Informationen aus Orthodontie & Kieferorthopädie 2023; 55(02): 96-104
DOI: 10.1055/a-2088-9943

Miniimplantate zur Verankerung bei mesio-distalen Zahnbewegungen im Unterkiefer

Mini implants for anchorage in mesio-distal tooth movements in the mandible
Thomas Ziebura
1   Kieferorthopädische Fachpraxis am Maximilianpark
Stefanie Flieger
1   Kieferorthopädische Fachpraxis am Maximilianpark
› Author Affiliations


Wenn es darum geht, Lücken im oberen Zahnbogen zu schließen oder durch das Distalisieren der Seitenzähne Platz zu schaffen, steht eine breite Palette von Apparaturen zur Auswahl, die, an palatinalen Miniimplantaten verankert, das jeweilige Behandlungsziel erreichbar machen [2] [3] [4].Allerdings treten Engstände im unteren Zahnbogen nicht seltener auf als in oberen [5]. Gleiches gilt für den Verlust der ersten Molaren [6] und für Aplasien [7].Dieser Artikels stellt deshalb einige Lösungsvorschläge für Behandlungsaufgaben vor, bei denen eine Mesialisierung oder Distalisierung im Unterkiefer erforderlich ist.


Whenever there is a need to close spaces in the upper dental arch or to create space by distalizing posterior teeth, a vast supply of appliances is available to choose from. Anchored to palatal mini-implants, they make it possible to accomplish the respective treatment goal [2] [3] [4].However, crowding in the lower arch is no less frequent than in the upper arch [5]. The same applies to the loss of first molars [6] and dental aplasia [7].Therefore, this article proposes solutions for treatment tasks that involve mesialization or distalization in the mandible.

Publication History

Article published online:
01 August 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

  • Literatur

  • 1 Bayome M, Park JH, Bay C. et al. Distalization of maxillary molars using temporary skeletal anchorage devices: A systematic review and meta-analysis. Orthod Craniofac Res 2021; 24: 103-112 DOI: 10.1111/ocr.12470.
  • 2 Winsauer H, Muchitsch AP, Winsauer C. et al. The TopJet for routine bodily molar distalization. J Clin Orthod JCO 2013; 47: 96-107 quiz 139–140
  • 3 Papadopoulos MA.. Efficient Distalization of Maxillary Molars with Temporary Anchorage Devices for the Treatment of Class II Malocclusion. Turk J Orthod 2020; 33: 197-201 DOI: 10.5152/TurkJOrthod.2020.20064.
  • 4 Wilmes B, Drescher D.. Application and effectiveness of the Beneslider: a device to move molars distally. World J Orthod 2010; 11: 331-340
  • 5 Jonsson T, Magnusson TE.. Crowding and spacing in the dental arches: long-term development in treated and untreated subjects. Am J Orthod Dentofac Orthop Off Publ Am Assoc Orthod Its Const Soc Am Board Orthod 2010; 138: e1-384.e7 DOI: 10.1016/j.ajodo.2010.03.024.
  • 6 Artun J, Thalib L.. Mesial migration and loss of first molars among young adolescents in Kuwait. Community Dent Health 2011; 28: 154-159
  • 7 Bozga A, Stanciu RP, Mănuc D.. A study of prevalence and distribution of tooth agenesis. J Med Life 2014; 7: 551-554
  • 8 Monnerat C, Restle L, Mucha JN.. Tomographic mapping of mandibular interradicular spaces for placement of orthodontic mini-implants. Am J Orthod Dentofac Orthop Off Publ Am Assoc Orthod Its Const Soc Am Board Orthod 2009; 135: 428.e1-9 discussion 428-429 DOI: 10.1016/j.ajodo.2008.12.003.
  • 9 Park J, Cho HJ.. Three-dimensional evaluation of interradicular spaces and cortical bone thickness for the placement and initial stability of microimplants in adults. Am J Orthod Dentofac Orthop Off Publ Am Assoc Orthod Its Const Soc Am Board Orthod 2009; 136: 314.e1-12 discussion 314-315 DOI: 10.1016/j.ajodo.2009.01.023.
  • 10 Mohammed H, Wafaie K, Rizk MZ. et al. Role of anatomical sites and correlated risk factors on the survival of orthodontic miniscrew implants: a systematic review and meta-analysis. Prog Orthod 2018; 19: 36 DOI: 10.1186/s40510-018-0225-1.
  • 11 Brisceno CE, Rossouw PE, Carrillo R. et al. Healing of the roots and surrounding structures after intentional damage with miniscrew implants. Am J Orthod Dentofac Orthop Off Publ Am Assoc Orthod Its Const Soc Am Board Orthod 2009; 135: 292-301 DOI: 10.1016/j.ajodo.2008.06.023.
  • 12 Kadioglu O, Büyükyilmaz T, Zachrisson BU. et al. Contact damage to root surfaces of premolars touching miniscrews during orthodontic treatment. Am J Orthod Dentofac Orthop Off Publ Am Assoc Orthod Its Const Soc Am Board Orthod 2008; 134: 353-360 DOI: 10.1016/j.ajodo.2006.09.069.
  • 13 Nucera R, Bellocchio AM, Oteri G. et al. Bone and cortical bone characteristics of mandibular retromolar trigone and anterior ramus region for miniscrew insertion in adults. Am J Orthod Dentofac Orthop Off Publ Am Assoc Orthod Its Const Soc Am Board Orthod 2019; 155: 330-338 DOI: 10.1016/j.ajodo.2018.04.025.
  • 14 Escobar-Correa N, Ramírez-Bustamante MA, Sánchez-Uribe LA. et al. Evaluation of mandibular buccal shelf characteristics in the Colombian population: A cone-beam computed tomography study. Korean J Orthod 2021; 51: 23-31 DOI: 10.4041/kjod.2021.51.1.23.
  • 15 Chang C, Liu SSY, Roberts WE.. Primary failure rate for 1680 extra-alveolar mandibular buccal shelf mini-screws placed in movable mucosa or attached gingiva. Angle Orthod 2015; 85: 905-910 DOI: 10.2319/092714.695.1.
  • 16 Arqub SA, Gandhi V, Mehta S. et al. Survival estimates and risk factors for failure of palatal and buccal mini-implants. Angle Orthod 2021; 91: 756-763 DOI: 10.2319/090720-777.1.