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Skeletal anchorage in orthodontics 

An important requirement for successful orthodontic treatment is stable anchorage. Conventional orthodontic anchorage can be limited by periodontal disease and/or missing teeth. Skeletal anchorage has been proven to be very effective. It can be an essential part of non-compliance therapy and broadens the options available to the orthodontic practitioner.

Mini-Implants are especially advantageous because of the minimally invasive insertion protocol and their relatively low cost.

However, limitations can occur when conventional mini-implant systems are used for orthodontic anchorage.

Possible indications:

• Maxillary molar distalization and mesialization
• Molar uprighting
• Anchorage for upper anterior teeth and molars
• Temporary tooth replacement
• Palatal expansion
• Indirect anchorage

Advantages:

• Significantly less expensive than typical dental implants
• Immediate loading is possible and recommended
• Minimally invasive insertion protocol
• Orthodontists can insert them themselves avoiding referrals to other dental specialists
• Easy to remove
• Internally retained fixation screw is securely integrated within each abutment

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