Use of palatal mini-implants in contemporary orthodontic practice: a review

This review provides a comprehensive analysis of current scientific evidence regarding the use of palatal mini-implants in orthodontic practice. This paper examines anatomical considerations for placement, including palatal morphology and age-related changes; site selection criteria considering bone density and neurovascular bundle topography; biomechanical principles; clinical indications; and factors associated with success and potential complications. An analysis of recent clinical studies and systematic reviews demonstrates that this approach provides superior three-dimensional anchorage control, which is critical for achieving planned tooth movement. This level of control allows complex dentoalveolar movements that cannot be achieved using traditional orthodontic mechanics. Moreover, the technique expands treatment possibilities for correcting malocclusions that previously required surgical intervention. The review concludes that integration of palatal mini-implants into routine orthodontic practice substantially improves treatment predictability and efficiency, ensures stable outcomes, reduces treatment duration by minimizing undesirable side effects, and allows avoidance of tooth extractions in selected clinical situations. Overall, this method shows high potential for advancing standards of orthodontic care.