Journal of Dental Specialities 2023;11(2):76–87
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Journal of Dental Specialities
Journal homepage: https://www.jdsits.in/
Review Article
Infra zygomatic crest (IZC) and mandibular buccal shelf (MBS) bone screws: A
comprehensive updated review
Mohsin Aslam Wani
1,
*, Diptiman Shukla
2
, Mohd. Amir
3
, Shiraz Siddiqui
4
,
Sana Mehtab
5
, Mohd Saeedul Jafar
5
, Md. Anas Husain Khan
6
, Maisa Rasool
7
1
Dept. of Orthodontics and Dentofacial Orthopaedics, Embrace Orthodontic and Implant Centre, Srinagar, Jammu & Kashmir,
India
2
Dept. of Orthodontics & Dentofacial Orthopaedics, Banaras Hindu University, Varanasi, Uttar Pradesh, India
3
Dept. of Orthodontics & Dentofacial Orthopaedics, Care Dental Clinic, Pryagraj, Uttar Pradesh, India
4
Health Gulf Polyclinic, Tabuk, KSA
5
Dept. of Orthodontics & Dentofacial Orthopaedics, Career Post Graduate Institute of Dental Sciences & Hospital, Lucknow,
Uttar Pradesh, India
6
Dept. of Oral and Maxillofacial Radiology, H.M.S. Memorial Hospital, Banda, Uttar Pradesh, India
7
Dr. Qaiser’s Dental Clinic, Srinagar, Jammu & Kashmir, India
ARTICLE INFO
Article history:
Received 30-07-2023
Accepted 05-09-2023
Available online 29-09-2023
Keywords:
Anchorage
Temporary Skeletal Anchorage
Devices (TSADs)
Extraalveolar
Infrazygomatic Crest (IZC)
Mandibular Buccal Shelf (MBS)
Stainless Steel (SS)
Titanium Alloys (TiA)
ABSTRACT
The definition of anchorage is the opposition a body exhibits to being displaced. In orthodontics, the body
is used to simulate a tooth, and forces that can be either light and continuous or heavy and intermittent are
used to propel it around. When natural tooth motions are to be performed in greater amounts, they must
be fastened against an anchor that, if feasible, is fairly enduring. This is when anchoring is required in
orthodontics.
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1. Introduction
The concept of skeletal anchorage was first
introduced more than 70 years ago, as mentioned by
Papadapolus.
1
Reactionary forces are generated with each
orthodontic force application and, in accordance with
Newton’s third principle, will induce tooth movements
in the reverse direction, which is undesirable for the
majority of orthodontic biomechanics. Gainsforth B. L.
and Higley L. B. in 1945 inserted Vitallium screws in the
ascending ramus of the mandible of dogs and proposed
* Corresponding author.
E-mail address: mohsynaslam@gmail.com (M. A. Wani).
that in the future anchorage for orthodontic movement
can be obtained by inserting metallic screws into the
bone. They have since been employed as temporary
anchoring for canine retraction, anterior segment retraction,
dental intrusion, distalization, mesialization, and other
procedures.
2
Creekmore and Eklund utilised a Vitallium
bone screw implanted in the anterior nasal spine to
manage a case with a profound overbite in 1983, which
was the first therapeutic application recorded in the
empirical studies. A mini-implant designed exclusively
for orthodontic usage was reported by Kanomi in 1997,
while a screw with a bracket-like head was introduced
by Costa et al. in 1998.
1
Thereafter, many studies were
https://doi.org/10.18231/j.jds.2023.015
2320-7302/© 2023 Author(s), Published by Innovative Publication. 76