Emre Kayalar, Aysenur Batu Güney, Gülnaz Marsan and Sonmez Firatli
Anadolu University, Turkey
Istanbul University, Turkey
Posters & Accepted Abstracts: Oral Health Dent Manag
Palatally inserted orthodontic mini-implants can be used multifunctional via more than one technique in the same patient. A young adult female patient with a skeletally narrow maxilla and bilateral mesial migration of the molars was treated using two mini-implants inserted in the palate for skeletal anchorage. Three single-purpose appliances were used consecutively: A bone- and tooth-borne appliance (hybrid hyrax) for surgically asisted rapid maxillary expansion (SARME), a mini-implant-borne distalization appliance for molar distalization, and a mini-implant-stabilized Transpalatal Arch (TPA) for indirect anchorage during incisor retraction. The use of palatal mini-implants reduced the adverse side effects on SARME and eliminated the need for treatment with indirect cervical headgear. Bodily molar distalization was achieved within an acceptable length of treatment time. Moreover, the mini-implant-stabilized TPA was used for en-masse retraction of anterior teeth without require any alterations in treatment mechanics, with the routine conventional orthodontic mechanics.