Molar Intrusion with Implants Using a Bite Plane Appliance: A Case Report
Bibliographic record
Abstract
BACKGROUND: Orthodontic forces for tooth intrusion ought to be continuous and low, which may be achieved with the help of osseointegrated implants. PURPOSE: The aims of this study were to describe a method to intrude supererupted maxillary molars using interarch intrusion mechanics (a bite plane appliance) with implants and to assess anchor implant stability through resonance frequency analysis (RFA; Osstell, Mentor version 2, Integration Diagnostics AB, Göteborg, Sweden) in comparison with nonanchorage control implants during orthodontic intrusion. MATERIALS AND METHODS: A 48-year-old female patient was treated with implants (36 and 37 regions, Brånemark Implant System, MkIII TiUNite, Nobel Biocare AB, Göteborg, Sweden; lengths, 13 and 10 mm; diameter, 5 mm) serving as orthodontic anchorage for intrusion of supraerupted teeth in the maxilla (teeth 26 and 27) using a bite plane appliance. The force of intrusion applied was individual discontinuous bite force in the present case. The control implants were in the sites 45, 46, and 47 with healing abutments out of loading. Stability of both the anchorage and control implants was assessed by RFA from the commencement of orthodontic intrusion (7 months after the first-stage surgery) to the end of the study (19 months after the first-stage surgery). Marginal bone height measurements of both implants were performed on radiographs at the same time. RESULTS: The treatment was completed without complications or abnormalities of the intruded teeth or the opposite anchorage implants. However, implant stability quotient values of the anchored implants obviously changed during the initial 4 months after commencement of intrusion compared with control implants. In the present case, an intrusion of 2.2 mm was achieved in 12 months. CONCLUSIONS: The present method made it possible to intrude molars successfully. However, further studies with more cases are needed to clarify the reliability of the method and determine how to control the bite forces applied as orthodontic load.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.004 | 0.003 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.003 | 0.003 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.009 | 0.004 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".