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Mini-Implants: When Orthodontists are Caught in their Own Web | OMICS International | Abstract
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Mini-Implants: When Orthodontists are Caught in their Own Web

Robert Willer Farinazzo Vitral1, Rodrigo César Santiago2, Gustavo Saggioro Oliveira3, Marcelo Reis Fraga4 and Marcio José da Silva Campos4*
1Associate Professor and Chair, Department of Orthodontics, Juiz de Fora Federal University, Brasil
2Postgraduate student, Department of Orthodontics, Rio de Janeiro Federal University, Brasil
3Postgraduate student, Department of Medicine, Juiz de Fora Federal University, Brasil
Corresponding Author : Marcio José da Silva Campos
Department of Orthodontics
Juiz de Fora Federal University, R Guaçuí
530/204, Juiz de Fora-MG, 36025-190, Brasil
Tel: 55 32 2102-3879
E-mail: [email protected]
Received March 08, 2012; Accepted April 12, 2012; Published April 24, 2012
Citation: Vitral RWF, Santiago RC, Oliveira GS, Fraga MR, da Silva Campos MJ (2012) Mini-Implants: When Orthodontists are Caught in their Own Web. J Clin Case Rep 2:130. doi:10.4172/2165-7920.1000130
Copyright: © 2012 Vitral RWF, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Introduction: Mini-implants are being extensively used in orthodontics, providing a new field of possibilities for treatment of the cases when a maximum anchorage is required. The procedure is critical during the insertion of miniimplants in the alveolar process between the roots of the tooth, and major complications can include contact and damage to adjacent tooth roots. Objective: The following case report describes a failure because of unintentional root damage after orthodontic mini-implant placement, resulting in longitudinal root fracture followed by extraction of the damaged mandibular second molar. Discussion: Factors which might have contributed to the irreversible iatrogenic injury associated with the use of mini-implants in a diabetic patient submitted to orthodontic treatment are discussed and analyzed. Conclusion: Although mini-implant placement has become a routine procedure in the orthodontic practice, it still represents an intrinsic risk to the process of insertion, which is the damage to adjacent structures. The placement of mini-implants must be carefully monitored, even in those cases which present low risk for iatrogenic injury. However much confident the professional may be, self-confidence in excess often leads to failure, provoking irreversible damages.


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