Control of maxillary dentition with 2 midpalatal orthodontic miniscrews

The midpalatal area has no critical anatomic structures and has thick cortical bone. These conditions are favorable for miniscrew implantation. Also, there is no concern that damaging a dental root in this area would cause failure of the miniscrew. Although these advantages can decrease the failure rate of miniscrews, midpalatal miniscrews have not been as popular as interdental miniscrews. Because the midpalatal area is far from the teeth, the utility of midpalatal miniscrews has been considered to be limited. This article describes a new method for controlling the maxillary dentition with 2 midpalatal miniscrews. (Am J Orthod Dentofacial Orthop 2011;140:879-85)