Tooth Complications after Orthodontic Miniscrews Insertion

Angelo Michele Inchingolo, Giuseppina Malcangi, Stefania Costa, Maria Celeste Fatone (), Pasquale Avantario, Merigrazia Campanelli, Fabio Piras, Assunta Patano, Irene Ferrara, Chiara Di Pede, Anna Netti, Elisabetta de Ruvo, Giulia Palmieri, Vito Settanni, Vincenzo Carpentiere, Gianluca Martino Tartaglia, Ioana Roxana Bordea, Felice Lorusso, Salvatore Sauro, Daniela Di Venere, Francesco Inchingolo (), Alessio Danilo Inchingolo and Gianna Dipalma
Additional contact information
Angelo Michele Inchingolo: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Giuseppina Malcangi: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Stefania Costa: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Maria Celeste Fatone: PTA Trani-ASL BT, Viale Padre pio, 76125 Trani, Italy
Pasquale Avantario: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Merigrazia Campanelli: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Fabio Piras: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Assunta Patano: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Irene Ferrara: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Chiara Di Pede: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Anna Netti: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Elisabetta de Ruvo: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Giulia Palmieri: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Vito Settanni: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Vincenzo Carpentiere: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Gianluca Martino Tartaglia: UOC Maxillo-Facial Surgery and Dentistry, Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, University of Milan, 20100 Milan, Italy
Ioana Roxana Bordea: Department of Oral Rehabilitation, Faculty of Dentistry, Iuliu Hațieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
Felice Lorusso: Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy
Salvatore Sauro: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Daniela Di Venere: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Francesco Inchingolo: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Alessio Danilo Inchingolo: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
Gianna Dipalma: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy

IJERPH, 2023, vol. 20, issue 2, 1-14

Abstract: Orthodontic miniscrews (OM) are widely used in modern orthodontic clinical practice to improve skeletal anchorage and have a high safety profile. A complication at the time of OM insertion is tooth root perforation or periodontal ligament trauma. Rarely, OM injury can cause permanent damage, such as ankylosis, osteosclerosis, and loss of tooth vitality. The aim of this work was to analyze potential risks and dental complications associated with the use of OMs. A search of the PubMed, Cochrane, Web of Science, and Scopus databases was conducted without a time limit using the keywords “orthodontic mini-screw” and “dental damage”, resulting in 99 studies. After screening and eligibility, including articles obtained through a citation search, 13 articles were selected. Four studies revealed accidental injuries caused by OM. Most of the damage was localized at the root level and resolved spontaneously with restorative cement formation after prompt removal of the OM, while the pain disappeared. In some cases, irreversible nerve damage, extensive lesions to the dentin–pulp complex, and refractory periapical periodontitis occurred, requiring endodontic and/or surgical treatment. The choice of insertion site was the most important element to be evaluated during the application of OMs.

Keywords: tooth complications; insertion; miniscrews; nerve; orthodontic; root (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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