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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
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3. HS Park. The skeletal cortical anchorage using
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4. HS. Park. The Use of Micro-Implant as
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5. Cornelis MA, Scheffler NR, De Clerck HJ,
Tulloch JF, Behets CN. Systematic review of
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,2007.
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problems: the use of implants for anchorage.
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Dent J, 196:255-63, 2004.
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11. Kenji W.H. In Orthodontic Applications of
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roughened-surface implants used as rigid
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Open Dent J, 2:30-7, 2008.
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Miguel JA. Long-term follow-up of dental
single implants under immediate orthodontic
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osseointegrated implants. Am J Orthod
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Endosseous titanium implants as anchors for
mesiodistal tooth movement in the beagle
dog. Am J Orthod Dentofacial Orthop ,
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alveolar bone to orthodontic loading of oral
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of maxillary first premolar extraction and
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retraction: a comparison of two preadjusted
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bioprogressive vs straight-wire treatment.
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retraction and two-step retraction of
maxillary anterior teeth in adult Class I
women. A comparison of anchorage loss.
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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
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