Most Common Complications after Miniscrews Placement in Orthodontic Patients: A Cross-Sectional Study
DOI:
https://doi.org/10.37762/jgmds.13-2.844Keywords:
Complication, Discomfort, Pain, MiniscrewAbstract
ABSTRACT
OBJECTIVES
This study aimed to determine the frequency of the most common complications after mini-screw insertion.
METHODOLOGY
This cross-sectional study was conducted at the Department of Orthodontics, Khyber College of Dentistry, from October 20, 2022, to March 20, 2023. Ninety-one participants aged 14-30 years, in the permanent dentition stage and requiring absolute anchorage, were included. Discomfort and mobility of miniscrews were assessed using questionnaires administered immediately after insertion and 24 hours later. Participants were instructed on completing the questionnaire and asked to return the completed forms. Chi-square and Fisher's exact tests were used for analysis.
RESULTS
The mean age was 21.04 ± 4.38 years (range: 14-30), with 54 females (59.34%) and 37 males (40.66%). Immediately after miniscrew placement, 16 (17.58%) reported severe pain, 29 (31.87%) moderate, and 46 (50.55%) mild. After 24 hours, severe pain reduced to 12 (13.19%), moderate to 26 (28.57%), and mild increased to 53 (58.24%). Discomfort during movement was reported by 17 (18.68%), speech difficulty by 10 (10.99%), swelling by 17 (18.68%), and redness by 19 (20.88%). Miniscrews were mobile in 14 (15.38%) and loose in 12 (13.19%). Significant associations were found between age group and mobility (p=0.001), looseness (p=0.003), and postoperative swelling/redness (p=0.033), with younger patients showing higher rates.
CONCLUSION
Miniscrews are associated with pain and discomfort in all patients, with the majority experiencing mild to moderate pain and a smaller proportion reporting severe pain. Mobility of miniscrews is more common in younger age groups.
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Mehta U, Reddy CM, Khera AK, Raghav P, Arya S, Jaiswal A. Exploring different methods for assessing anchorage loss during orthodontic space closure: a narrative review. J Res Dent Sci. 2024;15(1):39-44 DOI: https://doi.org/10.4103/srmjrds.srmjrds_173_23
Sharma D, Thakur G, Gurung D, Thakur A. Basic principles of anchorage: a review. Int J Res Med Sci. 2024;12:4378. https://doi.org/10.18203/2320-6012.ijrms20243778 DOI: https://doi.org/10.18203/2320-6012.ijrms20243408
Selvaraj S, Tandon A, Chandrasekaran D, Purushothaman D, Katepogu P, Mohan R, et al. Anchorage and stability of orthodontic mini implants in relation to length and types of implants. Cureus. 2024;16(11):e63525. https://doi.org/10.7759/cureus.63525 PMID: 39521487 PMCID: PMC11540458 DOI: https://doi.org/10.7759/cureus.73056
Yildiz MS, Ulutas PA, 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. https://doi.org/10.1186/s12903-024-05252-y PMID: 39548259 PMCID: PMC11575746 DOI: https://doi.org/10.1186/s12903-024-05136-2
Laforgia A, Dipalma G, Inchingolo A, Chieppa S, Colonna V, Tartaglia F, et al. Dental issues following the placement of orthodontic mini-screws. Eur J Musculoskelet Dis. 2024;13(2 Suppl 1):28-36
Tarigan SHP, Sufarnap E, Bahirrah S. Orthodontic mini-implant failures based on patient outcomes: a systematic review. Eur J Dent. 2024;18(2):417-429. https://doi.org/10.1055/s-0043-1777308 PMID: 37802192 DOI: https://doi.org/10.1055/s-0043-1772249
Alharbi F, Almuzian M, Bearn D. Miniscrews failure rate in orthodontics: systematic review and meta-analysis. Eur J Orthod. 2018;40(5):519-530. https://doi.org/10.1093/ejo/cjx083 PMID: 29216345 DOI: https://doi.org/10.1093/ejo/cjx093
Kuroda S, Sugawara Y, Deguchi T, Kyung HM, Takano-Yamamoto T. Clinical use of miniscrew implants as orthodontic anchorage: success rates and postoperative discomfort. Am J Orthod Dentofacial Orthop. 2007;131(1):9-15. https://doi.org/10.1016/j.ajodo.2005.02.032 PMID: 17208102 DOI: https://doi.org/10.1016/j.ajodo.2005.02.032
Gurdan Z, Szalma J. Evaluation of the success and complication rates of self-drilling orthodontic mini-implants. Niger J Clin Pract. 2018;21(5):546-556. https://doi.org/10.4103/njcp.njcp_232_17 PMID: 29605992 DOI: https://doi.org/10.4103/njcp.njcp_105_17
Khalil ZUR, Hameed A, Raza M, Khan A, Nazir K, Khattak A. A comparative study of oral health in preclinical and clinical years of undergraduate dental students of Peshawar using the DMFT index. Prof Med J. 2020;27(7):1340-1345. https://doi.org/10.29309/TPMJ/2020.27.07.3932 DOI: https://doi.org/10.29309/TPMJ/2020.27.08.3337
Miyawaki S, Koyama I, Inoue M, Mishima K, Sugahara T, Takano-Yamamoto T. Factors associated with the stability of titanium screws placed in the posterior region for orthodontic anchorage. Am J Orthod Dentofacial Orthop. 2003;124(4):373-378. https://doi.org/10.1016/S0889-5406(03)00565-1 PMID: 14560265 DOI: https://doi.org/10.1016/S0889-5406(03)00565-1
Manni A, Cozzani M, Tamborrino F, De Rinaldis S, Menini A. Factors influencing the stability of miniscrews: a retrospective study on 300 miniscrews. Eur J Orthod. 2011;33(4):388-395. https://doi.org/10.1093/ejo/cjq090 PMID: 20805280 DOI: https://doi.org/10.1093/ejo/cjq090
Park HS, Jeong SH, Kwon OW. Factors affecting the clinical success of screw implants used as orthodontic anchorage. Am J Orthod Dentofacial Orthop. 2006;130(1):18-25. https://doi.org/10.1016/j.ajodo.2004.09.020 PMID: 16849067 DOI: https://doi.org/10.1016/j.ajodo.2004.11.032
Moon CH, Lee DG, Lee HS, Im JS, Baek SH. Factors associated with the success rate of orthodontic miniscrews placed in the upper and lower posterior buccal region. Angle Orthod. 2008;78(1):101-106. https://doi.org/10.2319/122206-521.1 PMID: 18193967 DOI: https://doi.org/10.2319/121706-515.1
Lee SJ, Ahn SJ, Lee JW, Kim SH, Kim TW. Survival analysis of orthodontic mini-implants. Am J Orthod Dentofacial Orthop. 2010;137(2):194-199. https://doi.org/10.1016/j.ajodo.2008.03.029 PMID: 20152645 DOI: https://doi.org/10.1016/j.ajodo.2008.03.031
Topouzelis N, Tsaousoglou P. Clinical factors correlated with the success rate of miniscrews in orthodontic treatment. Int J Oral Sci. 2012;4(1):38-44. https://doi.org/10.1038/ijos.2012.9 PMID: 22509185 PMCID: PMC3421902 DOI: https://doi.org/10.1038/ijos.2012.1
Giudice AL, Rustico L, Longo M, Oteri G, Papadopoulos MA, Nucera R. Complications reported with the use of orthodontic miniscrews: a systematic review. Korean J Orthod. 2021;51(3):199-216. https://doi.org/10.4041/kjod.2021.51.3.199 PMID: 33935408 PMCID: PMC8081535 DOI: https://doi.org/10.4041/kjod.2021.51.3.199
Chawshli OF, Hasan HS, Yalda FA, Al-Talabani SZ. Success rate of miniscrews for incisor intrusion and patient age, gender, and insertion angle in the maxilla using CBCT and implant-guided surgery: a split-mouth randomized controlled trial. Orthod Craniofac Res. 2024;27(1):118-125. https://doi.org/10.1111/ocr.12705 PMID: 37808302 DOI: https://doi.org/10.1111/ocr.12700
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. https://doi.org/10.1186/s40510-021-00366-7 PMID: 34088314 PMCID: PMC8171804 DOI: https://doi.org/10.1186/s40510-021-00370-8
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Copyright (c) 2026 Umara Khalid, Hiba Sajjad, Kiran Khan, Irfah Ishfaq, Fatima Bibi, Ahsan Mehmood Shah
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