Ancrages orthodontiques
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摘要
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Summary

Introduction

Orthodontic treatments apply forces on teeth to move them. Since there is no fixed anatomic anchorage, every orthodontic action will cause a counter-action of equal force. This is usually unwanted and strong bone anchorage is used to prevent this counter-action. These anchorages provide the fixed point required for orthodontic effectiveness.

Technique

We describe some devices, their implantation site, placement, and removal. Our experience is essentially based on the Lomas and Orthocorrect devices manufactured by Mondeal (Germany) and on screwed anchorage devices manufactured by Stryker (USA).

Discussion

These screwed anchorage systems allow for previously impossible treatments, especially for orthodontics applied to adults and for preprosthetic orthodontics. But these screws can induce apical migration of teeth; so it may be necessary to provide several anchorage sites. Complications are rare and usually present as root perforation.

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