The success rate of infrazygomatic mini-implants placed with and without surgical guides: a historical control study

Abstract Background To improve the success rate of mini-implants, some surgical guides have been developed through digital technologies to achieve three-dimensional (3D) guided mini-implants insertion. However, there is no a surgical guide which can be applied for the insertion of infrazygomatic min...

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Main Authors: Lixian Yuan, Ruifeng Zhao, Jingjing Liu, Rui Tang, Shizhu Bai, Xin Liu
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-05472-x
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author Lixian Yuan
Ruifeng Zhao
Jingjing Liu
Rui Tang
Shizhu Bai
Xin Liu
author_facet Lixian Yuan
Ruifeng Zhao
Jingjing Liu
Rui Tang
Shizhu Bai
Xin Liu
author_sort Lixian Yuan
collection DOAJ
description Abstract Background To improve the success rate of mini-implants, some surgical guides have been developed through digital technologies to achieve three-dimensional (3D) guided mini-implants insertion. However, there is no a surgical guide which can be applied for the insertion of infrazygomatic mini-implant. In this study, we introduced a two-trajectories surgical guide and investigated the success rate of infrazygomatic mini-implants under the guidance of the template. Methods An individualized surgical guide was fabricated based on the cone-beam computed tomography images, digital intraoral scanning images and the predesigned insertion plans. In the surgical guide group, 62 mini-implants were inserted between the maxillary first and second molars under the guidance of surgical guides (n = 62). In the historical control group, 54 mini-implants were placed by the direct manual method at the same site (n = 54). Then the mini-implant success rate in these two groups was compared. Results After implantation, 2 out of the 62 mini-implants fell off and a success rate of 96.8% was indicated in the surgical guide group. In the historical control group, 11 of 54 mini-implants fell off and the success rate was 79.6%. There was statistically significant difference between the success rate of two groups (P = 0.003). Conclusions The two-trajectories surgical guide is advantageous for the insertion of infrazygomatic mini-implant. Both the success rate and stability of infrazygomatic mini-implant were improved significantly with the use of the guide. But further studies with enlarged sample are needed to evaluate the accuracy and stability of the mini-implant placement.
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spelling doaj-art-ac03a3900eac4dd68ab83fe01fc9c0342025-01-26T12:55:01ZengBMCBMC Oral Health1472-68312025-01-012511710.1186/s12903-025-05472-xThe success rate of infrazygomatic mini-implants placed with and without surgical guides: a historical control studyLixian Yuan0Ruifeng Zhao1Jingjing Liu2Rui Tang3Shizhu Bai4Xin Liu5State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Diseases, Department of Preventive Dentistry, School of Stomatology, The Fourth Military Medical UniversityState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Stomatology, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical UniversityDental and Maxillofacial Development Management Center, College of the Stomatology, Xi’an Jiaotong UniversityState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Disease, Department of Orthodontics, School of Stomatology, the Fourth Military Medical UniversityState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Stomatology, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical UniversityState Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Disease, Department of Orthodontics, School of Stomatology, the Fourth Military Medical UniversityAbstract Background To improve the success rate of mini-implants, some surgical guides have been developed through digital technologies to achieve three-dimensional (3D) guided mini-implants insertion. However, there is no a surgical guide which can be applied for the insertion of infrazygomatic mini-implant. In this study, we introduced a two-trajectories surgical guide and investigated the success rate of infrazygomatic mini-implants under the guidance of the template. Methods An individualized surgical guide was fabricated based on the cone-beam computed tomography images, digital intraoral scanning images and the predesigned insertion plans. In the surgical guide group, 62 mini-implants were inserted between the maxillary first and second molars under the guidance of surgical guides (n = 62). In the historical control group, 54 mini-implants were placed by the direct manual method at the same site (n = 54). Then the mini-implant success rate in these two groups was compared. Results After implantation, 2 out of the 62 mini-implants fell off and a success rate of 96.8% was indicated in the surgical guide group. In the historical control group, 11 of 54 mini-implants fell off and the success rate was 79.6%. There was statistically significant difference between the success rate of two groups (P = 0.003). Conclusions The two-trajectories surgical guide is advantageous for the insertion of infrazygomatic mini-implant. Both the success rate and stability of infrazygomatic mini-implant were improved significantly with the use of the guide. But further studies with enlarged sample are needed to evaluate the accuracy and stability of the mini-implant placement.https://doi.org/10.1186/s12903-025-05472-xInfrazygomatic mini-implantSurgical guideSuccess rateOrthodontic anchorage
spellingShingle Lixian Yuan
Ruifeng Zhao
Jingjing Liu
Rui Tang
Shizhu Bai
Xin Liu
The success rate of infrazygomatic mini-implants placed with and without surgical guides: a historical control study
BMC Oral Health
Infrazygomatic mini-implant
Surgical guide
Success rate
Orthodontic anchorage
title The success rate of infrazygomatic mini-implants placed with and without surgical guides: a historical control study
title_full The success rate of infrazygomatic mini-implants placed with and without surgical guides: a historical control study
title_fullStr The success rate of infrazygomatic mini-implants placed with and without surgical guides: a historical control study
title_full_unstemmed The success rate of infrazygomatic mini-implants placed with and without surgical guides: a historical control study
title_short The success rate of infrazygomatic mini-implants placed with and without surgical guides: a historical control study
title_sort success rate of infrazygomatic mini implants placed with and without surgical guides a historical control study
topic Infrazygomatic mini-implant
Surgical guide
Success rate
Orthodontic anchorage
url https://doi.org/10.1186/s12903-025-05472-x
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