{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T13:19:31Z","timestamp":1788355171432,"version":"build-2803163510"},"reference-count":51,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthod Craniofacial Res"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The primary role of buccal\u2010shelf miniscrew implants (BS\u2010MSI) in orthodontic treatment is to provide extra\u2010alveolar anchorage that alleviates severe crowding and allows for distalization of the entire mandibular arch and may obviate the need for orthognathic surgery, particularly in patients with skeletal malocclusion. The stability of these screws is crucial to their successful function throughout orthodontic treatment. Therefore, this systematic review aimed to assess the success rate and various factors affecting the stability of BS\u2010MSI. The databases were searched electronically using PubMed\/MEDLINE, EMBASE, Scopus, and the Cochrane databases on 7th February 2025 and re\u2010searched on 22nd February 2026. The reference list and additional bibliographic databases, including clinical trial registries and Google Scholar, were also searched. This review includes clinical trials published in English, comprising prospective randomised controlled trials (RCTs), non\u2010randomised trials (NRCTs), and retrospective cohort studies (RCs) that described the success rate of BS\u2010MSI for orthodontic anchorage in human subjects. Success rates and associated risk factors for BS\u2010MSI were determined utilising a random\u2010effects model. The determinants influencing stability were categorised into patient, mechanics, and implant\u2010related aspects, and subsequently underwent subgroup analysis and meta\u2010regression. The evaluation of study quality was performed using the Cochrane risk\u2010of\u2010bias tools for randomised trials (RoB 2.0) and non\u2010randomised trials (ROBINS\u2010I). This meta\u2010analysis included nine studies: three RCTs, two NRCTs, and four RCs. A total of 2366 BS\u2010MSI were aggregated in a random\u2010effects model, revealing an overall success rate of 93% (95% CI 0.81\u20131.00; prediction interval\u2009=\u20090.39\u20131). In a sensitivity analysis, experiments using more than 100 screws exhibited a 91% success rate, comparable to those with fewer than 100 screws. A meta\u2010regression study indicated an inverse relationship between age and success rate. A considerable heterogeneity was observed across all subgroups. Three assessments indicated a low\u2010, two indicated a moderate\u2010, and four indicated a high\u2010risk of bias. BS\u2010MSI demonstrated a high success rate and therefore can provide a reliable source of orthodontic anchorage. However, given the low certainty and high heterogeneity in the existing evidence, the results should be interpreted with caution. Although numerous factors appear to influence BS\u2010MSI stability, most require further investigation due to inadequate data and data quality. Furthermore, future studies are necessary to corroborate the findings of this meta\u2010analysis and investigate other critical factors, such as location, dental cleanliness, gender, insertion torque, and operator experience, which could not be evaluated due to insufficient data.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Trial Registration:<\/jats:bold>\n                    PROSPERO registration: CRD420250653597\n                  <\/jats:p>","DOI":"10.1111\/ocr.70175","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T12:41:20Z","timestamp":1788352880000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Success Rate and Factors Affecting Stability of Buccal Shelf Miniscrew Implants in Orthodontic Patients: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7128-3405","authenticated-orcid":false,"given":"Navleen Kaur","family":"Bhatia","sequence":"first","affiliation":[{"name":"Division of Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1379-2293","authenticated-orcid":false,"given":"Uday Hemant","family":"Barhate","sequence":"additional","affiliation":[{"name":"Division of Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2480-6039","authenticated-orcid":false,"given":"Ritu","family":"Duggal","sequence":"additional","affiliation":[{"name":"Division of Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9566-4405","authenticated-orcid":false,"given":"Prabhat Kumar","family":"Chaudhari","sequence":"additional","affiliation":[{"name":"Division of Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1475-4407","authenticated-orcid":false,"given":"Vilas D","family":"Samrit","sequence":"additional","affiliation":[{"name":"Division of Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajiv","family":"Balachandran","sequence":"additional","affiliation":[{"name":"Division of Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1930-4162","authenticated-orcid":false,"given":"Shivam","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Biostatistics All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"3","volume-title":"Orthodontics\u2014Current Principles and Techniques","author":"Proffit W. 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M.","year":"2023","journal-title":"Angle Orthodontist"},{"issue":"2","key":"e_1_2_10_31_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.ortho.2023.100747","article-title":"Evaluation of Stress Distribution Values at the Temporomandibular Joint and Distalization of Teeth During En\u2010Masse Retraction of the Mandibular Dentition Using Buccal Shelf Bone Screws: A FEM Study","volume":"21","author":"Varghese C.","year":"2023","journal-title":"International Orthodontics"},{"issue":"1","key":"e_1_2_10_32_1","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/s40510-019-0297-6","article-title":"Safe Regions of Miniscrew Implantation for Distalization of Mandibular Dentition With CBCT","volume":"20","author":"Liu H.","year":"2019","journal-title":"Progress in Orthodontics"},{"issue":"4","key":"e_1_2_10_33_1","doi-asserted-by":"crossref","first-page":"127","DOI":"10.4103\/jios.jios_229_18","article-title":"Infra\u2010Zygomatic Crest and Buccal Shelf \u2010 Orthodontic Bone Screws: A Leap Ahead of Micro\u2010Implants\u2014Clinical Perspectives","volume":"52","author":"Ghosh A.","year":"2018","journal-title":"Journal of the Indian Orthodontic Society"},{"issue":"5","key":"e_1_2_10_34_1","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/j.ajodo.2012.05.016","article-title":"Failure Rates and Associated Risk Factors of Orthodontic Miniscrew Implants: A Meta\u2010Analysis","volume":"142","author":"Papageorgiou S. 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