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European Archives of Paediatric Dentistry

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01-06-2020 | Invited Review

Mini-screw implant-supported pontics for the transitional management of missing permanent maxillary lateral incisors in children and adolescents: a review of currently available evidence

Authors: D. Michelogiannakis, F. Javed, H. Vastardis

Published in: European Archives of Paediatric Dentistry | Issue 3/2020

Abstract

Aim

To review currently available evidence regarding the use of mini-screw implant (MSI)-supported pontics for the transitional management of missing permanent maxillary lateral incisors in children and adolescents.

Methods

Indexed databases were searched until October 2019. The following inclusion criteria were imposed: (a) children and adolescents with missing permanent maxillary lateral incisor/s; (b) temporary replacement of missing permanent maxillary lateral incisors with MSI-supported pontics; (c) clinical and radiographic assessment of the outcome [MSI stability and/or alveolar bone (ALB) development]; and (d) follow-up after pontic placement. Commentaries, letters to the Editor, reviews, and studies in adult patients and/or patients with systemic/genetic diseases, with no follow-up, and without clinical and radiographic assessment of the outcome were excluded.

Results

Six out of 225 initially-identified studies were included. All studies were case-reports/series. A variability was observed among studies-assessed regarding the treatment protocol such as in the MSI dimensions, loading time and pontic retention protocol. Results from the included studies indicate that the MSI-supported pontics remained stable, with no infraocclusion and angular bony defect formation, ALB levels and bone density were maintained, and there was vertical ALB development during the follow-up period which ranged up to 99 months. Reported complications included MSI loss due to mobility, crown repair/replacement due to discoloration, and gingival impingement.

Conclusions

The limited evidence shows that MSI-supported pontics are useful transitional restorations for missing permanent maxillary lateral incisors in children and adolescents; however, further well-designed clinical trials are needed in this regard.

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Title: Mini-screw implant-supported pontics for the transitional management of missing permanent maxillary lateral incisors in children and adolescents: a review of currently available evidence
Authors: D. Michelogiannakis
F. Javed
H. Vastardis
Publication date: 01-06-2020
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Paediatric Dentistry / Issue 3/2020
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI: https://doi.org/10.1007/s40368-020-00521-1

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Mini-screw implant-supported pontics for the transitional management of missing permanent maxillary lateral incisors in children and adolescents: a review of currently available evidence

Abstract

Aim

Methods

Results

Conclusions

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Abstract

Aim

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