Replacing a failed mini-implant with a miniplate to prevent interruption during orthodontic treatment Jin-Hwa Lee, HyeRan Choo, Seong-Hun Kim, Kyu-Rhim.

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Replacing a failed mini-implant with a miniplate to prevent interruption during orthodontic treatment Jin-Hwa Lee, HyeRan Choo, Seong-Hun Kim, Kyu-Rhim Chung, Lucille A. Giannuzzi, Peter Ngan American Journal of Orthodontics and Dentofacial Orthopedics Volume 139, Issue 6, Pages 849-857 (June 2011) DOI: 10.1016/j.ajodo.2009.08.032 Copyright © 2011 American Association of Orthodontists Terms and Conditions

Fig 1 Patient 1, radiographs taken immediately after placement of mini-implants: A and B, periapical radiographs; C, panoramic radiograph. American Journal of Orthodontics and Dentofacial Orthopedics 2011 139, 849-857DOI: (10.1016/j.ajodo.2009.08.032) Copyright © 2011 American Association of Orthodontists Terms and Conditions

Fig 2 Patient 1, intraoral photograph of loosened mini-implant 4 weeks after loading. American Journal of Orthodontics and Dentofacial Orthopedics 2011 139, 849-857DOI: (10.1016/j.ajodo.2009.08.032) Copyright © 2011 American Association of Orthodontists Terms and Conditions

Fig 3 Schematic illustrations: A, C-implant; B and C, C-tube miniplate. American Journal of Orthodontics and Dentofacial Orthopedics 2011 139, 849-857DOI: (10.1016/j.ajodo.2009.08.032) Copyright © 2011 American Association of Orthodontists Terms and Conditions

Fig 4 Patient 1, switching procedure: A, loosened mini-implant; B, mini-implant was removed, and a horizontal incision was made; C, the periosteum was detached; D, I-shaped C-tube was placed through the removal site of the mini-implant; E, fixation of the miniplate; F, finished state after suture. American Journal of Orthodontics and Dentofacial Orthopedics 2011 139, 849-857DOI: (10.1016/j.ajodo.2009.08.032) Copyright © 2011 American Association of Orthodontists Terms and Conditions

Fig 5 Patient 1, treatment progress intraoral photographs with biocreative therapy: A, immediately after maxillary first premolar extraction; B, 1 week later; C, 10 months after the switching procedure; D, panoramic radiograph taken at 11 months after the switching procedure. American Journal of Orthodontics and Dentofacial Orthopedics 2011 139, 849-857DOI: (10.1016/j.ajodo.2009.08.032) Copyright © 2011 American Association of Orthodontists Terms and Conditions

Fig 6 Patient 2, radiographs taken immediately after placement of the mini-implants: A and B, periapical radiographs; C, panoramic radiograph. American Journal of Orthodontics and Dentofacial Orthopedics 2011 139, 849-857DOI: (10.1016/j.ajodo.2009.08.032) Copyright © 2011 American Association of Orthodontists Terms and Conditions

Fig 7 Patient 2, switching procedure: A, the mini-implant was removed, and a horizontal incision was made; B, the periosteum was detached; C-E, cross-shaped C-tube was placed through the removal site of the mini-implant in the opposite direction to the I-shaped miniplate; F, fixation of miniplate and suture. American Journal of Orthodontics and Dentofacial Orthopedics 2011 139, 849-857DOI: (10.1016/j.ajodo.2009.08.032) Copyright © 2011 American Association of Orthodontists Terms and Conditions

Fig 8 Patient 2, treatment progress intraoral photographs with biocreative therapy: A, 1 week; B, 5 months; and C, 10 months after the switching procedure; D, panoramic radiograph taken 10 months after the switching procedure. American Journal of Orthodontics and Dentofacial Orthopedics 2011 139, 849-857DOI: (10.1016/j.ajodo.2009.08.032) Copyright © 2011 American Association of Orthodontists Terms and Conditions

Fig 9 Patient 2: A, intraoral photograph of the failed mini-implant; B, low-magnification secondary SEM image of the mini-implant. American Journal of Orthodontics and Dentofacial Orthopedics 2011 139, 849-857DOI: (10.1016/j.ajodo.2009.08.032) Copyright © 2011 American Association of Orthodontists Terms and Conditions

Fig 10 Backscattered SEM images of an implant surface: A, from Gianuzzi et al16; B, failed mini-implant (patient 2); C, secondary electron FIB image of implant (from Gianuzzi et al16); D, failed mini-implant (patient 2). The FIB images show bone and organic material coating the mini-implant’s surface. American Journal of Orthodontics and Dentofacial Orthopedics 2011 139, 849-857DOI: (10.1016/j.ajodo.2009.08.032) Copyright © 2011 American Association of Orthodontists Terms and Conditions