Success rates of a skeletal anchorage system in orthodontics: A retrospective analysis

Author:

Lam Raymond1,Goonewardene Mithran S.2,Allan Brent P.34,Sugawara Junji56

Affiliation:

1. Research Fellow, Department of Orthodontics, Dental School, The University of Western Australia, Nedlands, Western Australia, Australia.

2. Program Director, Department of Orthodontics, Dental School, The University of Western Australia, Nedlands, Western Australia, Australia.

3. Private Maxillofacial Surgical Practice, Perth, Australia.

4. Consultant to the Department of Orthodontics, Dental School, The University of Western Australia, Nedlands, Western Australia, Australia.

5. Visiting Clinical Professor, Department of Craniofacial Sciences, Division of Orthodontics, University of Connecticut School of Dental Medicine, Farmington, CT, USA.

6. Chief, SAS Orthodontic Center, Ichiban-Cho Dental Clinic, Sendai, Japan.

Abstract

ABSTRACT Objectives: To evaluate the premise that skeletal anchorage with SAS miniplates are highly successful and predictable for a range of complex orthodontic movements. Materials and Methods: This retrospective cross-sectional analysis consisted of 421 bone plates placed by one clinician in 163 patients (95 female, 68 male, mean age 29.4 years ± 12.02). Simple descriptive statistics were performed for a wide range of malocclusions and desired movements to obtain success, complication, and failure rates. Results: The success rate of skeletal anchorage system miniplates was 98.6%, where approximately 40% of cases experienced mild complications. The most common complication was soft tissue inflammation, which was amenable to focused oral hygiene and antiseptic rinses. Infection occurred in approximately 15% of patients where there was a statistically significant correlation with poor oral hygiene. The most common movements were distalization and intrusion of teeth. More than a third of the cases involved complex movements in more than one plane of space. Conclusions: The success rate of skeletal anchorage system miniplates is high and predictable for a wide range of complex orthodontic movements.

Publisher

The Angle Orthodontist (EH Angle Education & Research Foundation)

Subject

Orthodontics

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