Assessment of interradicular areas and cortical bone thickness for orthodontic mini-implant placement: a cone-beam computed tomography study
Abstract Background Mini-implant has become an accepted and reliable method for providing absolute anchorage in orthodontics. It is known that incorrect implant positioning can increase the failure rates and damage the adjacent tooth roots. This study aimed to assess the interradicular areas and cor...
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2025-05-01
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| author | Sanjay Prasad Gupta Deepa Niroula Nisha Budha Magar |
| author_facet | Sanjay Prasad Gupta Deepa Niroula Nisha Budha Magar |
| author_sort | Sanjay Prasad Gupta |
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| description | Abstract Background Mini-implant has become an accepted and reliable method for providing absolute anchorage in orthodontics. It is known that incorrect implant positioning can increase the failure rates and damage the adjacent tooth roots. This study aimed to assess the interradicular areas and cortical bone thickness for orthodontic mini-implant placement using cone beam computed tomography (CBCT). Methods CBCT scans of 100 subjects (42 males, 58 females; mean age of 16.32 ± 5.72 years) were selected consecutively from the records archive of the Department of Orthodontics and Dentofacial Orthopedics, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. A convenience sampling method was employed for selecting the sample. For each interradicular space in the maxilla and the mandible from the central incisor to the second molar; the mesiodistal distance, buccopalatal/lingual thickness, and cortical bone thickness were measured at three different depths from the cementoenamel junction (CEJ), that is at 2 mm, 4 mm, and 6 mm. Descriptive analysis was used to obtain the mean and standard deviation of all the studied measurements. Analysis of variance was used to compare the interradicular dimensions and cortical bone thickness in different regions and at various heights. Results There were differences in the interradicular dimensions and cortical bone thickness in different regions and at various heights in both the maxilla and mandible. In the maxilla, the highest mesiodistal distances (3.48 mm, 6 mm apical to CEJ) were between the first molar and second premolar and the highest buccopalatal thickness (14.26 mm, 6 mm apical to CEJ) and buccal cortical thickness (1.92 mm, 4 mm apical to CEJ) existed between the first and second molars and highest palatal cortical thickness (1.77 mm, 6 mm apical to CEJ) were between the first and second premolars. In the mandible, the highest mesiodistal distance (4.74 mm, 6 mm apical to CEJ), buccolingual thickness (13.60 mm, 6 mm apical to CEJ), buccal cortical thickness (3.05 mm, 4 mm apical to CEJ), and lingual cortical thickness (2.59 mm, 4 mm apical to CEJ) were between the first and second molars. Conclusions Mesiodistal distance, buccopalatal/lingual thickness, and cortical bone thickness differ in different regions and at various heights in both the maxilla and mandible. Hence, these factors must be considered while assessing the optimal sites for mini-implant placement. The safest interradicular areas in the maxilla were between the first molar and the second premolar, whereas between the first and second molars in the mandible, at 6 mm apical to CEJ. |
| format | Article |
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| institution | DOAJ |
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| publishDate | 2025-05-01 |
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| spelling | doaj-art-e95ba2164cd741e1ae2d76088a82e0d12025-08-20T03:16:51ZengBMCBMC Oral Health1472-68312025-05-012511810.1186/s12903-025-06251-4Assessment of interradicular areas and cortical bone thickness for orthodontic mini-implant placement: a cone-beam computed tomography studySanjay Prasad Gupta0Deepa Niroula1Nisha Budha Magar2Department of Orthodontics and Dentofacial Orthopedics, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, Tribhuvan UniversityDepartment of Oral Medicine and Radiology, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, Tribhuvan UniversityDepartment of Orthodontics and Dentofacial Orthopedics, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, Tribhuvan UniversityAbstract Background Mini-implant has become an accepted and reliable method for providing absolute anchorage in orthodontics. It is known that incorrect implant positioning can increase the failure rates and damage the adjacent tooth roots. This study aimed to assess the interradicular areas and cortical bone thickness for orthodontic mini-implant placement using cone beam computed tomography (CBCT). Methods CBCT scans of 100 subjects (42 males, 58 females; mean age of 16.32 ± 5.72 years) were selected consecutively from the records archive of the Department of Orthodontics and Dentofacial Orthopedics, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. A convenience sampling method was employed for selecting the sample. For each interradicular space in the maxilla and the mandible from the central incisor to the second molar; the mesiodistal distance, buccopalatal/lingual thickness, and cortical bone thickness were measured at three different depths from the cementoenamel junction (CEJ), that is at 2 mm, 4 mm, and 6 mm. Descriptive analysis was used to obtain the mean and standard deviation of all the studied measurements. Analysis of variance was used to compare the interradicular dimensions and cortical bone thickness in different regions and at various heights. Results There were differences in the interradicular dimensions and cortical bone thickness in different regions and at various heights in both the maxilla and mandible. In the maxilla, the highest mesiodistal distances (3.48 mm, 6 mm apical to CEJ) were between the first molar and second premolar and the highest buccopalatal thickness (14.26 mm, 6 mm apical to CEJ) and buccal cortical thickness (1.92 mm, 4 mm apical to CEJ) existed between the first and second molars and highest palatal cortical thickness (1.77 mm, 6 mm apical to CEJ) were between the first and second premolars. In the mandible, the highest mesiodistal distance (4.74 mm, 6 mm apical to CEJ), buccolingual thickness (13.60 mm, 6 mm apical to CEJ), buccal cortical thickness (3.05 mm, 4 mm apical to CEJ), and lingual cortical thickness (2.59 mm, 4 mm apical to CEJ) were between the first and second molars. Conclusions Mesiodistal distance, buccopalatal/lingual thickness, and cortical bone thickness differ in different regions and at various heights in both the maxilla and mandible. Hence, these factors must be considered while assessing the optimal sites for mini-implant placement. The safest interradicular areas in the maxilla were between the first molar and the second premolar, whereas between the first and second molars in the mandible, at 6 mm apical to CEJ.https://doi.org/10.1186/s12903-025-06251-4Cone beam computed tomographyCortical bone thicknessInterradicular dimensionsMini-implants |
| spellingShingle | Sanjay Prasad Gupta Deepa Niroula Nisha Budha Magar Assessment of interradicular areas and cortical bone thickness for orthodontic mini-implant placement: a cone-beam computed tomography study BMC Oral Health Cone beam computed tomography Cortical bone thickness Interradicular dimensions Mini-implants |
| title | Assessment of interradicular areas and cortical bone thickness for orthodontic mini-implant placement: a cone-beam computed tomography study |
| title_full | Assessment of interradicular areas and cortical bone thickness for orthodontic mini-implant placement: a cone-beam computed tomography study |
| title_fullStr | Assessment of interradicular areas and cortical bone thickness for orthodontic mini-implant placement: a cone-beam computed tomography study |
| title_full_unstemmed | Assessment of interradicular areas and cortical bone thickness for orthodontic mini-implant placement: a cone-beam computed tomography study |
| title_short | Assessment of interradicular areas and cortical bone thickness for orthodontic mini-implant placement: a cone-beam computed tomography study |
| title_sort | assessment of interradicular areas and cortical bone thickness for orthodontic mini implant placement a cone beam computed tomography study |
| topic | Cone beam computed tomography Cortical bone thickness Interradicular dimensions Mini-implants |
| url | https://doi.org/10.1186/s12903-025-06251-4 |
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