Comparison of the intrusion effects on the maxillary incisors between implant anchorage and J-hook headgear

Toru Deguchi, Takashi Murakami, Shingo Kuroda, Toshinori Yabuuchi, Hiroshi Kamioka, Teruko Takano-Yamamoto

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

Introduction: Recently, miniscrews have been used to provide anchorage during orthodontic treatment, especially for incisor intrusion. Miniscrews during incisor intrusion are commonly used in implant orthodontics. Traditionally, effective incisor intrusion has been accomplished with J-hook headgear. In this study, we compared the effect of incisor intrusion, force vector, and amount of root resorption between implant orthodontics and J-hook headgear. Methods: Lateral cephalometric radiographs from 8 patients in the implant group and 10 patients in the J-hook headgear group were analyzed for incisor retraction. The estimated force vector was analyzed in the horizontal and vertical directions in both groups. Root resorption was also measured on periapical radiographs. Results: In the implant group, significant reductions in overjet, overbite, maxillary incisor to palatal plane, and maxillary incisor to upper lip were observed after intrusion of the incisors. In the J-hook headgear group, significant reductions in overjet, overbite, maxillary incisor to upper lip, and maxillary incisor to SN plane were observed after intrusion of the incisors. There were significantly greater reductions in overbite, maxillary incisor to palatal plane, and maxillary incisor to upper lip in the implant group than in the J-hook headgear group. Estimated force analysis resulted in significantly more force in the vertical direction and less in the horizontal direction in the implant group. Furthermore, significantly less root resorption was observed in the implant group compared with the J-hook headgear group. Conclusions: The maxillary incisors were effectively intruded by using miniscrews as orthodontic anchorage without patient cooperation. The amount of root resorption was not affected by activating the ligature wire from the miniscrew during incisor intrusion.

Original languageEnglish
Pages (from-to)654-660
Number of pages7
JournalAmerican Journal of Orthodontics and Dentofacial Orthopedics
Volume133
Issue number5
DOIs
Publication statusPublished - May 2008

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Incisor
Root Resorption
Overbite
Orthodontics
Lip
Cephalometry
Patient Compliance
Ligation

ASJC Scopus subject areas

  • Dentistry(all)
  • Surgery

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Comparison of the intrusion effects on the maxillary incisors between implant anchorage and J-hook headgear. / Deguchi, Toru; Murakami, Takashi; Kuroda, Shingo; Yabuuchi, Toshinori; Kamioka, Hiroshi; Takano-Yamamoto, Teruko.

In: American Journal of Orthodontics and Dentofacial Orthopedics, Vol. 133, No. 5, 05.2008, p. 654-660.

Research output: Contribution to journalArticle

Deguchi, Toru ; Murakami, Takashi ; Kuroda, Shingo ; Yabuuchi, Toshinori ; Kamioka, Hiroshi ; Takano-Yamamoto, Teruko. / Comparison of the intrusion effects on the maxillary incisors between implant anchorage and J-hook headgear. In: American Journal of Orthodontics and Dentofacial Orthopedics. 2008 ; Vol. 133, No. 5. pp. 654-660.
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abstract = "Introduction: Recently, miniscrews have been used to provide anchorage during orthodontic treatment, especially for incisor intrusion. Miniscrews during incisor intrusion are commonly used in implant orthodontics. Traditionally, effective incisor intrusion has been accomplished with J-hook headgear. In this study, we compared the effect of incisor intrusion, force vector, and amount of root resorption between implant orthodontics and J-hook headgear. Methods: Lateral cephalometric radiographs from 8 patients in the implant group and 10 patients in the J-hook headgear group were analyzed for incisor retraction. The estimated force vector was analyzed in the horizontal and vertical directions in both groups. Root resorption was also measured on periapical radiographs. Results: In the implant group, significant reductions in overjet, overbite, maxillary incisor to palatal plane, and maxillary incisor to upper lip were observed after intrusion of the incisors. In the J-hook headgear group, significant reductions in overjet, overbite, maxillary incisor to upper lip, and maxillary incisor to SN plane were observed after intrusion of the incisors. There were significantly greater reductions in overbite, maxillary incisor to palatal plane, and maxillary incisor to upper lip in the implant group than in the J-hook headgear group. Estimated force analysis resulted in significantly more force in the vertical direction and less in the horizontal direction in the implant group. Furthermore, significantly less root resorption was observed in the implant group compared with the J-hook headgear group. Conclusions: The maxillary incisors were effectively intruded by using miniscrews as orthodontic anchorage without patient cooperation. The amount of root resorption was not affected by activating the ligature wire from the miniscrew during incisor intrusion.",
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