DOI:
10.37988/1811-153X_2026_1_35Factors affecting the stability of orthodontic mini-implants. A review
Downloads
Abstract
In modern orthodontic practice, many different types of orthodontic mini-implants (MI) are used, which differ not only in their qualitative characteristics, such as shape, size, material, thread type, sterilization, and processing, but also in the technique and location of MI placement, which undoubtedly plays a role in achieving certain goals in the orthodontic treatment process. We found many studies on individual factors affecting the stability of MIs and the success of their use. However, there are very few publications reviewing all the factors described to date, and there are no publications drawing a final conclusion on this topic. Therefore, the aim of our systematic review was to analyze all currently available studies of factors affecting the stability and functionality of MI and to draw the most comprehensive conclusion on this topic. After careful analysis and selection for compliance with the inclusion criteria and the subject of the review, 50 publications were included in the systematic review.Conclusions.
Gender and maxillary sinus perforation do not significantly affect MI stability. Age, physician experience, cortical plate thickness and cancellous bone density, jaw side, proximity of the tooth root to the MI, shape, length, diameter, and type of MI thread, MI surface treatment, installation torque, load force and time, installation site, and oral hygiene have a direct impact on the success of MI installation and functionality. No clear data was found on the influence of FI material, the use of self-tapping MI or a pre-drilling protocol, or the time of load application to the MI after its placement. Further research on these topics is needed to draw definitive conclusions.
Key words:
orthodontic mini-implants, stability of mini-implants, success of orthodontic treatment, rejection of orthodontic mini-implants, IZC, BSFor Citation
[1]
Tulup Yu.O., Abramova A.I., Malanova O.A., Dybov A.M. Factors affecting the stability of orthodontic mini-implants. A review. Clinical Dentistry (Russia). 2026; 29 (1): 35—41. DOI: 10.37988/1811-153X_2026_1_35
References
- de Almeida M.R. Current status of the biomechanics of extra-alveolar miniscrews. J World Fed Orthod. 2024; 13 (1): 25—37. PMID: 38155064
- Shetty S., Ramesh A., Maniyankod S.B., Parveen K., Selvakumar S.G., Mubeen M., Amin V. Comparing the efficiency of infrazygomatic crest (IZC) screws and conventional method for anterior retraction in patients undergoing fixed orthodontic treatment for class 2 malocclusion: A prospective clinical study. Cureus. 2024; 16 (2): e54599. PMID: 38524017
- Tseng Y.C., Chen H.S., Hsiao S.Y., Hsu K.J., Chen C.M. Effect of microimplant neck design with and without microthread on pullout strength and destruction volume. Materials (Basel). 2021; 14 (20): 5991. PMID: 34683583
- Inchingolo A.M., et al. Tooth Complications after orthodontic miniscrews insertion. Int J Environ Res Public Health. 2023; 20 (2): 1562. PMID: 36674316
- Truong V.M., Kim S., Kim J., Lee J.W., Park Y.S. Revisiting the complications of orthodontic miniscrew. Biomed Res Int. 2022; 2022: 8720412. PMID: 35958810
- Moeini N., Sabri H., Galindo-Fernandez P., Mirmohamadsadeghi H., Valian N.K. Periodontal status following orthodontic mini-screw insertion: A prospective clinical split-mouth study. Clin Exp Dent Res. 2023; 9 (4): 596—605. PMID: 37340755
- Yildiz M.S., Ulutas P.A., Ozenci I., Akcalı A. Clinical and radiographic assessment of the association between orthodontic mini-screws and periodontal health. BMC Oral Health. 2024; 24 (1): 1376. PMID: 39543578
- Vale F., Travassos R., Couto I., Ribeiro M., Marques F., Caramelo F., Marto C.M., Spagnuolo G., Paula A.B., Nunes C., Francisco I. Patient›s perspective on miniscrews during orthodontic treatment—A systematic review with meta-analysis. Orthod Craniofac Res. 2025; 28 (2): 217—241. PMID: 39377777
- Valeri C., Aloisio A., Marzo G., Costigliola G., Quinzi V. What is the impact of patient attributes, implant characteristics, surgical techniques, and placement location on the success of orthodontic mini-implants in young adults? A Systematic Review and Meta-Analysis. Saudi Dent J. 2024; 36 (9): 1149—1159. PMID: 39286583
- Zhao Y., Jia T., Wang Z. Comparative analysis of anchorage strength and histomorphometric changes after implantation of miniscrews in adults and adolescents: an experimental study in Beagles. BMC Oral Health. 2023; 23 (1): 639. PMID: 37670309
- Jaramillo-Bedoya D., Villegas-Giraldo G., Agudelo-Suárez A.A., Ramírez-Ossa D.M. A scoping review about the characteristics and success-failure rates of temporary anchorage devices in orthodontics. Dent J (Basel). 2022; 10 (5): 78. PMID: 35621531
- Zhang S., Wei X., Wang L., Wu Z., Liu L., Yan X., Lai W., Long H. Evaluation of optimal sites for the insertion of orthodontic mini implants at mandibular symphysis region through cone-beam computed tomography. Diagnostics (Basel). 2022; 12 (2): 285. PMID: 35204375
- Song Q., Jiang F., Zhou M., Li T., Zhang S., Liu L., Pu L., Lai W., Long H. Optimal sites and angles for the insertion of orthodontic mini-implants at infrazygomatic crest: a cone beam computed tomography (CBCT)-based study. Am J Transl Res. 2022; 14 (12): 8893—8902. PMID: 36628253
- Pan Y., Wei L., Zheng Z., Bi W. An evaluation of bone depth at different three-dimensional paths in infrazygomatic crest region for miniscrew insertion: A cone beam computed tomography study. Heliyon. 2024; 10 (3): e25827. PMID: 38352741
- Toriya T., Kitahara T., Hyakutake H., Todo M., Takahashi I. Analysis for predictors of failure of orthodontic mini-implant using patient-specific finite element models. Ann Biomed Eng. 2023; 51 (3): 594—603. PMID: 36167866
- Bungău T.C., Vaida L.L., Moca A.E., Ciavoi G., Iurcov R., Romanul I.M., Buhaș C.L. Mini-Implant rejection rate in teenage patients depending on insertion site: A retrospective study. J Clin Med. 2022; 11 (18): 5331. PMID: 36142978
- Hasani M., Afzoon S., Karandish M., Parastar M. Three-dimensional evaluation of the cortical and cancellous bone density and thickness for miniscrew insertion: a CBCT study of interradicular area of adults with different facial growth pattern. BMC Oral Health. 2023; 23 (1): 753. PMID: 37833666
- Mehta S., Arqub S.A., Sharma R., Patel N., Tadinada A., Upadhyay M., Yadav S. Variability associated with mandibular ramus area thickness and depth in subjects with different growth patterns, gender, and growth status. Am J Orthod Dentofacial Orthop. 2022; 161 (3): e223—e234. PMID: 34802867
- Tavares A., Crusoé-Rebello I.M., Neves F.S. Tomographic evaluation of infrazygomatic crest for orthodontic anchorage in different vertical and sagittal skeletal patterns. J Clin Exp Dent. 2020; 12 (11): e1015—e1020. PMID: 33262865
- Tarigan S.H.P., Sufarnap E., Bahirrah S. The orthodontic mini-implants failures based on patient outcomes: Systematic review. Eur J Dent. 2024; 18 (2): 417—429. PMID: 37848073
- Kim H.J., Park H.S. Long-term evaluation of factors affecting removal torque of microimplants. Prog Orthod. 2021; 22 (1): 42. PMID: 34778924
- Rodríguez-Rimachi M.E., Malpartida-Pacheco M.I., Olazábal-Martínez W.C. Success rate of infrazygomatic miniscrews considering their design and insertion techniques. A review. Rev Cient Odontol (Lima). 2022; 10 (3): e117. PMID: 38389546
- Tavares A., Montanha-Andrade K., Cury P.R., Crusoé-Rebello I., Neves F.S. Tomographic assessment of infrazygomatic crest bone depth for extra-alveolar miniscrew insertion in subjects with different vertical and sagittal skeletal patterns. Orthod Craniofac Res. 2022; 25 (1): 49—54. PMID: 33908170
- Sakamaki T., Watanabe K., Iwasa A., Deguchi T., Horiuchi S., Tanaka E. Thread shape, cortical bone thickness, and magnitude and distribution of stress caused by the loading of orthodontic miniscrews: finite element analysis. Sci Rep. 2022; 12 (1): 12367. PMID: 35859046
- Mohan S., Srinivasan D., Arumugam E., Devasahayam D., Kannan R. Effect of placement angle, diameter, length and bone density on the pull-out strength of orthodontic mini-implants: An in vitro study. J Orthod. 2022; 49 (2): 143—150. PMID: 34666551
- Du B., Lin Y., Ji M., Yang Q., Jiang J., Wang F., Wang X., Tan J., Jia R., Li J. Effects of exposure length, cortical and trabecular bone contact areas on primary stability of infrazygomatic crest mini-screws at different insertion angles. BMC Oral Health. 2024; 24 (1): 924. PMID: 39123162
- Palone M., Darsiè A., Maino G.B., Siciliani G., Spedicato G.A., Lombardo L. Analysis of biological and structural factors implicated in the clinical success of orthodontic miniscrews at posterior maxillary interradicular sites. Clin Oral Investig. 2022; 26 (4): 3523—3532. PMID: 34837567
- Favero R., Fabiane M., Zuccon A., Conte D., Ludovichetti F.S. Maintaining hygiene in orthodontic miniscrews: Patient management and protocols — A literature review. Dent J (Basel). 2024; 12 (7): 227. PMID: 39057014
- Puls G.L., et al. Insertion torque, flexural strength and surface alterations of stainless steel and titanium alloy orthodontic mini-implants: an in vitro study. Dental Press J Orthod. 2024; 29 (2): e2423282. PMID: 38775601
- Byeon S.M., Kim H.J., Lee M.H., Bae T.S. Enhancement of bioactivity and osseointegration in Ti-6Al-4V orthodontic mini-screws coated with calcium phosphate on the TiO2 nanotube layer. Korean J Orthod. 2022; 52 (6): 412—419. PMID: 36424809
- Fukumoto T., Fukasawa S., Yamada K., Nakajima R., Yamaguchi M. Evaluation of the success rate of single- and dual-thread orthodontic miniscrews inserted in the palatal side of the maxillary tuberosity. J World Fed Orthod. 2022; 11 (3): 69—74. PMID: 35589502
- Ye Y., Yi W., Fan S., Zhao L., Yu Y., Lu Y., Yao Q., Wang W., Chang S. Effect of thread depth and thread pitch on the primary stability of miniscrews receiving a torque load: A finite element analysis. J Orofac Orthop. 2023; 84 (2): 79—87. PMID: 34581834
- Jedliński M., et al. How does orthodontic mini-implant thread minidesign influence the stability? — Systematic review with meta-analysis. J Clin Med. 2022; 11 (18): 5304. PMID: 36142951
- Golshah A., Gorji K., Nikkerdar N. Effect of miniscrew insertion angle in the maxillary buccal plate on its clinical survival: a randomized clinical trial. Prog Orthod. 2021; 22 (1): 22. PMID: 34337677
- Ummat A., Shetty S., Desai A., Nambiar S., Natarajan S. Comparative assessment of the stability of buccal shelf mini-screws with and without pre-drilling- a split-mouth, randomized controlled trial. Clin Oral Investig. 2024; 28 (10): 567. PMID: 39365318
- Marchi A., Camporesi M., Festa M., Salvatierra L., Izadi S., Farronato G. Drilling capability of orthodontic miniscrews: In vitro study. Dent J (Basel). 2020; 8 (4): 138. PMID: 33371233
- Samie S., Alavi S., Asadi F., Raji S.H. Effect of steam and dry heat sterilization on the insertion and fracture torque of orthodontic miniscrews. Dental Research Journal. 2020; 3: 219. DOI: 10.4103/1735-3327.284729
- Ioana T.R., Boeru F.G., Antoniac I., Mitruț I., Staicu I.E., Rauten A.M., Uriciuc W.A., Manolea H.O. Surface analysis of orthodontic mini-implants after their clinical use. J Funct Biomater. 2024; 15 (9): 244. PMID: 39330220
- Jahanbin A., Ziya F., Bardideh E., Hafez S., Abtahi M. In vitro physical properties and clinical stability of reused orthodontic miniscrews: A systematic review and meta-analysis. J World Fed Orthod. 2025; 14 (2): 97—110. PMID: 39472213
- Mylonopoulou I.M., Pepelassi E., Madianos P., Halazonetis D.J. A randomized, 3-month, parallel-group clinical trial to compare the efficacy of electric 3-dimensional toothbrushes vs manual toothbrushes in maintaining oral health in patients with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop. 2021; 160 (5): 648—658. PMID: 34752255
- Zhang B., Huang X., Huo S., Zhang C., Cen X., Zhao Z. Effect of photobiomodulation therapy on mini-implant stability: a systematic review and meta-analysis. Lasers Med Sci. 2021; 36 (8): 1557—1566. PMID: 33660109
- Figueiredo A.L., Travassos R., Nunes C., Ribeiro M.P., Santos M., Iaculli F., Paula A.B., Marto C.M., Caramelo F., Francisco I., Vale F. Surface treatment of dental mini-sized implants and screws: A systematic review with meta-analysis. J Funct Biomater. 2024; 15 (3): 68. PMID: 38535261
- Michelogiannakis D., Jabr L., Barmak A.B., Rossouw P.E., Kotsailidi E.A., Javed F. Influence of low-level-laser therapy on the stability of orthodontic mini-screw implants. A systematic review and meta-analysis. Eur J Orthod. 2022; 44 (1): 11—21. PMID: 34114609
- He Y., Liu J., Huang R., Chen X., Jia X., Zeng N., Fan X., Huang X. Clinical analysis of successful insertion of orthodontic mini-implants in infrazygomatic crest. BMC Oral Health. 2023; 23 (1): 348. PMID: 37264370
- Tang Y., Lu W., Zhang Y., Wu W., Sun Q., Zhang Y., Liu X., Liang W., Chen S., Han B. Variations in the alveolar bone morphology in maxillary molar area: a retrospective CBCT study. BMC Oral Health. 2024; 24 (1): 872. PMID: 39090625
- Fang X., Ding H., Fan C., Pang L., Xu T., Liu J., Jiang C. Comparison of mandibular buccal shelf morphology between adolescents and adults with different vertical patterns using CBCT. Oral Radiol. 2024; 40 (1): 58—68. PMID: 37773481
- Aleluia R.B., Duplat C.B., Crusoé-Rebello I., Neves F.S. Assessment of the mandibular buccal shelf for orthodontic anchorage: Influence of side, gender and skeletal patterns. Orthod Craniofac Res. 2021; 24 Suppl 1: 83—91. PMID: 33354889
- Wang Y., Sun J., Shi Y., Li X., Wang Z. Buccal bone thickness of posterior mandible for microscrews implantation in molar distalization. Ann Anat. 2022; 244: 151993. PMID: 36041697
- Gandhi V., Upadhyay M., Tadinada A., Yadav S. Variability associated with mandibular buccal shelf area width and height in subjects with different growth pattern, sex, and growth status. Am J Orthod Dentofacial Orthop. 2021; 159 (1): 59—70. PMID: 33221093
- Dharmadeep G., Naik M.K., Reddy Y.M., Cheruluri S., Praveen Raj K., Reddy B.R. Three-dimensional evaluation of interradicular areas and cortical bone thickness for orthodontic miniscrew implant placement using cone-beam computed tomography. J Pharm Bioallied Sci. 2020; 12 (Suppl 1): S99—S104. PMID: 33149438
Downloads
Received
May 27, 2025
Accepted
January 16, 2026
Published on
March 31, 2026




