Abstract
Asymmetric malocclusions have been always a challenge to orthodontists, with different
dental, skeletal or dentoskeletal factors being probable causes for the condition.
It is key to distinguish between dental and skeletal asymmetry before determining
a predictable force system for corrective treatment. The use of mini-implants (MIs)
to address anchorage needs in modern orthodontic practice has become an important
tool for orthodontists. They have been widely used for anchorage reinforcement purposes
and placed in the dentoalveolar region, especially between tooth roots (inter-radicular
miniscrews). However, placement sites other than root areas allow more versatility
of orthodontic movement since tooth roots do not interfere in tooth displacement,
such as the extra-alveolar miniscrews.
Objective The objective of the present paper is to present biomechanical concepts
in which extra-alveolar mini-implants are placed in the infrazygomatic crest (IZC)
and buccal shelf (BS) areas for correction of dento-facial asymmetries allowing predictable
outcomes to be achieved with minimal need for patient's compliance and minor mechanic
side effects.
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Article info
Publication history
Published online: November 01, 2022
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