Anatomy and Biomechanics Applied to Skeletal Anchorages in Orthodontics 12 keys to
successful mini-implant placement
1. Fundamental: aspects
- 1.1 Basic anatomy Of periodontal structures
- 1.2 Skeletal anchorage systems
- 1.3 Bone density
- 1.4 Structural pillars buttresses of the facial skeleton
- 1.5 Topographic anatomy
- 1.6 Classification of skeletal anchors according to their anatomical location
2. Maxilla or upper jaw
- 2.1 Nasomaxillary buttress
- 2.2 Zygomatic arch and zygomatic process of the maxilla
- 2.3 Zygomaticolveolar crest
3. Hard palate: central area
- 3.1 Hard palate: central area
- 3.2 Nasopalatine canal and incisive foramen
4. Mandible or lower jaw
- 4.1 Mandible or lower jaw
- 4.2 Noble anatomical structures adjacent to the mandibular shelf, the retromolar fossa and
the retromolar triangle
5. Interradicular or interdental anchorage systems
- 5.1 Historical overview
- 5.2 Definition
- 5.3 Topographic anatomy for placement of interradicular anchors
- 5.4 Factors to consider when selecting suitable anatomica zones for the placement of an
interradicular mini-implant
6. Insertion guidelines
- 6.1 Definition
- 6.2 Informed consent
- 6.3 Factors to consider when selecting an anchorage placement site
- 6.4 Genenral protocol for skeletal anchorage placement
- 6.5 Anchorage placement tools
- 6.6 Operator Position
- 6.7 Dental Tray Setup
- 6.8 Protocols for inserting skeletal anchorage devices
7. Strategic biomechanics
Appendix 01 Innervation and irrigation of anatomical zones
Appendix 02 12keys for placing mini-implants successfully
Video index
1. Master class (1 hour) The 12 keys to be successful in the placement of mini-implants in
orthodontics
2. Confirming goals of treatment plan and force-system design
3. Anatomical zones available in the maxilla and adjacent base structures
4. Available anatomical zones in the mandible and adjacent base structures
5. Selecting mini Implant design based on anatomical and biomecharacal criteria
6. What is the ideal position for the operator to place a mini-implant?
7. Confirming soft tissue thickness and specific preparation of bone surfaces
8. Controtting primary stability and controlling potential traumatic events for the patient
9. Biotogica censiderations for loading mini Implants
10. Applying biomechanins fo clinical cases
11. Postoper ative inetructions Jo the patient in case of possible complications