Bone remodeling explains mini-implants and miniplates outcomes

Admin Dental Press

Edition V14N05 | Year 2015 | Editorial Controversies in Orthodontics | Pages 90 to 105

Alberto Consolaro

Introduction: Bones are under continuous remodeling, and turover allows them to greatly adapt to new physical and metabolic demands. Bone remodeling ceases within 4 to 5 years in a young adult skeleton, and daily behaves as an ongoing metamorphosis. Whether in orthodontic movement, osseointegrated implant placement, orthopedic appliance placement, tooth movement with bone gain or format changes caused by anchorage and mini-implants, or in the transmission of forces by means of miniplate-based anchorage, osteocytes are involved, by means of their tridimensional network, with bone design control, as they rule the activity of those which they command on trabecular and cortical bone surfaces: osteoblasts and clasts. Understanding bone biology and continuous remodeling of the skeleton allows us to perform safe and accurate rehabilitation treatment planning, thus increasing the number of intervention procedures to be applied in order to restore patient’s esthetics and function. Accidents and incidents might occur during all technical procedures. Knowledge and scientific evidence will allow safety and prevention, thus reducing the frequency of accidents. There is no reason to set limits to their application!

Bone remodeling, Miniplates, Mini-implants, Dental implants, Orthodontic movement,

Consolaro A. A remodelação óssea explica os resultados dos mini-implantes e miniplacas. Rev Clín Ortod Dental Press. 2015 out-nov;14(5):90-105.

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