口腔顎顔面外傷 : 日本口腔顎顔面外傷学会誌
Online ISSN : 2434-3366
Print ISSN : 1347-9903
臨床症例
歯科矯正アンカースクリューが口蓋へ植立時に破折し迷入した1例
山城 貴愛石戸 克尚沖田 美千子原田 雅史金子 剛針谷 靖史
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2023 年 22 巻 2 号 p. 74-78

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Recently, orthodontic anchor mini-screws have been widely used in orthodontic treatment. Fractures of the implants, soft-tissue infections, and injuries of the roots of adjacent teeth are reported as complications of implantation. We report a case of fracture of an orthodontic anchor mini-screw during implantation in the palate.
An orthodontic anchor mini-screw was implanted for the patient at a dental clinic. During the procedure, the mini-screw fractured and remained under the mucosa, so she was referred to our hospital to remove the remaining mini-screw. The fractured mini-screw was impacted under the palatal mucosa. Computed tomography revealed a fractured screw in the midline of the palate. We removed the screw under general anesthesia using an ultrasonic bone cutting device.
Anchor screw fracture is considered to be caused by excessive torque at the time of implantation. To avoid this problem, it is essential to form the guide hole in advance and then to implant the anchor screw using a torque screwdriver.
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