Aim: To propose a new mini-implant–based mechanics for the orthodontic extrusion of fractured posterior teeth. Methods: An innovative biomechanical bracketless system was used to gain vertical movement of fractured maxillary molars with three-dimensional control to meet preprosthetic objectives. Two slotted-head mini-implants were inserted between the roots of the canine and premolars. A sectional TMA wire was passively adapted to the mini-implant positions and connected to the first molar by a crossing crown hole. The extrusion movement was achieved in two phases. In the first phase, a vertical spring loop was formed in the sectional wire for initial pure vertical movement. Next, a horizontal spring loop was modeled to improve the proper spatial position of the molar. Conclusion: The extrusion movement and stabilization were achieved without patient compliance. The maxillary molar was extruded about 3 mm, allowing exposure of the most apical border of the fracture, giving the prosthodontist the proper clinical conditions for ideal restoration of the tooth. ORTHODONTICS (CHIC) 2012;13:210–215.
Key words: mini-implant, multidisciplinary treatment, skeletal anchorage