Pharmacotherapy in Orthodontic Treatment Supported by Micro-Implants

In modern orthodontics, micro-implants is important to strengthen the anchorage, is essential in shortening treatment time and eliminate unwanted side effects. However, the placement of micro-screw produce tissue discontinuities that can not be avoided.

Therefore, the purpose of this study is to establish the rule of pharmacotherapy in the micro implants. Both pain and inflammation develop after installation 90 micro implants, therefore, the efficiency of infiltration anesthesia with certain analgesics is recommended. Not required the use of non-steroidal anti-inflammatory drug with analgesic activity / anti-inflammatory.

In conclusion, micro implants is an action by a low-invasive, requires no specific pharmacotherapy, although it is necessary in certain cases.

Preliminary
Current micro-implants is one of the treatments that strengthen the anchorage in orthodontics, which also shortens the treatment time: the teeth move one unit or reduce the risk of eliminating penggoyangan resorbsi roots of teeth. Micro-implants require: infiltration anesthesia, a vertical incision, and the drilling of channels in alveolar processus.

These procedures, in line with the installation of micro-implants and removal of risk factors potential, which can trigger, which is caused by the discontinuity network, infection, mechanical and thermal damage, inflammation and tissue swelling. The frequency and type of side effect has not been evaluated in Poland. However, in some countries, antibiotic prophylaxis has been adopted is very important.

The purpose of this action is an attempt to establish the rules of pharmacotherapy on the micro-implants for orthodontic purposes.

Ninety-conical micro implants, diameter 1.3 to 1.2, about 12 special needles that are used in 30 patients, no prior use of antibiotics or surgical procedures. Lignocaine 2% noradrenaline used for infiltration anesthesia.

Place the entry of the syringe is determined to be dictated by the anatomical and biomechanical maintenance requirements. Vertical incision (4-5 mm) were made through the soft tissue, followed by penetration (with a round bur 0.9 mm) on the surface of cortical bone.

Research and Results Discussion
In the current study, researchers used antibiotic therapy. Antibiotics are used to control microbial infections that may occur. Antibiotic therapy after initial diagnosis, but still a consideration and selection of antibiotics based on data from potential disease.

All micro-implants are designed as self-drilling tool, but self-tapping method is less invasive expressed in terms of excessive pressure or force against the oral mucosa prepared tunnel. Although 7 micro self tapping implants be rejected, but none of 30 patients who need antibiotics, provided it does not conflict with the basic rules of asepsis technique is efficient in preventing infection.

However, there could be circumstances where the species infections that are resistant to many types of antibiotics, can be resolved by 1-methyl-N-(hidroximetil) nicotinamide which was recently reported as non-toxic drug with anti-inflammatory and anti-bacterial, caused by the release of formaldehyde slow to reduce irritation and pain.

The efficiency of infiltration anesthesia with certain analgesics are also encouraged back, because no one individual who reported experiencing pain during the surgical procedure and the installation of micro-implants. Increasing the threshold of sensibility in patients with Cornelia de Lange syndrome I, micro-implants can be installed without analgesia.

Although the patient did not appear to require anti-inflammatory drugs with activity of non-steroidal analgesic / anti-inflammatory, they should be monitored regularly. The latest report on coxibs, siklooksigenasi-2 inhibitor, looks promising in terms of analgesic action and anti antipiuretik without serious effects on the gastrointestinal.

Although the use of these drugs should be based on careful research, because of thromboembolic events, etoricoxib is very efficient as pain post dental surgery in a population with low cardiovascular risk.

Micro-implants are invasive sutu with low action. In essence, the act does not require antibiotic prophylaxis, a special type of local anesthetic and non-steroidal anti-inflammatory drugs. Not many and what kind of risks and side effects of unwanted special study after injection with a needle used to. But should not be overlooked that could have a case that requires a different treatment with pharmacotherapy.