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Quintessence Publishing: Journals: ORTHODONTICS
ORTHODONTICS
The Art and Practice of Dentofacial Enhancement

Formerly World Journal of Orthodontics

Edited by
Rafi Romano, DMD, MSc (Editor-in-Chief)

ISSN 2160-2999 (print) / ISSN 2160-3006 (online)

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Publication:
Summer 2002
Volume 3 , Issue 2

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Stable Orthodontic Anchorage with Palatal Osseointegrated Implants

Hans-Peter Bantleon, DDS, MSD, Thomas Bernhart, MD, DMD, Adriano G. Crismani, DDS, Björn U. Zachrisson, DDS, MSD, PhD

Pages: 109–116

Aim: Temporary endosseous implants may be placed in the midsagittal or paramedian regions of the palate. When combined with a solid transpalatal bar, the osseointegrated implant provides stationary orthodontic anchorage. The aim of this article is to present an overview with clinical examples of this interesting new technique. Methods: Preoperative considerations to avoid bony perforation of the implant to the nasal cavity are discussed for routine lateral cephalograms and dental computer tomography. The surgical procedure for palatal implant insertion is described, as well as the laboratory fabrication of the transpalatal bar. Results: Some clinical considerations and experiences with orthodontic implants in the palate emphasize the unique possibilities for difficult tooth movements. The implant is removed easily, and full recovery of the palatal soft tissue is then observed. Conclusion: The application of endosseous implants in the palate and connection to a solid transpalatal bar is a reasonably simple, practical, and effective technique to obtain stable orthodontic anchorage. World J Orthod 2002;3:109–116.

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