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(orthodontic anchorage) ( ) ( 17:85-98, 2012) Park 3,4 1960 1984 1 Branemark Roberts 2 (temporary anchorage TADs)5 devices, TAD 4-8 100 1990 1999 : 100 10 30 : , : 100 11 20 , : 100 12 15 250 E-mail: [email protected] J Taiwan Periodontol 17. No1. 2012 85 absolute anchorage) 1996 6 (systematic review) (skeletal or Kokich 6 (samarium-cobalt magnets) 6~8 Pubmed Library (facebow) (J-hook headgear) (dental unit) (transpalatal arch,TPA) (anchorage loss) movement)7 Skeggs 8 Library (reciprocal 2008 51 (headgear) (mid-palatal implant) (mid-palatal implant) (headgear) (evidence-based medicine) 86 7 dental implants, prosthetic implants, osseointegrated implants, orthodontic anchorage : : (mini-screws, mini-implants, mini-plates, onplants) (palatal implants) (temporary anchorage devices, TADs) (resorbable,biodegradable implants) (review articles) (one case report) Cochrane (randomized clinical trial, RCT)9 2011 Cochrane (retract) first premolar extraction, canine retraction, anterior teeth retraction, anchorage loss, orthodontic anchorage : : (extraoral anchorage devices) (palatal expansion or anchorage) (transpalatal arch, TPA) Nance (Nance appliance) Herbst (Herbst appliance) J Taiwan Periodontol 17. No1. 2012 (molar distalization) (review articles) (one case report) 360 6 (Oxford Centre for Evidence Based 3 level 3 Medicine)10 3 (level of evidence) level 5 2 1 level 5 (posterior bite collapse) 3 level 2 (intra/inter-arch) Kokich Schweizer J Taiwan Periodontol 17. No1. 2012 11 1996 6 87 2006 Kato 41 (ITI:TPS,SLA;Nobel:TiUnite)12 Kokich Orthodontic Applications of Osseointegrated Implants 11 1 4-6 1~5 (splinting) splinting) 11 Huang 2005 150-400 0.8~6 (cross-arch 16 (standand 0.5mm healing protocol) 3-6 Kato Marta ( ) (peri-implant mucositis) 100% Kato 2 3-6 12,14 13 Palagi 40N 3 ( ) 4 90% 15 2 300 (primary (intrusion) 93 Marta 2008 stability) 3-6 Osseotite (BIOMET 3i) 14 38 4-6 (Ni-Ti 100-200 springs) (intrusive, extrusive, compressive, tipping) 20-300 2-9 (OSSTELL) 30 ISQ(Implant Stability Quotient, ISQ) ISQ Palagi 17 (ISQ=68) (ISQ=66) 0.2mm 6 2010 (Sistema de Implante, 20 Brazil)15 SIN 300 Huang 2005 16 11 40N 4 200 2 88 90% Akin-Nergiz 1998 (4.1 12 mm ITI TPS 18 (sheep-dogs) 24 Bonefit ) 500 J Taiwan Periodontol 17. No1. 2012 pre-adjusted edgewise Brånemark Saito (3.75 7mm) 200 2000 beagle dogs 32 19 1.73mm ITI Mezomo 3 26 Melsen 2001 (TPS,2.2 6mm) Ni-Ti coil spring 11 2010 25% 2-3mm 4.0mm 20 ( O)X @@@@@@@@@@@@@@) @@@@@@@@@@@@@@@@@@@@ O)X @@@@@@@@@@@@@@@@@@@@) 182 12 6 Luecke ( 1992 ) (heterogeneity) (meta-analysis) ) 42 22~64 21 edgewise 7 17 19 5.0mm 3.2mm edgewise ( 7 ) Lawrence 1996 22 12 (ankylosed teeth) 3 5.6mm 2005 2.0mm 23 42 3.1-4.0mm 2007 24 Heo masse 13 Urias 40 30 6 en4.0mm Basha 2010 27-29 (biological age) Mish 15 two-step 2.0mm (chronological age) 30 Carl E. 18 (sex) xx(infraocclusion) 25 J Taiwan Periodontol 17. No1. 2012 89 31 90 J Taiwan Periodontol 17. No1. 2012 a. J Taiwan Periodontol 17. No1. 2012 b.Chiapasco M, Gatti C. ;Clin Oral Implants Res. 2003;5:29 38. 91 92 J Taiwan Periodontol 17. No1. 2012 J Taiwan Periodontol 17. No1. 2012 93 2-33 2 6-42 Mezomo 26 3 (laceback ligatures) x/ (anchorage loss/active movement) 1.41 60%35 7.0-7.5mm 36,37 2557% x-ray (maximum) Akin- Nergiz 1998 6 sheep-dogs (open coil springs) 204 3 510 0.02-0.04mm 18 ( ) (relapse) 12 Artun 38 1997 (bonded retainer) (removable retainer) (canine-to-canine) 4.0-6.0mm 1.7-4.0mm (irregularity index) (relapse) Begg 1956 Begg differential force technique) (maximun) (light wire 23% 14% 2002 1/4 32 1/2 Feldmann (moderate) 1/4-1/2 (minimun) 2006 33 ) 0.84( 34 94 20 (polyethylene ribbons bonded retainer) (multistranded wire bonded retainer)39 3 7 ( 7 (effectiveness) 2 (RCT) 35 13.7 (laceback ligatures) 62 Rose (relapse) Usmani 2002 2.66)mm Irvine 2004 (mutual contact) stone, (absolute anchorage) (arch structure) ) (key 13.7 J Taiwan Periodontol 17. No1. 2012 (3-6 ) 400 1. Branemark PI. Osseointegration and its experimental background. J Prosthet Dent ,50(3):399-410, 1983. 2. Roberts WE, Nelson CL, Goodacre CJ. Rigid implant anchorage to close a mandibular first molar extraction site. J Clin Orthod ,28(12):693-704 ,1994. 3. HS Park. The skeletal cortical anchorage using titanium microscrew implants. Korean J Orthod , 29:699-706, 1999. 4. HS. Park. The Use of Micro-Implant as Orthodontic Anchorage. Seoul, South Korea: Nare Pub Co, 5-124, 2001. 5. Cornelis MA, Scheffler NR, De Clerck HJ, Tulloch JF, Behets CN. Systematic review of the experimental use of temporary skeletal anchorage devices in orthodontics. Am J Orthod Dentofacial Orthop , 131(4 Suppl):S52-8 ,2007. 6. Kokich VG. Managing complex orthodontic problems: the use of implants for anchorage. Semin Orthod , 2(2):153-60, 1996. 7. Roberts HD, Sandy J. Orthodontics. Part 9: Anchorage control and distal movement. Brit Dent J, 196:255-63, 2004. 8. Skeggs RM, Benson PE, Dyer F. Reinforcement J Taiwan Periodontol 17. No1. 2012 of anchorage during orthodontic brace treatment with implants or other surgical methods (Review). The Cochrane Library, 2008(4). 9. Benson PE, Tinsley D, O'Dwyer JJ, et al. Midpalatal implants vs headgear for orthodontic anchorage--a randomized clinical trial: cephalometric results. Am J Orthod Dentofacial Orthop , 132(5):606-15, 2007. 10. Levels of evidence. Oxford Centre for Evidence-Based Medicine.Web site: http://www.cebm.net/levels_of_evidence.asp, 2008. 11. Kenji W.H. In Orthodontic Applications of Osseiointegrated Implants , Quintessence, 2000. 12. Kato S, Kato M. Moderately roughened- and roughened-surface implants used as rigid orthodontic anchorage: a case series. Clin Implant Dent Relat Res , 8(2):87-94, 2006. 13. Kato S, Kato M. Intrusion of molars with implants as anchorage: a report of two cases. Clin Implant Dent Relat Res , 8(2):100-6, 2006. 14. de Cravero Marta R, Carlos IJ. Assessing double Acid-etched implants submitted to orthodontic forces and used as prosthetic anchorages in partially edentulous patients. Open Dent J, 2:30-7, 2008. 15. Palagi LM, Sabrosa CE, Gava EC, Baccetti T, Miguel JA. Long-term follow-up of dental single implants under immediate orthodontic load. Angle Orthod, 80(5):807-11, 2010. 16. Huang LH, Shotwell JL, Wang HL. Dental implants for orthodontic anchorage. Am J Orthod Dentofacial Orthop, 127(6):713-22, 2005. 17. Ferrario VF, Sforza C, Serrao G, Dellavia C, 95 Tartaglia GM. Single tooth bite forces in healthy young adults. J Oral Rehabil , 31(1):18-22, 2004. 18. Akin-Nergiz N, Nergiz I, Schulz A, Arpak N, Niedermeier W. Reactions of peri-implant tissues to continuous loading of osseointegrated implants. Am J Orthod Dentofacial Orthop , 114(3):292-8, 1998. 19. Saito S, Sugimoto N, Morohashi T, et al. Endosseous titanium implants as anchors for mesiodistal tooth movement in the beagle dog. Am J Orthod Dentofacial Orthop , 118(6):601-7, 2000. 20. Melsen B, Lang NP. Biological reactions of alveolar bone to orthodontic loading of oral implants. Clin Oral Implants Res , 12(2):14452, 2001. 21. Luecke PE, 3rd, Johnston LE, Jr. The effect of maxillary first premolar extraction and incisor retraction on mandibular position: testing the central dogma of "functional orthodontics". Am J Orthod Dentofacial Orthop , 101(1):4-12, 1992. 22. Lotzof LP, Fine HA, Cisneros GJ. Canine retraction: a comparison of two preadjusted bracket systems. Am J Orthod Dentofacial Orthop, 110(2):191-6, 1996. 23. Urias D, Mustafa FI. Anchorage control in bioprogressive vs straight-wire treatment. Angle Orthod, 75(6):987-92, 2005. 24. Heo W, Nahm DS, Baek SH. En masse retraction and two-step retraction of maxillary anterior teeth in adult Class I women. A comparison of anchorage loss. Angle Orthod ,77(6):973-8, 2007. 25. Basha AG, Shantaraj R, Mogegowda SB. Comparative study between conventional enmasse retraction (sliding mechanics) and en- 96 masse retraction using orthodontic micro implant. Implant Dent , 19(2):128-36, 2010. 26. Mezomo M, de Lima ES, de Menezes LM, Weissheimer A, Allgayer S. Maxillary canine retraction with self-ligating and conventional brackets. Angle Orthod, 81(2):292-7, 2011.ntofacial Orthop, 127(6):713-22, 2005. 27. Kawanami M, Andreasen JO, Borum MK, et al. Infraposition of ankylosed permanent maxillary incisors after replantation related to age and sex. Endod Dent Traumatol, 15(2):50-6, 1999. 28. Oesterle LJ, Cronin RJ Jr, Ranly DM.Maxillary implants and the growing patient.Int J Oral Maxillofac Implants , 8:377-87, 1993. 29. Westwood RM, Duncan JM. Implant in adolescents: A literature review and case reports. Int J Oral Maxillofac Implants, 11:750-55, 1996. 30. Misch CE. In Dental Implant Prosthetics , Elsevier Mosby, 2005. 31. Rossi E, Andreasen JO. Maxillary bone growth and implant positioning in a young patient: a case report. Int J Periodontics Restorative Dent, 23(2):113-9, 2003. 32. Begg P.R., Kesling PC. Differential force in orthodontic treatment. Amer. J. Orthodont, 42:481-510, 1956. 33. Feldmann I, Bondemark L. Orthodontic anchorage: a systematic review. Angle Orthod,76(3):493-501, 2006. 34. Usmani T, O'Brien KD, Worthington HV, et al. A randomized clinical trial to compare the effectiveness of canine lacebacks with reference to canine tip. J Orthod, 29(4):2816; discussion 77, 2002. 35. Irvine R, Power S, McDonald F. The J Taiwan Periodontol 17. No1. 2012 effectiveness of laceback ligatures: a randomized controlled clinical trial. J Orthod, 31(4):303-11; discussion 300, 2004. 36. Santoro M, Ayoub ME, Pardi VA, Cangialosi TJ. Mesiodistal crown dimensions and tooth size discrepancy of the permanent dentition of Dominican Americans. Angle Orthod,70(4):303-7, 2000. 37. Ling JY, Wong RW. Tooth dimensions of Southern Chinese. Homo, 58(1):67-73, 2007. J Taiwan Periodontol 17. No1. 2012 38. Årtun J, Spadafora AT, Shapiro PA. A 3-year follow-up study of various types of orthodontic canine-to-canine retainers.European Journal of Orthodontics, 19:501-09, 1997. 39. Rose E, Frucht S, Jonas IE. Clinical comparison of a multistranded wire and a direct-bonded polyethylene ribbon-reinforced resin composite used for lingual retention. Quintessence Int, 33(8):579-83, 2002. 97 Comparison of fixed anchorage and conventional tooth anchorage in orthodontics I-Hsin Lin Tony Shing-zang Dung Hsein-Kun Lu Graduate Institute of Taipei Medical University, Taipei, Taiwan It is difficult to rehabilitate the oral conditions of patients with moderate to severe periodontitis in combination with orthodontics because in lack of appropriate orthodontic anchorage. Stability of the orthodontic anchorage often determines the success of the orthodontic treatment. Dental implants have prevailingly been used as fixed anchorage for orthodontic treatment in the last decade. Implant anchorage provides a stable anchorage and also as the corner stone of dental arch to stabilize the new alignment of teeth. This article reviews the use of prosthetic implant in dental treatment, which included the way of applications, timing, and loading status. The differences of prosthetic implant and conventional tooth anchorage was also compared. (J Taiwan Periodontol 17:85-98, 2012) Key words : prosthetic implants, orthodontic anchorage, orthodontic tooth movement Received: October 30, 2011, Revised: Novembre 20, 2011, Accepted: December 15, 2011 Address reprint requests and correspondence to: Prof. Hsein-Kun Lu, College of Oral Medicine, Taipei Medical University, and Clinical Periodontics, Dental Department, Taipei Medical University Hospital, 250 Wu-Xing Street, Taipei 110, Taiwan. E-mail: [email protected] 98 J Taiwan Periodontol 17. No1. 2012