Periodontal Effects of Orthodontic Mini-Screws
NCT07052747 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 132
Last updated 2025-07-07
Summary
Orthodontic mini-screws (TADs) are commonly used to provide temporary anchorage and prevent unwanted tooth movement during orthodontic treatment. Their clinical success largely depends on their ability to remain stable under functional orthodontic loads. Stability is assessed in two phases: primary stability, which reflects immediate mechanical retention in bone, and secondary stability, which results from biological remodeling and healing over time. Multiple factors such as age, gender, bone characteristics, screw dimensions, and force magnitude may influence screw stability.
Recent studies suggest that local inflammation around mini-screws, similar to peri-implantitis in dental implants, can compromise bone integrity and lead to screw failure. Inadequate oral hygiene and the absence of keratinized tissue at the insertion site are among the key risk factors associated with inflammation and soft tissue complications. Unlike traditional implants, mini-screws are often inserted at variable intraoral locations and subject to angular force vectors, which may further impact surrounding periodontal tissues.
This cross-sectional clinical study aims to evaluate the effects of orthodontic mini-screw placement on general oral health and periodontal tissue status. The study will investigate site-specific and full-mouth periodontal parameters and explore potential associations between mini-screw stability, soft tissue characteristics, and signs of mucosal inflammation.
Conditions
- Dental Implantation
- Peri-implant Mucositis
- Orthodontic Anchorage Procedures
- Gingival Inflammation and Bleeding
Interventions
- OTHER
-
Clinical periodontal assessment
Comprehensive site-level and full-mouth evaluations of periodontal parameters, including plaque index (PI), gingival index (GI), probing pocket depth (PPD), recession depth (RD), bleeding on probing (BOP), keratinized tissue width (KTW), mucosal phenotype, mucosal redness (MR), mucosal discomfort (MD), and torque gauge (TG) measurements.
Sponsors & Collaborators
-
Dr. Mehmet Selim Yildiz
lead OTHER
Principal Investigators
-
Mehmet Selim YILDIZ, Asst. Prof. · Altinbas University, Faculty of Dentistry
Eligibility
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-10-04
- Primary Completion
- 2025-04-25
- Completion
- 2025-04-29
Countries
- Turkey (Türkiye)
Study Locations
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