Maxillary incisor position-based orthodontic treatment with miniscrews

Traditionally, orthodontic diagnosis and treatment have primarily involved the assessment of skeletodental relationships, with a particular focus on the mandibular dentition. Recently the focus has shifted towards the maxillary incisors as a starting point for facial esthetics with growing demands for facial esthetics. Three-dimensional maxillary incisor position (MIP) plays a pivotal role in improving facial esthetics in smiling and resting positions. With the advent of miniscrews, biomechanical force application in orthodon-tic treatment has become simpler due to absolute anchorage. Miniscrews allow clinicians to move teeth more precisely and easily in three dimensions according to the treatment plan, which was challenging or impossible with conventional biomechanics. Therefore, MIP using miniscrews should be a starting point for esthetic treatment planning. (Semin Orthod 2022; 28:123- 135) (c) 2022 Elsevier Inc. All rights reserved.

Automated summary

Traditionally, orthodontic treatment focused on skeletodental relationships and the mandibular dentition, but recent trends have shifted towards the maxillary incisors to meet the growing demands for facial esthetics. Three-dimensional maxillary incisor position (MIP) plays a crucial role in improving facial esthetics during smiling and resting positions. The use of miniscrews has simplified biomechanical force application in orthodontic treatment, allowing for more precise and easier movement of teeth in three dimensions according to the treatment plan. Therefore, MIP using miniscrews should be considered as the starting point for esthetic treatment planning.