertical skeletal pattern, and site and side of implantation were not related to the success rates of II-OMI and RI-OMI. Log-rank test showed that II-OMI in males and Class III malocclusions were more prone to failure. The relative risk of II-OMI failure in Class III malocclusions as opposed to Class I malocclusions was 5.36 (95% confidence interval, 2.008 to 14.31, P = .001). Conclusion: The success rate of the II-OMI was not statistically different from that of the RI-OMI. Sex and ANB angle might be more important factors for better II-OMI results.