{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T15:51:57Z","timestamp":1782921117092,"version":"3.54.5"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Maxillary Total Arch Distalization (MTAD) with interradicular mini-screws (MSs) in combination with Completely Customized Lingual Appliances (CCLAs) is an effective concept for Class II correction in adolescents and adults which does not require any additional supraconstructions. The aim of this study was to investigate the failure rates of MSs after strictly following a defined insertion protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>From November 2015 to August 2025, a total of 958 interradicular MSs were inserted in the maxilla for MTAD in combination with a CCLA in one orthodontic specialist practice. The surgical procedures were performed by 8 different clinicians (6 orthodontist specialists\/2 postgraduate students in orthodontics) on 283 patients (female: 199\/male: 84) with an average age of 27.6 years, \u00b113.3. Premature loss was defined as any instance in which a MS required removal due to mobility or was lost spontaneously on a yes\/no basis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 958 interradicular mini-screws, 14 (1.5%) failed before schedule (palatal 13\/buccal 1). No significant influence of the experience level of the clinicians (P = 0.394) on the mini-screw loss rate was observed. The highest loss rate was observed in the patients &amp;gt; 45 age group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations<\/jats:title>\n                    <jats:p>One limitation is the retrospective study design, but no patient meeting the inclusion criteria was excluded for any reason.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Interradicular mini-screws used as temporary anchorage devices for maxillary total arch distalization can exhibit comparably low failure rates (1.5%) to those placed in the anterior palate, provided that a well-established clinical protocol is strictly followed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejo\/cjag051","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:28:23Z","timestamp":1781612903000},"source":"Crossref","is-referenced-by-count":0,"title":["Failure rates of 958 interradicular mini-screws for maxillary total arch distalization following a well-established insertion protocol"],"prefix":"10.1093","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2382-535X","authenticated-orcid":false,"given":"Lara","family":"Bettenh\u00e4user-Hartung","sequence":"first","affiliation":[{"name":"Department of Orthodontics, Hannover Medical School , Carl-Neuberg-Stra\u00dfe 1, 30625 Hannover ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6644-6879","authenticated-orcid":false,"given":"Frauke","family":"Beyling","sequence":"additional","affiliation":[{"name":"Private Practice , Lindenstra\u00dfe 44, 49152 Bad Essen ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7821-4586","authenticated-orcid":false,"given":"Rainer","family":"Schwestka-Polly","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Hannover Medical School , Carl-Neuberg-Stra\u00dfe 1, 30625 Hannover ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5545-6740","authenticated-orcid":false,"given":"Christos","family":"Katsaros","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, University of Bern , Freiburgstrasse 7, CH-3010 Bern ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6990-2657","authenticated-orcid":false,"given":"Jonas Q","family":"Schmid","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, University of M\u00fcnster , Albert-Schweitzer-Campus 1, 48149 M\u00fcnster ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"2026070107334527000_cjag051-B1","doi-asserted-by":"publisher","first-page":"624","DOI":"10.1111\/joor.12295","article-title":"Class II functional orthopaedic treatment: a systematic review of systematic reviews","volume":"42","author":"D'Ant\u00f2","year":"2015","journal-title":"J Oral Rehabil"},{"key":"2026070107334527000_cjag051-B2","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjae031","article-title":"Quality of occlusal outcome in adult Class II patients treated with completely customized lingual appliances and Class II elastics compared to adult Class I patients","volume":"46","author":"Janssens","year":"2024","journal-title":"Eur J Orthod"},{"key":"2026070107334527000_cjag051-B3","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1016\/j.ajodo.2007.09.015","article-title":"Herbst appliance in lingual orthodontics","volume":"134","author":"Wiechmann","year":"2008","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2026070107334527000_cjag051-B4","doi-asserted-by":"publisher","first-page":"732","DOI":"10.1016\/j.ortho.2020.07.002","article-title":"The Herbst appliance combined with a completely customized lingual appliance: a retrospective cohort study of clinical outcomes using the American board of orthodontics objective grading system","volume":"18","author":"Mujagic","year":"2020","journal-title":"Int Orthod"},{"key":"2026070107334527000_cjag051-B5","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1053\/j.sodo.2018.08.007","article-title":"Using the right tool: lingual orthodontics as a true differentiator delivering excellent clinical results","volume":"24","author":"Schulhof","year":"2018","journal-title":"Semin Orthod"},{"key":"2026070107334527000_cjag051-B6","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1111\/j.1600-0501.2006.01325.x","article-title":"B\u00fcchter A. 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