Dental implants in an orthodontically created spaces using NiTi open coil spring in anterior and premolar regions


  • Omar Fawzi Abduljabbar Department of P.O.P, College of Dentistry, Hawler Medical University, Erbil, Iraq.
  • Omed I. Shihab Department of Oral and Maxillofacial , College of Dentistry, Hawler Medical University, Erbil, Iraq.
  • Othman A. Omer Department of Oral and Maxillofacial , College of Dentistry, Hawler Medical University, Erbil, Iraq.



Dental implants, NiTi open coil, Orthodontic, Space creation


Background and objective: Orthodontic space opening is a common treatment for congenitally missing teeth. Dental implants are often used to replace the missing tooth to establish ideal esthetics without restoring the adjacent teeth. This study aimed to investigate the outcome of implants placed in orthodontically created bone. 

Methods: Fifty dental implants were used for rehabilitation of lost tooth/teeth in 30 patients after space creation using orthodontic treatment. Patients with congenital and traumatic missing tooth/teeth, who lost the space for accommodation of normal size crown, and patients with spacing were enrolled in the study. NiTi open coil spring was used for space creation. The patients were followed up clinically and radiographically (OPG).  

Results: Out of 50 implants, the success rate was 78% (39 implants). Eleven implants (22%) failed to get osseointegration. Mean age of the patients was 26.33. Female patients constituted 63.33%, and male patients 36.67%. A new one replaced all the failed implants. Most of the failures were in the mandible.  

Conclusion: Orthodontic treatment can be used as a type of osteodistraction method for provision of an acceptable amount of bone for dental implants. The quality of the gained bone can be improved by offering sufficient time for healing.  


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Romeo E, Chiapasco M, Ghisolfi M, Vogel G. Long-term clinical effectiveness of oral implants in the treatment of partial edentulism. Seven-year life table analysis of a prospective study with ITI dental implants system used for single-tooth restorations. Clin Oral Implants Res 2002; 13:133-43.

Lombardi R. The principles of visual perception and their clinical application to dental esthetics. J Prosthet Dent 1979; 9: 358-81.

Covani U, Crespi R, Cornelini R, Barone A. Immediate implants supporting single crown restoration: a 4 year prospective study. J Periodontol 2004; 75:982-8.

Sadan A, Blatz MB, Salinas TJ, Block MS. Single-implant restorations: a contemporary approach for achieving a predictable outcome. J Oral MaxillofacSurg 2004; 62:73-81.

Vermylen K, Collaert B, Linden U, Bjorn AL, De Bruyn H. Patient satisfaction and quality of single-tooth restorations. Clin Oral Implants Res 2003; 14:119-24.

Garber DA, Salama MA, Salama H. Immediatetotaltooth replacement. Compend ContinEduc Dent 2001; 22:210-8.

Mayer TM, Hawley CE, Gunsolley JC, Feldman S. The single-tooth implant: a viable alternative for single-tooth replacement. J Periodontal 2002; 73:687-93.

Weng D, Jacobson Z, Tarnow D, Hurzeler MB, Faehn O, Sanavi F, et al. A prospective multicenter clinical trial of 3i machined-surface implants: results after 6 years of follow-up. Int J Oral Maxillofac Implants 2003; 18:417-23.

Noack N, Willer J, Hoffmann J. Long-term results after placement of dental implants: longitudinal study of 1,964 implants over 16 years. Int J Oral Maxillofac Implants 1999; 14:748-55.

Korayem M, Flores-mir C, Nassar U, Olfert K. Implant Site Development by Orthodontic Extrusion. Angle Orthodontist 2008; 4: 752-60.

McBride MD, Campbell PM, Opperman LA, Dechow PC, Buschang PH. How does the amount of surgical insult affect bone around moving teeth?Am J OrthodDentofacialOrthop 2014; 145(4 Suppl): S92-9.

Nováčková S, Marek I, Kamínek M. Orthodontic tooth movement: Bone formation and its stability over time. Am J OrthodDentofacialOrthop 2011; 139:37-43.

Thilander B, Persson M, Adolfsson U. Roentgen-cephalometric standards for a Swedish population. A longitudinal study between the ages of 5 and 31 years. Eur J Orthod 2005; 27:370-89.

Thilander B, Odman J, Jemt T. Single implants in the upper incisor region and their relationship to the adjacent teeth. An 8-year follow-up study. Clin Oral Implants Res 1999; 10:346-55.

Dickinson G. Space for missing maxillary lateral incisors orthodontic perceptions. Ann R Australas Coll Dent Surg2000; 15: 127-31.

Gündüz E, Carlos, Torres CR, Gahleitner A, Heissenberger G, Bantleon HP. Bone regeneration by bodily tooth movement: dental computed tomography examination of a patient. Am J Orthod Dentofacial Orthop 2004; 125: 100-6




How to Cite

Abduljabbar, O. F., Shihab, O. I., & Omer, O. A. (2017). Dental implants in an orthodontically created spaces using NiTi open coil spring in anterior and premolar regions. Zanco Journal of Medical Sciences (Zanco J Med Sci), 21(2), 1722–1725.



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