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This study will be done on 95 patients with CBCTs retrospectively, to evaluate the bone depth of infrazygomatic crest region for selecting suitable size of miniscrews and proper insertion angle clinical guide in the infrazygomatic crest without injuring the mesiobuccal root of the maxillary first molar.
CBCTs of 95 patients were collected retrospectively from archives of Faculty of Dentistry, Cairo University, that were requested for different dental purposes. The thickness of the IZC was measured above mesio-buccal root of upper 6 (U6MB), above disto-buccal root of upper 6 (U6DB) and contact point between upper 6 and 7 roots (U6-7). The distance from point of entry of miniscrew to the occlusal plane, that saves roots from injury, was measured. Then, the angle of miniscrew insertion in relation to the occlusal plane was measured at maximum thickness available together with point of entry in relation to the occlusal plane. The IZC thickness of right and left sides of each patient was compared, also compared in males and females. Kruskal-Wallis test, Paired Wilcoxon signed rank test & Spearman correlation were used to analyze results
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 95 patients were randomly chosen constituting both males and females | Following the inclusion and exclusion criteria, 95 patients were randomly chosen constituting both males and females with an age range of 20-35 years old (58 females and 37 males). CBCTs were acquired in the same manner, using an i-CAT scanner with 110 kVp, 60 mA, 0.3-mm voxel size, a scan time of 18 seconds, and a field of view of 17x 23 cm. CBCT measurements were analyzed using Invivo 6 (Anatomage, Inc., Santa Clara, Calif). These tomographic images were reoriented so that the natural head position coincided with the true horizontal plane in an attempt to reduce possible errors in head positioning during image acquisition. |
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| Measure | Description | Time Frame |
|---|---|---|
| measure bone thickness of infrazygomatic crest | the bone thickness will be measured on CBCT from coronal slice at 3 points : above mesio-buccal root of upper first molar, above disto-buccal root of upper first molar and between upper first and second molars contact points | from enrollment to the end of taking measurements at 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| proper angulation of miniscrew insertion | a clinical guide to clinicians was done to guide the clinician the proper angulation of long axis of miniscrew and occlusal plane | from enrollment to the end of taking measurements at 8 weeks |
| check asymmetry of right and left sides per patient |
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Inclusion Criteria:
Exclusion Criteria:
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This study will be done on 100 CBCTs of 95 patients; 58 females and 37 males retrospectively to evaluate the bone depth of infrazygomatic crest region for selecting suitable size of miniscrews and proper insertion angle clinical guide in the infrazygomatic crest without injuring the mesiobuccal root of the maxillary first molar.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry Cairo University | Cairo | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36109268 | Result | Husseini B, Younes R, Baumgaertel S, El Wak T, El Osta N, Bassil-Nassif N, Bouserhal J. Assessment of infrazygomatic crest dimensions in different vertical facial growth types for miniscrew insertion: A cone-beam computed tomography study. Am J Orthod Dentofacial Orthop. 2022 Dec;162(6):917-926. doi: 10.1016/j.ajodo.2021.07.029. Epub 2022 Sep 13. | |
| 34391619 |
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mean age of the patients mean thickness of infrazygomatic crest
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start date for IPD sharing : 1 December, 2025 start date for IPD sharing : 1 December, 2026
anyone will be able to access the IPD and supporting information, they will be able to access study protocol, they will be able to access it by sending Email to fady.fahim@gmail.com
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the right and left bone thickness was measured to detect any asymmetry between both sides |
| from enrollment to the end of taking measurements at 8 weeks |
| Lima A Jr, Domingos RG, Cunha Ribeiro AN, Rino Neto J, de Paiva JB. Safe sites for orthodontic miniscrew insertion in the infrazygomatic crest area in different facial types: A tomographic study. Am J Orthod Dentofacial Orthop. 2022 Jan;161(1):37-45. doi: 10.1016/j.ajodo.2020.06.044. Epub 2021 Aug 12. |
| 40507767 | Result | Hijazi Muwaquet K, Muwaquet Rodriguez S, Ferrer Molina M, Hijazi Alsadi T. Optimizing Infrazygomatic Miniscrew Insertion Parameters: Systematic Review and Meta-Regression Analysis of Bone Thickness by Insertion Height, Angulation, and Anatomical Position. J Clin Med. 2025 Jun 5;14(11):4005. doi: 10.3390/jcm14114005. |