Russian Journal of DentistryRussian Journal of DentistryРоссийский стоматологический журнал1728-28022413-2934Eco-Vector70177010.17816/dent701770FTLETRReviewsОбзорыReview ArticleUse of palatal mini-implants in contemporary orthodontic practice: a reviewПрименение нёбных мини-имплантатов в современной ортодонтической практике: обзорhttps://orcid.org/0009-0008-2378-692X2686-1962ArtiukhPolina G.АртюхПолина Геннадьевна
Russian Federation
polinaartyuh@mail.ruhttps://orcid.org/0000-0002-5612-34511246-5965DrobyshevaNailya S.ДробышеваНаиля Сабитовна
Russian Federation

MD, Cand. Sci. (Medicine), Associate Professor

канд. мед. наук, доцент

n.drobysheva@yandex.ruhttps://orcid.org/0009-0007-5007-7670KiyanSofia V.КиянСофья Вадимовна
Russian Federation
kiyansofya@yandex.ruhttps://orcid.org/0009-0008-9410-9643SayfievaKamola Zh.СайфиеваКамола Жамшидовна
Russian Federation
kamolala22@gmail.comRussian University of MedicineРоссийский университет медицины030220261303202630155632501202604032026Copyright ©; 2026, Eco-VectorCopyright ©; 2026, Эко-Вектор2026Eco-VectorЭко-Векторhttps://eco-vector.com/for_authors.php#07https://rjdentistry.com/1728-2802/article/view/701770

This review provides a comprehensive analysis of current scientific evidence regarding the use of palatal mini-implants in orthodontic practice. This paper examines anatomical considerations for placement, including palatal morphology and age-related changes; site selection criteria considering bone density and neurovascular bundle topography; biomechanical principles; clinical indications; and factors associated with success and potential complications.

An analysis of recent clinical studies and systematic reviews demonstrates that this approach provides superior three-dimensional anchorage control, which is critical for achieving planned tooth movement. This level of control allows complex dentoalveolar movements that cannot be achieved using traditional orthodontic mechanics. Moreover, the technique expands treatment possibilities for correcting malocclusions that previously required surgical intervention. The review concludes that integration of palatal mini-implants into routine orthodontic practice substantially improves treatment predictability and efficiency, ensures stable outcomes, reduces treatment duration by minimizing undesirable side effects, and allows avoidance of tooth extractions in selected clinical situations. Overall, this method shows high potential for advancing standards of orthodontic care.

В обзоре представлен всесторонний комплексный анализ современных научных данных, касающихся применения нёбных мини-имплантатов в ортодонтической практике. Детально рассмотрены анатомические предпосылки их установки (включая особенности строения нёба и возрастные изменения), критерии выбора мест установки с учётом плотности костной ткани и топографии сосудисто-нервных пучков, биомеханические принципы, показания к применению, а также факторы успеха и возможные осложнения.

На основе анализа современных клинических исследований и систематизированных обзоров показано, что данный метод обеспечивает превосходный контроль анкоража в трёх плоскостях, что критически важно для достижения целевых перемещений. Это позволяет осуществлять сложные зубоальвеолярные перемещения, которые остаются недостижимыми при использовании традиционной механики. Более того, технология открывает новые возможности для коррекции аномалий, ранее требовавших хирургического вмешательства. Сделан вывод о том, что интеграция нёбных мини-имплантатов в ортодонтическую практику значительно повышает предсказуемость и эффективность лечения, обеспечивая стабильный результат, сокращая сроки за счёт минимизации побочных эффектов и позволяя отказаться от удалений зубов в ряде клинических ситуаций. Таким образом, метод демонстрирует высокий потенциал для совершенствования стандартов ортодонтической помощи.

orthodontic treatmentbiomechanical principlespalatal mini-implantsmidpalatal sutureskeletal anchorageортодонтическое лечениебиомеханические принципынёбные мини-имплантатынёбный шовскелетная опораProffit WR, Fields HW, Sarver DM. Contemporary orthodontics. 6th edition. Elsevier; 2018. 400 p. ISBN: 9780323543873Nanda R. Biomechanics in clinical orthodontics. Elsevier; 2005. 400 p. ISBN: 9780721601960Cope JB. Temporary anchorage devices in orthodontics: A paradigm shift. Seminars in Orthodontics. 2005;11(1):3–9. doi: 0.1053/j.sodo.2004.11.002Chen Y, Kyung HM, Zhao WT, Yu WJ. Critical factors for the success of orthodontic mini-implants: a systematic review. Am J Orthod Dentofacial Orthop. 2009;135(3):284–291. doi: 10.1016/j.ajodo.2007.08.017Ludwig B, Glasl B, Bowman SJ, et al. Anatomical guidelines for miniscrew insertion: palatal sites. Journal of Clinical Orthodontics. 2011;45(8):433–467.Wilmes B, Ludwig B, Vasudavan S, et al. The T-zone: median vs. paramedian insertion of palatal mini-implants. Journal of Clinical Orthodontics. 2016;50(9):543–551.Wehrbein H, Yildizhan F. The mid-palatal suture in young adults. A radiological-histological investigation. Eur J Orthod. 2001;23(2):105–114. doi: 10.1093/ejo/23.2.105 EDN: IOAJUDGracco A, Luca L, Cozzani M, Siciliani G. Assessment of palatal bone thickness in adults with cone beam computerised tomography. Aust Orthod J. 2007;23(2):109–113. doi: 10.2478/aoj-2007-0017Kang S, Lee SJ, Ahn SJ, et al. Bone thickness of the palate for orthodontic mini-implant anchorage in adults. Am J Orthod Dentofacial Orthop. 2007;131(4 Suppl.):S74–S81. doi: 10.1016/j.ajodo.2005.09.029Wehrbein H, Merz BR, Diedrich P. Palatal bone support for orthodontic implant anchorage — a clinical and radiological study. Eur J Orthod. 1999;21(1):65–70. doi: 10.1093/ejo/21.1.65 EDN: INZZHBSong JE, Um YJ, Kim CS, et al. Thickness of posterior palatal masticatory mucosa: the use of computerized tomography. J Periodontol. 2008;79(3):406–412. doi: 10.1902/jop.2008.070302King KS, Lam EW, Faulkner MG, et al. Vertical bone volume in the paramedian palate of adolescents: a computed tomography study. Am J Orthod Dentofacial Orthop. 2007;132(6):783–788. doi: 10.1016/j.ajodo.2005.11.042Bernhart T, Vollgruber A, Gahleitner A, et al. Alternative to the median region of the palate for placement of an orthodontic implant. Clin Oral Implants Res. 2000;11(6):595–601. doi: 10.1034/j.1600-0501.2000.011006595.xPersson M, Magnusson BC, Thilander B. Sutural closure in rabbit and man: a morphological and histochemical study. J Anat. 1978;125 (Pt 2):313–321.Persson M, Thilander B. Palatal suture closure in man from 15 to 35 years of age. Am J Orthod. 1977;72(1):42–52. doi: 10.1016/0002-9416(77)90123-3Wehrbein H, Yildizhan F. The mid-palatal suture in young adults. A radiological-histological investigation. Eur J Orthod. 2001;23(2):105–114. doi: 10.1093/ejo/23.2.105 EDN: IOAJUDCohen MM Jr. Sutural biology and the correlates of craniosynostosis. Am J Med Genet. 1993;47(5):581–616. doi: 10.1002/ajmg.1320470507Korbmacher H, Schilling A, Püschel K, et al. Age-dependent three-dimensional microcomputed tomography analysis of the human midpalatal suture. J Orofac Orthop. 2007;68(5):364–376. doi: 10.1007/s00056-007-0729-7 EDN: VQDKHCPoggio PM, Incorvati C, Velo S, Carano A. “Safe zones”: a guide for miniscrew positioning in the maxillary and mandibular arch. Angle Orthod. 2006;76(2):191–197. doi: 10.1043/0003-3219(2006)076[0191:SZAGFM]2.0.CO;2Nucera R, Costa S, Bellocchio AM, et al. Evaluation of palatal bone depth, cortical bone, and mucosa thickness for optimal orthodontic miniscrew placement performed according to the third palatal ruga clinical reference. Eur J Orthod. 2022;44(5):530–536. doi: 10.1093/ejo/cjac007 EDN: MDVWBOCrismani AG, Bertl MH, Celar AG, et al. Miniscrews in orthodontic treatment: review and analysis of published clinical trials. Am J Orthod Dentofacial Orthop. 2010;137(1):108–113. doi: 10.1016/j.ajodo.2008.01.027Misch CE. Contemporary implant dentistry. 3 revised edition. Elsevier Science; 2008. ISBN: 9780323043731Meira TM, Tanaka OM, Ronsani MM, et al. Insertion torque, pull-out strength and cortical bone thickness in contact with orthodontic mini-implants at different insertion angles. Eur J Orthod. 2013;35(6):766–771. doi: 10.1093/ejo/cjs095Chung K, Kim SH, Kook Y. C-orthodontic microimplant for distalization of mandibular dentition in Class III correction. Angle Orthod. 2005;75(1):119–128. doi: 10.1043/0003-3219(2005)075 < 0119:CMFDOM > 2.0.CO;2Motoyoshi M, Matsuoka M, Shimizu N. Application of orthodontic mini-implants in adolescents. Int J Oral Maxillofac Surg. 2007;36(8):695–699. doi: 10.1016/j.ijom.2007.03.009Schätzle M, Männchen R, Zwahlen M, Lang NP. Survival and failure rates of orthodontic temporary anchorage devices: a systematic review. Clin Oral Implants Res. 2009;20(12):1351–1359. doi: 10.1111/j.1600-0501.2009.01754.xKusy RP. Orthodontic biomaterials: from the past to the present. Angle Orthodontist. 2002;72(6):501–512.Wilmes B, Drescher D. Application and effectiveness of the Beneslider: a device to move molars distally. World J Orthod. 2010;11(4):331–340.Wilmes B, Nienkemper M, Nanda R, et al. Palatally anchored maxillary molar mesialization using the mesialslider. J Clin Orthod. 2013;47(3):172–179.Erverdi N, Tosun T, Keles A. A new anchorage site for the treatment of anterior open bite: zygomatic anchorage. Case report. World Journal of Orthodontics. 2002;3(2):147–153.de Felice ME, Caruso S, Küffer M, et al. The treatment effects of maxillary asymmetric mechanics with the use of the mesial-distalslider: A retrospective study. Am J Orthod Dentofacial Orthop. 2024;166(3):267–273. doi: 10.1016/j.ajodo.2024.05.013 EDN: GGZAXYKapetanović A, Theodorou CI, Bergé SJ, et al. Efficacy of Miniscrew-Assisted Rapid Palatal Expansion (MARPE) in late adolescents and adults: a systematic review and meta-analysis. Eur J Orthod. 2021;43(3):313–323. doi: 10.1093/ejo/cjab005 EDN: KLKYTCWilmes B, Nienkemper M, Ludwig B, et al. Esthetic class II treatment with the Beneslider and aligners. J Clin Orthod. 2012;46(7):390–398.Ceratti C, Serafin M, Del Fabbro M, Caprioglio A. Effectiveness of miniscrew-supported maxillary molar distalization according to temporary anchorage device features and appliance design: systematic review and meta-analysis. Angle Orthod. 2024;94(1):107–121. doi: 10.2319/052223-364.1 EDN: UIWWOOAltieri F, Mezio M, Guarnieri R, Cassetta M. Comparing distal-jet with dental anchorage to distal-jet with skeletal anchorage: a prospective parallel cohort study. Dent J (Basel). 2022;10(10):179. doi: 10.3390/dj10100179 EDN: SYQZHADe Felice ME, Caruso S, Kueffer M, et al. Upper midline correction using the Mesial-Distalslider. Bioengineering (Basel). 2024;11(5):450. doi: 10.3390/bioengineering11050450 EDN: WTMYAKErverdi N, Keles A, Nanda R. The use of skeletal anchorage in open bite treatment: a cephalometric evaluation. Angle Orthod. 2004;74(3):381–390. doi: 10.1043/0003-3219(2004)074 < 0381:TUOSAI > 2.0.CO;2Ogura H, Numazaki K, Oyanagi T, et al. Three-dimensional evaluation of treatment effects and post-treatment stability of maxillary molar intrusion using temporary anchorage devices in open bite malocclusion. J Clin Med. 2024;13(10):2753. doi: 10.3390/jcm13102753 EDN: DKVXJAPatel SD, Ghosh A, Parashar P, et al. Effectiveness of Miniscrew-Supported Molar Intrusion: A clinical study. J Pharm Bioallied Sci. 2024;16(Suppl. 1):S707–S710. doi: 10.4103/jpbs.jpbs_957_23 EDN: FYPGAABurak K, Hilmi BM. Evaluating palatal mucosal thickness in orthodontic miniscrew sites using cone-beam computed tomography. BMC Oral Health. 2024;24(1):1153. doi: 10.1186/s12903-024-04935-x EDN: LVCEDE