Success rate of mini-implants based on side of insertion and type of jaw in adult patients undergoing orthodontic treatment – A systematic review and meta-analysis

Abstract

Objectives: To find out success rate of mini-implants based on side of insertion and type of jaw. The aim of orthodontic treatment is to maintain sufficient anchorage control to create appropriate force systems that provide the desired treatment effects. Implants have been used as skeletal anchorage devices for orthodontic purposes. Material and Methods: The following study is a systematic review of mini-screws as an intervention to evaluate the stability and different related clinical parameters to define the success rate (outcome) depending on the side of insertion (i.e., right side and left side) and type of jaw (i.e., maxilla and mandible following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Results and Conclusion: A total of 52 articles were extracted for qualitative synthesis among which 24 articles were reviewed for meta-analysis and the results showed that the maxilla is a better placement site for insertion of mini-implant (MI) than mandible with the odds ratio of 0.58, that is, the MI placement in the maxillary region is 58% more successful than mandibular region. The other parameter showed that the insertion of MI on the right side was more successful with the odds ratio of 0.50, that is, the insertion of MI on the right side of the jaw is 50% more successful than on the left side of the jaw.