ReviewJournal of functional biomaterials2026
Bone-Screw-Force Interactions in Palatal Orthodontic Mini-Implants: A Scoping Review and Decision Framework for Primary Stability and Biomechanically Driven Site Selection.
Review in Journal of functional biomaterials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPalatal orthodontic mini-implants are increasingly used for sagittal, vertical, and transverse mechanics, including molar distalization, mesialization, posterior intrusion, impacted tooth traction, and miniscrew-assisted rapid palatal expansion. Yet site selection is often discussed as if anatomical bone availability were the dominant determinant of performance.
objectiveThis scoping review maps direct palatal evidence and supporting mechanistic evidence on how palatal substrate, miniscrew design, insertion protocol, digital planning, biomaterial surface, and biomechanical loading interact to determine primary stability, loaded stability, survival, and failure risk.
methodsRecords were searched in PubMed/MEDLINE, Scopus and Web of Science Core Collection and organized into two evidence streams, as follows: P1 direct palatal evidence and P2 supporting mechanistic/biomaterials evidence. Data were charted using a Bone-Screw-Force framework.
resultsThe evidence indicates that anterior palatal and anterior paramedian sites are usually favorable for routine anchorage, but posterior sites, PPSAIS, and MARPE locations may warrant patient-specific three-dimensional assessment when clinical and conventional radiographic evaluation is insufficient. Primary stability emerges from cortical thickness, trabecular quality, effective intraosseous length, miniscrew diameter, thread design, insertion angle, pilot-hole protocol, torque, force magnitude, and biological response. Digital workflows are best interpreted as trajectory-control technologies rather than as convenience tools. Biomaterial and surface evidence remains promising but insufficiently connected to palatal-specific outcomes.
conclusionsPalatal miniscrew performance should be reframed as an interface problem rather than a site-only problem. A Bone-Screw-Force framework can support biomechanically driven site selection while identifying where quantitative evidence remains insufficient.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.