Estabilidad de los miniimplantes en Ortodoncia. "Biología ósea y Biomecánica"
Resumen
El anclaje ha sido un aspecto crucial para la mayoría de los tratamientos de Ortodoncia. En las últimas dos décadas, el anclaje con miniimplantes ha aumentado el espectro de posibilidades para muchos tipos de tratamientos por presentar numerosas ventajas y pocas desventajas. Este artículo pretende hacer una revisión de literatura sobre los mecanismos de la biología ósea básica, como los aspectos mecánicos los activan y modulan; como se genera la estabilidad primaria y secundaria, como incide de manera crítica el porcentaje de éxito con el uso de los miniimplantes y como se ha estudiado esta interrelación por medio de modelos con elementos finitos .Descargas
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Referencias bibliográficas
1. Proffit W, Sarver D, Fields H. Contemporary Orthodontics. 4th Ed. Mosby Elsevier; 2006.
2. Buschang PH, Carrillo R, Rossouw PE. Orthopedic correction of growing hyperdivergent, retrognathic
patients with miniscrew implants. J Oral Maxillofac Surg [Internet]. 2011 Mar [cited 2012 Apr 27];69(3):754–
62. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3046301&tool=pmcentrez
&rendertype=abstract.
3. Ikeda H, Rossouw PE, Campbell PM, Kontogiorgos E, Kontogirogos E, Buschang PH. Three-dimensional
analysis of peri-bone-implant contact of rough-surface miniscrew implants. Am J Orthod Dentofacial
Orthop [Internet]. 2011 Feb [cited 2012 Apr 27];139(2):e153–63. Available from: http://www.ncbi.nlm.nih.
gov/pubmed/21300226.
4. Morais LS, Serra GG, Muller CA, Andrade LR, Palermo EFA, Elias CN, et al. Titanium alloy mini-implants
for orthodontic anchorage: immediate loading and metal ion release. Acta Biomater [Internet]. 2007 May
[cited 2012 Apr 27];3(3):331–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17257912.
5. Rey J, Corredor C, Godoy M, Perdomo S, Ospino B. Carga Mecánica como Regulador de la Osteogénesis
en Células Madre Mesenquimales Humana. Rev Fac Med Univ Nueva Granada. 2012;20:27–34.
6. Cano J, Campo J, Palacios B, Bascones A. Mecanobiología de los huesos maxilares: I. Conceptos
generales. Av Odontoestomatol [Internet]. Ediciones Avances, S.L.; 2007 Dec [cited 2014 Apr 7];23(6):347–
58. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-12852007000600002&ln
g=es&nrm=iso&tlng=es.
7. Brånemark P-I, Zarb GA, Albrektsson T. Tissue-integrated prostheses: osseointegration in clinical dentistry
[Internet]. Quintessence; 1985. Available from: http://books.google.com.co/books?id=sRJqAAAAMAAJ.
8. Albrektsson T, Johansson C. Osteoinduction, osteoconduction and osseointegration. Eur Spine J
[Internet]. 2001 Oct [cited 2012 Apr 16];10 Suppl 2:S96–101. Available from: http://www.ncbi.nlm.nih.
gov/pubmed/11716023.
9. Cooper LF. Biologic determinants of bone formation for osseointegration: clues for future clinical
improvements. J Prosthet Dent [Internet]. 1998 Oct [cited 2012 Apr 27];80(4):439–49. Available from:
http://www.ncbi.nlm.nih.gov/pubmed/9791791.
10. Neyro Bilbao J, Cano Sánchez A, Palacios Gil-Antuñano S. Regulación del metabolismo óseo a través
del sistema RANK-RANKL-OPG. Rev Osteoporos Metab Min. 2011;3(2):105–112.
11. Lewiecki EM. New targets for intervention in the treatment of postmenopausal osteoporosis. Nat Rev
Rheumatol [Internet]. 2011 Nov [cited 2013 Nov 26];7(11):631–8. Available from: http://www.ncbi.nlm.
nih.gov/pubmed/21931340.
12. Yadav S, Upadhyay M, Liu S, Roberts E, Neace WP, Nanda R. Microdamage of the cortical bone
during mini-implant insertion with self-drilling and self-tapping techniques: a randomized controlled trial.
Am J Orthod Dentofacial Orthop [Internet]. 2012 May [cited 2012 Sep 3];141(5):538–46. Available from:
http://www.ncbi.nlm.nih.gov/pubmed/22554747.
13. Robling AG, Castillo AB, Turner CH. Biomechanical and molecular regulation of bone remodeling.
Annu Rev Biomed Eng [Internet]. 2006 Jan [cited 2013 Nov 9];8:455–98. Available from: http://www.ncbi.
nlm.nih.gov/pubmed/16834564.
14. Massey CC. The effect of force on dentoalveolar bone adaptation around miniscrew implants---a
three-dimensional microcomputed tomography study. Texas A&M University System Health Science
Center; 2010. p. 95.
15. Burr DB, Schaffler MB, Yang KH, Lukoschek M, Sivaneri N, Blaha JD, et al. Skeletal change in response
to altered strain environments: is woven bone a response to elevated strain? Bone [Internet]. 1989 Jan
[cited 2013 Nov 16];10(3):223–33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2803857.
16. Frost HM. The biology of fracture healing. An overview for clinicians. Part I. Clin Orthop Relat Res [Internet].
1989 Nov [cited 2013 Dec 2];(248):283–93. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2680202.
17. Tabassum A, Meijer GJ, Wolke JGC, Jansen JA. Influence of surgical technique and surface roughness
on the primary stability of an implant in artificial bone with different cortical thickness: a laboratory study.
Clin Oral Implants Res [Internet]. 2010 Feb [cited 2013 Dec 2];21(2):213–20. Available from: http://www.
ncbi.nlm.nih.gov/pubmed/20070754.
18. Sennerby L. The relationship between reliable diagnostics and safe, successful dental implant
procedures. The Implant Stability Quotient Whitebook. 1st ed. 1998.
19. Lekholm U, Zarb G, Albrektsson T. Patient selectino and preparation. Tissue integrated prostheses.
Chicago: QUINTESSENCE PUBLISHING CO, INC; 1985. p. 199–209.
20. Jaffin RA, Berman CL. The excessive loss of Branemark fixtures in type IV bone: a 5-year analysis.
J Periodontol [Internet]. 1991 Jan [cited 2013 Dec 2];62(1):2–4. Available from: http://www.ncbi.nlm.nih.
gov/pubmed/2002427.
21. Raghavendra S, Wood MC, Taylor TD. Early wound healing around endosseous implants: a review
of the literature. Int J Oral Maxillofac Implants [Internet]. 2005 [cited 2013 Dec 2];20(3):425–31. Available
from: http://www.ncbi.nlm.nih.gov/pubmed/15973954.
22. Ammar HH, Ngan P, Crout RJ, Mucino VH, M.
ukdadi OM. Three-dimensional modeling and finite element analysis in treatment planning for orthodontic
tooth movement. Am J Orthod Dentofacial Orthop [Internet]. 2011 Jan [cited 2012 Apr 27];139(1):e59–
71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21195258.
23. Garcia A, Correa S, Isaza JF, Duque L, Roldán S, Buschang PH. Procesamiento de imágenes y
modelos FEM 3D de Mini-implantes para Ortodoncia a partir de µCT. VIII Congreso Colombiano de
Métodos Númericos. Medellín; 2011.
24. Adams V, Askenazi A. Building Better Products with Finite Element Analysis [Internet]. OnWord
Press; 1999. Available from: http://books.google.com.co/books?id=Mnv6qRz73x0C.
25. Castaño MC, Zapata U, Pedroza A, Jaramillo JD, Roldán S. Creation of a three-dimensional model of
the mandible and the TMJ in vivo by means of the finite element method. Int J Comput Dent [Internet].
2002 [cited 2013 Dec 2];5(2-3):87–99. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12680039.
26. Roldán S, Zapata U. Análisis con elementos finitos del efecto de la terapia con mentonera sobre la
mandíbula y la articulación temporomandibular. Rev Latinoam Ortod. 2003;2(4):27–32.
27. Calao F. EM, Vázquez ML, Becerra Santos F, Ossa S. J, Enríquez G. C, Fresneda B. E. The finite elements
method and its application to dental research. Rev Fac Odontol Univ Antioq [Internet]. [cited 2013 Dec
2];11(1):44–9. Available from: http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis
&src=google&base=LILACS&lang=p&nextAction=lnk&exprSearch=264525&indexSearch=ID.
28. Garzón Alvarado DA. Análisis por elementos finitos del proceso de regeneración ósea. Bogotá:
Universidad Nacional de Colombia; 2004.
29. Lalegname A, Sfer D, Etse G. Análisis micromecánico de huesos. Idelsohn SR, Sonzogni VE, Cardona
A, editors. Mecánica Computacional. Santa Fe-Paraná, Argentina: Centro de Métodos Numéricos y
Computacionales en Ingeniería; 2002.
30. Zapata U, Roldán S. Modelación matemática de estructuras craneofaciales. In: Müller-Karger C, Cerrolaza
M, editors. Bioingeniería en Iberoamérica: Avances y Desarrollos. Barcelona: CIMNE; 2003. p. 493–516.
31. Singh S, Mogra S, Shetty VS, Shetty S, Philip P. Three-dimensional finite element analysis of strength,
stability, and stress distribution in orthodontic anchorage: a conical, self-drilling miniscrew implant system.
Am J Orthod Dentofacial Orthop [Internet]. 2012 Mar [cited 2012 Sep 10];141(3):327–36. Available from:
http://www.ncbi.nlm.nih.gov/pubmed/22381493.
32. Jasmine MIF, Yezdani AA, Tajir F, Venu RM. Analysis of stress in bone and microimplants during
en-masse retraction of maxillary and mandibular anterior teeth with different insertion angulations: a
3-dimensional finite element analysis study. Am J Orthod Dentofacial Orthop [Internet]. 2012 Jan [cited
2012 Sep 10];141(1):71–80. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22196187.
33. Suzuki A, Masuda T, Takahashi I, Deguchi T, Suzuki O, Takano-Yamamoto T. Changes in stress
distribution of orthodontic miniscrews and surrounding bone evaluated by 3-dimensional finite element
analysis. Am J Orthod Dentofac Orthop [Internet]. 2011 [cited 2013 Oct 8];140(6):e273–e280. Available
from: http://www.sciencedirect.com/science/article/pii/S0889540611007232.
34. Pickard MB, Dechow P, Rossouw PE, Buschang PH. Effects of miniscrew orientation on implant
stability and resistance to failure. Am J Orthod Dentofacial Orthop [Internet]. 2010 Jan [cited 2012 Apr
27];137(1):91–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20122436.
35. Duque L, Correa S, Roldán S. Esfuerzos y Micro-deformaciones del hueso trabecular alrededor de un
Mini-implante: Estudio de elementos finitos basado en una micro-tomografía. Universidad EAFIT; 2012.
2. Buschang PH, Carrillo R, Rossouw PE. Orthopedic correction of growing hyperdivergent, retrognathic
patients with miniscrew implants. J Oral Maxillofac Surg [Internet]. 2011 Mar [cited 2012 Apr 27];69(3):754–
62. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3046301&tool=pmcentrez
&rendertype=abstract.
3. Ikeda H, Rossouw PE, Campbell PM, Kontogiorgos E, Kontogirogos E, Buschang PH. Three-dimensional
analysis of peri-bone-implant contact of rough-surface miniscrew implants. Am J Orthod Dentofacial
Orthop [Internet]. 2011 Feb [cited 2012 Apr 27];139(2):e153–63. Available from: http://www.ncbi.nlm.nih.
gov/pubmed/21300226.
4. Morais LS, Serra GG, Muller CA, Andrade LR, Palermo EFA, Elias CN, et al. Titanium alloy mini-implants
for orthodontic anchorage: immediate loading and metal ion release. Acta Biomater [Internet]. 2007 May
[cited 2012 Apr 27];3(3):331–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17257912.
5. Rey J, Corredor C, Godoy M, Perdomo S, Ospino B. Carga Mecánica como Regulador de la Osteogénesis
en Células Madre Mesenquimales Humana. Rev Fac Med Univ Nueva Granada. 2012;20:27–34.
6. Cano J, Campo J, Palacios B, Bascones A. Mecanobiología de los huesos maxilares: I. Conceptos
generales. Av Odontoestomatol [Internet]. Ediciones Avances, S.L.; 2007 Dec [cited 2014 Apr 7];23(6):347–
58. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-12852007000600002&ln
g=es&nrm=iso&tlng=es.
7. Brånemark P-I, Zarb GA, Albrektsson T. Tissue-integrated prostheses: osseointegration in clinical dentistry
[Internet]. Quintessence; 1985. Available from: http://books.google.com.co/books?id=sRJqAAAAMAAJ.
8. Albrektsson T, Johansson C. Osteoinduction, osteoconduction and osseointegration. Eur Spine J
[Internet]. 2001 Oct [cited 2012 Apr 16];10 Suppl 2:S96–101. Available from: http://www.ncbi.nlm.nih.
gov/pubmed/11716023.
9. Cooper LF. Biologic determinants of bone formation for osseointegration: clues for future clinical
improvements. J Prosthet Dent [Internet]. 1998 Oct [cited 2012 Apr 27];80(4):439–49. Available from:
http://www.ncbi.nlm.nih.gov/pubmed/9791791.
10. Neyro Bilbao J, Cano Sánchez A, Palacios Gil-Antuñano S. Regulación del metabolismo óseo a través
del sistema RANK-RANKL-OPG. Rev Osteoporos Metab Min. 2011;3(2):105–112.
11. Lewiecki EM. New targets for intervention in the treatment of postmenopausal osteoporosis. Nat Rev
Rheumatol [Internet]. 2011 Nov [cited 2013 Nov 26];7(11):631–8. Available from: http://www.ncbi.nlm.
nih.gov/pubmed/21931340.
12. Yadav S, Upadhyay M, Liu S, Roberts E, Neace WP, Nanda R. Microdamage of the cortical bone
during mini-implant insertion with self-drilling and self-tapping techniques: a randomized controlled trial.
Am J Orthod Dentofacial Orthop [Internet]. 2012 May [cited 2012 Sep 3];141(5):538–46. Available from:
http://www.ncbi.nlm.nih.gov/pubmed/22554747.
13. Robling AG, Castillo AB, Turner CH. Biomechanical and molecular regulation of bone remodeling.
Annu Rev Biomed Eng [Internet]. 2006 Jan [cited 2013 Nov 9];8:455–98. Available from: http://www.ncbi.
nlm.nih.gov/pubmed/16834564.
14. Massey CC. The effect of force on dentoalveolar bone adaptation around miniscrew implants---a
three-dimensional microcomputed tomography study. Texas A&M University System Health Science
Center; 2010. p. 95.
15. Burr DB, Schaffler MB, Yang KH, Lukoschek M, Sivaneri N, Blaha JD, et al. Skeletal change in response
to altered strain environments: is woven bone a response to elevated strain? Bone [Internet]. 1989 Jan
[cited 2013 Nov 16];10(3):223–33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2803857.
16. Frost HM. The biology of fracture healing. An overview for clinicians. Part I. Clin Orthop Relat Res [Internet].
1989 Nov [cited 2013 Dec 2];(248):283–93. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2680202.
17. Tabassum A, Meijer GJ, Wolke JGC, Jansen JA. Influence of surgical technique and surface roughness
on the primary stability of an implant in artificial bone with different cortical thickness: a laboratory study.
Clin Oral Implants Res [Internet]. 2010 Feb [cited 2013 Dec 2];21(2):213–20. Available from: http://www.
ncbi.nlm.nih.gov/pubmed/20070754.
18. Sennerby L. The relationship between reliable diagnostics and safe, successful dental implant
procedures. The Implant Stability Quotient Whitebook. 1st ed. 1998.
19. Lekholm U, Zarb G, Albrektsson T. Patient selectino and preparation. Tissue integrated prostheses.
Chicago: QUINTESSENCE PUBLISHING CO, INC; 1985. p. 199–209.
20. Jaffin RA, Berman CL. The excessive loss of Branemark fixtures in type IV bone: a 5-year analysis.
J Periodontol [Internet]. 1991 Jan [cited 2013 Dec 2];62(1):2–4. Available from: http://www.ncbi.nlm.nih.
gov/pubmed/2002427.
21. Raghavendra S, Wood MC, Taylor TD. Early wound healing around endosseous implants: a review
of the literature. Int J Oral Maxillofac Implants [Internet]. 2005 [cited 2013 Dec 2];20(3):425–31. Available
from: http://www.ncbi.nlm.nih.gov/pubmed/15973954.
22. Ammar HH, Ngan P, Crout RJ, Mucino VH, M.
ukdadi OM. Three-dimensional modeling and finite element analysis in treatment planning for orthodontic
tooth movement. Am J Orthod Dentofacial Orthop [Internet]. 2011 Jan [cited 2012 Apr 27];139(1):e59–
71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21195258.
23. Garcia A, Correa S, Isaza JF, Duque L, Roldán S, Buschang PH. Procesamiento de imágenes y
modelos FEM 3D de Mini-implantes para Ortodoncia a partir de µCT. VIII Congreso Colombiano de
Métodos Númericos. Medellín; 2011.
24. Adams V, Askenazi A. Building Better Products with Finite Element Analysis [Internet]. OnWord
Press; 1999. Available from: http://books.google.com.co/books?id=Mnv6qRz73x0C.
25. Castaño MC, Zapata U, Pedroza A, Jaramillo JD, Roldán S. Creation of a three-dimensional model of
the mandible and the TMJ in vivo by means of the finite element method. Int J Comput Dent [Internet].
2002 [cited 2013 Dec 2];5(2-3):87–99. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12680039.
26. Roldán S, Zapata U. Análisis con elementos finitos del efecto de la terapia con mentonera sobre la
mandíbula y la articulación temporomandibular. Rev Latinoam Ortod. 2003;2(4):27–32.
27. Calao F. EM, Vázquez ML, Becerra Santos F, Ossa S. J, Enríquez G. C, Fresneda B. E. The finite elements
method and its application to dental research. Rev Fac Odontol Univ Antioq [Internet]. [cited 2013 Dec
2];11(1):44–9. Available from: http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis
&src=google&base=LILACS&lang=p&nextAction=lnk&exprSearch=264525&indexSearch=ID.
28. Garzón Alvarado DA. Análisis por elementos finitos del proceso de regeneración ósea. Bogotá:
Universidad Nacional de Colombia; 2004.
29. Lalegname A, Sfer D, Etse G. Análisis micromecánico de huesos. Idelsohn SR, Sonzogni VE, Cardona
A, editors. Mecánica Computacional. Santa Fe-Paraná, Argentina: Centro de Métodos Numéricos y
Computacionales en Ingeniería; 2002.
30. Zapata U, Roldán S. Modelación matemática de estructuras craneofaciales. In: Müller-Karger C, Cerrolaza
M, editors. Bioingeniería en Iberoamérica: Avances y Desarrollos. Barcelona: CIMNE; 2003. p. 493–516.
31. Singh S, Mogra S, Shetty VS, Shetty S, Philip P. Three-dimensional finite element analysis of strength,
stability, and stress distribution in orthodontic anchorage: a conical, self-drilling miniscrew implant system.
Am J Orthod Dentofacial Orthop [Internet]. 2012 Mar [cited 2012 Sep 10];141(3):327–36. Available from:
http://www.ncbi.nlm.nih.gov/pubmed/22381493.
32. Jasmine MIF, Yezdani AA, Tajir F, Venu RM. Analysis of stress in bone and microimplants during
en-masse retraction of maxillary and mandibular anterior teeth with different insertion angulations: a
3-dimensional finite element analysis study. Am J Orthod Dentofacial Orthop [Internet]. 2012 Jan [cited
2012 Sep 10];141(1):71–80. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22196187.
33. Suzuki A, Masuda T, Takahashi I, Deguchi T, Suzuki O, Takano-Yamamoto T. Changes in stress
distribution of orthodontic miniscrews and surrounding bone evaluated by 3-dimensional finite element
analysis. Am J Orthod Dentofac Orthop [Internet]. 2011 [cited 2013 Oct 8];140(6):e273–e280. Available
from: http://www.sciencedirect.com/science/article/pii/S0889540611007232.
34. Pickard MB, Dechow P, Rossouw PE, Buschang PH. Effects of miniscrew orientation on implant
stability and resistance to failure. Am J Orthod Dentofacial Orthop [Internet]. 2010 Jan [cited 2012 Apr
27];137(1):91–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20122436.
35. Duque L, Correa S, Roldán S. Esfuerzos y Micro-deformaciones del hueso trabecular alrededor de un
Mini-implante: Estudio de elementos finitos basado en una micro-tomografía. Universidad EAFIT; 2012.
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Publicado
2015-02-10
Cómo citar
1.
Cadavid D, Duque L, Correa S, Buschang P, Roldán S. Estabilidad de los miniimplantes en Ortodoncia. "Biología ósea y Biomecánica". CES odontol. [Internet]. 10 de febrero de 2015 [citado 19 de abril de 2024];27(2):93-103. Disponible en: https://revistas.ces.edu.co/index.php/odontologia/article/view/3245
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