Screw-type device diameter and orthodontic loading influence adjacent bone remodeling

Angle Orthod. 2017 May;87(3):466-472. doi: 10.2319/041316-302.1. Epub 2016 Dec 8.

Abstract

Objective: To evaluate the effect of diameter and orthodontic loading of a screw-type implantable device on bone remodeling.

Materials and methods: Screw-shaped devices of four distinct diameters, 1.6, 2, 3, and 3.75 mm, were placed into edentulous sites in five skeletally mature beagle dogs (n = 14/dog) following premolar extraction. Using a split-mouth design, devices on one side were loaded using calibrated 2N coil springs. Epifluorescent bone labels were administered intravenous prior to sacrifice. Bone-implant sections (∼ 70 μm) were evaluated to quantify bone formation rate (BFR), and other histomorphometric variables were assessed in the implant supporting bone.

Results: The mean BFR ranged from 10.93 percent per year to 38.91 percent per year. BFR in the bone adjacent to the device was lower for the loaded 1.6-mm screws when compared with the nonloaded 1.6-mm screws (P < .01) and the loaded 2.0-, 3.0-, and 3.75-mm diameter screws (P < .01). No significant differences in BFR were noted, regardless of loading condition, between the 2.0-, 3.0-, and 3.75-mm diameter screws.

Conclusions: We detected a dramatic reduction in bone remodeling. Although orthodontic loading of 2N did not alter bone remodeling associated with screws with a 2.0-mm diameter or larger, it did decrease bone remodeling adjacent to a loaded 1.6-mm screw. The long-term effect of this diminished remodeling should be further investigated.

Keywords: Beagle dogs; Bone remodeling; Mini screws; Orthodontic force.

MeSH terms

  • Animals
  • Bone Remodeling / physiology*
  • Bone Screws*
  • Dental Stress Analysis*
  • Dogs
  • Male
  • Models, Animal
  • Orthodontic Anchorage Procedures / instrumentation*
  • Surface Properties
  • Time Factors