By Alison P. Howat, etc., Nicholas J. Capp, Nicholas V.J. Barrett
This booklet presents a pragmatic rationalization of the occlusal facets of the constructing dentition displaying how orthodintic remedy may perhaps in achieving an amazing occlusion. The restorative part describes intimately the levels in medical and laboratory evaluation of the occlusion.
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Extra info for A Colour Atlas of Occlusion and Malocclusion
4 (a) Pre-treatment panoramic and (b) intra-oral post-insertion radiographs of an adult with early loss of all first molars. The maxillary sinus floor is at a relatively coronal level bilaterally, which limits the vertical (apical) level of mini-implant insertion. direction, limiting mini-implant insertion to a relatively coronal level at this site (Fig. 4). The overlying soft tissue is relevant since this dictates the range of vertical levels available for insertion through the attached gingiva.
The bone depth in such sites may be gauged on a lateral cephalograph (Fig. 10) or a CBCT. If the depth 36 The Orthodontic Mini-implant Clinical Handbook is too shallow then the mini-implant tip may perforate the palatal/lingual side of the alveolus or nasal floor, respectively. This is less likely when mini-implants are inserted obliquely hence enabling the safe use of 9 mm body length versions in the anterior alveolus, especially if the insertion level is restricted by a narrow band of attached gingiva (Fig.
3. Mini-implant instability. Explain that there is an 80–90% success rate, and that mini-implant failure does not cause any permanent harm or infection problems. In the case of a failing mini-implant, premature mobility will be detected by the orthodontist and rarely causes patient discomfort. 4. Periodontal/root contact. If close root proximity occurs during insertion then it is usually indicated by an uncomfortable sensation felt in the nearest tooth, and the orthodontist can then alter the mini-implant’s position.