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The phenomenon of orthodontic anchorage miniscrews loosening after being implanted several times happens in daily clinical practice, and the reasons need to be traced. This study aimed to investigate the underlying risk factors influencing the progressive susceptibility of orthodontic miniscrews to failure.Overall, 889 miniscrews were successively inserted into 347 patients because some loosened or fell off once, twice, or more before achieving their purposes. The number of miniscrew failures (ie, once, twice, or more) was defined as progressive susceptibility to failure. The clinical indicators were assessed via univariate analysis, multicollinearity diagnosis, and Poisson log-linear regression model with stepwise calculation to screen out.The progressive susceptibility of miniscrews to failure was proved to be affected by the age of patients, the onset of force application, site of placement, and appliance type. Age and onset of force application presented a negative relationship with susceptibility. Miniscrews inserted in the palatal region appeared to be more stable than the forepart of the arch. In contrast, the retromaxillary and retromandibular areas obtained the lowest stability. The patients with fixed appliances were more unlikely to suffer progressive failure than removable appliances. In addition, the larger number of screws inserted in each patient, the greater probability of failure.Younger people with removable appliances that miniscrews inserted in the retromaxillary or retromandibular regions and earlier onsets of loading had a higher progressive susceptibility to loosening. Meanwhile, the failure rate was elevated with the increasing number of screws per patient received.

Temporomandibular disorder (TMD) remained a huge clinical challenge, with high prevalence but limited, unstable, and only palliative therapeutic methods available. As one of the most vulnerable sites implicated in TMD, the temporomandibular joint disc (TMJD) displayed a complicated microstructure, region-specific fibrocartilaginous distribution, and poor regenerative property, which all further hindered its functional regeneration. To address the problem, with versatile and relatively simple electrospinning (ELS) technique, our study successfully fabricated a biomimetic, three-dimensional poly (ϵ-caprolactone) (PCL)/polylactide (PLA)/carbon nanotubes (CNTs) disc scaffold, whose biconcave gross anatomy and regionally anisotropic microstructure recapitulating those of the native disc. As in vitro results validated the superior mechanical, bioactive, and regenerative properties of the biomimetic scaffolds with optimal CNTs reinforcement, we further performed in vivo experiments. After verifying its biocompatibility and ectopic fibrochondrogenicity in nude mice subcutaneous implantation models, the scaffolds guided disc regeneration and subchondral bone protection were also confirmed orthotopically in rabbits TMJD defected areas, implying the pivotal role of morphological cues in contact-guided tissue regeneration. In conclusion, our work represents a significant advancement in complex, inhomogeneous tissue engineering, providing promising clinical solutions to intractable TMD ailments. STATEMENT OF SIGNIFICANCE: Complex tissue regeneration remains a huge scientific and clinical challenge. Although frequently implicated in temporomandibular joint disorder (TMD), functional regeneration of injured temporomandibular joint disc (TMJD) is extremely hard to achieve, mainly because of the complex anatomy and microstructure with regionally variant, anisotropic fiber alignments in the native disc. In this study, we developed the biomimetic electrospun scaffold with optimal CNTs reinforcement and regionally anisotropic fiber orientations. The excellent mechanical and bioactive properties were confirmed both in vitro and in vivo, effectively promoting defected discs regeneration in rabbits. Besides demonstrating the crucial role of morphological biomimicry in tissue engineering, our work also presents a feasible clinical solution for complex tissue regeneration.

INTRODUCTION: This retrospective study aimed to quantify the impact of coronavirus disease 2019 (COVID-19) on the orthodontic appointment and make an analysis of orthodontic emergencies (OEs) that occurred during the pandemic. METHODS: A total of 628 patients were randomly sampled from 3489 subjects who were undergoing active orthodontic treatment with fixed appliances, and the medical records were reviewed. OE occurrence was analyzed from 617 patients who had explicit return-visit records after the COVID-19 outbreak. Wilcoxon signed rank tests, chi-square tests, and a binary logistic regression were performed. RESULTS: The return-visit of 98.6% of the patients was delayed significantly with an increase over 8.98 ± 4.76 weeks (P

Transition metal catalysis that utilizes N-heterocyclic carbenes as noninnocent ligands in promoting transformations has not been well studied. We report here a cyclic (alkyl)(amino)carbene (CAAC) ligand-promoted nitro deoxygenative hydroboration with cost-effective chromium catalysis. Using 1 mol % of CAAC-Cr precatalyst, the addition of HBpin to nitro scaffolds leads to deoxygenation, allowing for the retention of various reducible functionalities and the compatibility of sensitive groups toward hydroboration, thereby providing a mild, chemoselective, and facile strategy to form anilines, as well as heteroaryl and aliphatic amine derivatives, with broad scope and particularly high turnover numbers (up to 1.8 × 106). Mechanistic studies, based on theoretical calculations, indicate that the CAAC ligand plays an important role in promoting polarity reversal of hydride of HBpin; it serves as an H-shuttle to facilitate deoxygenative hydroboration. The preparation of several commercially available pharmaceuticals by means of this strategy highlights its potential application in medicinal chemistry.

Objective: To determine whether temporary anchorage devices (TADs) could enhance the mandibular effects of Forsus Fatigue Resistant Devices (FFRD) in growing patients presenting with a Class II malocclusion. Materials and methods: Without language restriction, electronic and manual searches were conducted through databases and relevant journals until the 20th February, 2020. Studies comparing the therapeutic effects in Class II patients treated with TA-anchored FFRD and patients receiving conventional FFRD were considered eligible. Two reviewers independently conducted the study inclusion, data extraction and risk of bias assessment following Cochrane guidelines. The outcomes were qualitatively synthesised and the level of evidence was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool. Results: Six studies meeting the selection criteria were identified. All except one reported that a greater reduction in the proclination of the mandibular incisors was achieved in TAD-anchored groups compared with the conventionally-treated groups. Controversial results were found in the skeletal and soft tissue descriptions of positional change. The evidence quality varied from very low to moderate. Conclusion: Moderate-quality evidence suggests that TADs are beneficial in reducing the proclination of the mandibular incisors caused by FFRD in Class II patients. Controversies related to the effects on mandibular growth and soft tissue positional change remain. There is a trend that miniplates may enhance the mandibular skeletal effects of FFRD better than miniscrews but further investigation is indicated.

Background: Scissor bites have been reported in relatively few epidemiological studies because of their extremely low prevalence rate (below 1%). The etiology of scissor bites remains obscure, but its impact on growth and function should not be ignored. Methods: In this case report, a novel treatment that utilizes Invisalign aligners was performed on a 3-year-old child who presented with a bilateral posterior scissor bite and anterior crossbite, accompanied by multisite obstruction in the upper airway. The aligners functioned as occlusion pads to unlock the scissor bite relationship and combined with cross-traction to narrow the maxillary arch and enlarge the mandibular arch simultaneously. Results: The duration of orthodontic therapy was 28 weeks. A multidisciplinary consultation (orthodontics department, ENT department, and spinal surgery) was conducted and a stable result was achieved. A healthy occlusal relationship, improved dental esthetics and a better lateral profile were eventually obtained. Conclusions: Positive treatment outcomes rely on patients’ good compliance in this case. In addition, we hope that clinicians will consider our situation in terms of alternative treatments and interprofessional experience.

Actinomycete strain YIM PH20352, isolated from the rhizosphere soil sample of Panax notoginseng collected in WenShang, Yunnan Province, China, exhibited antifungal activity against some phytopathogenic fungi. The structures of bioactive molecules, isolated from the ethyl acetate extract of the fermentation broth of the strain, were identified as rabelomycin (1) and dehydrorabelomycin (2) based on extensive spectroscopic analyses. Compound 1 exhibited antifungal activity against four tested root-rot pathogens of the Panax notoginseng including Plectosphaerella cucumerina, Alternaria panax, Fusarium oxysporum, and Fusarium solani with the MIC values at 32, 64, 128, and 128 μg/mL, respectively. Compound 2 exhibited antifungal activity against F. oxysporum, P. cucumerina, F. solani, and A. panax with the MIC values at 64, 64, 128, and 128 μg/mL, respectively. Based on the phylogenetic analyses, the closest phylogenetic relative of strain YIM PH20352 is Streptomyces cellulosae NBRC 13027

Supplemental material, sj-docx-1-tej-10.1177_2041731421995465 for Application of bioluminescence resonance energy transfer-based cell tracking approach in bone tissue engineering by Lufei Wang, Dong Joon Lee, Han Han, Lixing Zhao, Hiroshi Tsukamoto, Yong-IL Kim, Adele M Musicant, Kshitij Parag-Sharma, Xiangxiang Hu, Henry C Tseng, Jen-Tsan Chi, Zhengyan Wang, Antonio L Amelio and Ching-Chang Ko in Journal of Tissue Engineering

Reductive cross-coupling between two chemically inert bonds remains a great challenge in synthetic chemistry. We report here the reductive cross-coupling between unactivated C(aryl)-N and C(aryl)-O bonds that was achieved by chromium catalysis. The simple and inexpensive CrCl

In this study, we used CFD-DEM model to simulate glucose gasification in a supercritical water fluidized bed reactor (SCWFBR). Simplified reaction kinetic model, including glucose decomposition, water gas shift reaction and methanation reaction, was used. Particle distributions, gas composition and reaction rate profiles were analyzed. Moreover, the influence of chemical reaction on flow behavior, and the effects of operation parameters, such as wall temperature, flow rates and initial bed height were investigated. The results show that high wall temperature, low flow rate and high initial bed height are in favor of gasification. However, lower H 2 yield, gasification efficiency (GE) are found at flow rate below the minimum fluidization velocity. The simulation results show good agreement with the experimental results, demonstrating the validity of this model. The information obtained by the numerical study is useful for the operation and optimization of the gasification reactor.

Current bone regeneration strategies faced major challenges in fabricating the bionic scaffolds with nano-structure, constituents and mechanical features of native bone. In this study, we developed a new porous scaffold by adding the multi-walled carbon nanotube (MWCNT) into collagen (Col)/hydroxyapatite (HA) composites. Data showed that 0.5%CNT/Col/HA (0.5%CNT) group was approximately tenfolds stiffer than Col-HA, and it was superior in promoting bone marrow mesenchymal stem proliferation and spreading, mRNA and protein expressions of bone sialoprotein (BSP) and osteocalcin (OCN) than Col-HA group. Moreover, we utilized 0.5%CNT composite to repair the rat calvarial defects (8 mm diameter) in vivo, and observed the new bone formation by 3D reconstruction of micro CT, HE and Masson staining, and BSP, OCN by immunohistochemical analysis. Results showed that newly formed bone in 0.5%CNT group was significantly higher than that in Col-HA group at 12 weeks. These findings highlighted a promising strategy in healing of large area bone defect with MWCNT added into the Col-HA scaffold as they possessed the combined effects of mechanical strength and osteogenicity.

Bioluminescent imaging (BLI) has emerged as a popular in vivo tracking modality in bone regeneration studies stemming from its clear advantages: non-invasive, real-time, and inexpensive. We recently adopted bioluminescence resonance energy transfer (BRET) principle to improve BLI cell tracking and generated the brightest bioluminescent signal known to date, which thus enables more sensitive real-time cell tracking at deep tissue level. In the present study, we brought BRET-based cell tracking strategy into the field of bone tissue engineering for the first time. We labeled rat mesenchymal stem cells (rMSCs) with our in-house BRET-based GpNLuc reporter and evaluated the cell tracking efficacy both in vitro and in vivo. In scaffold-free spheroid 3D culture system, using BRET-based GpNLuc labeling resulted in significantly better correlation to cell numbers than a fluorescence based approach. In scaffold-based 3D culture system, GpNLuc-rMSCs displayed robust bioluminescence signals with minimal background noise. Furthermore, a tight correlation between BLI signal and cell number highlighted the robust reliability of using BRET-based BLI. In calvarial critical sized defect model, robust signal and the consistency in cell survival evaluation collectively supported BRET-based GpNLuc labeling as a reliable approach for non-invasively tracking MSC. In summary, BRET-based GpNLuc labeling is a robust, reliable, and inexpensive real-time cell tracking method, which offers a promising direction for the technological innovation of BLI and even non-invasive tracking systems, in the field of bone tissue engineering.

Although impacted or supernumerary teeth are common, multiple impacted teeth combined with supernumerary teeth is a rare condition, often found in association with syndromes such as cleidocranial dysplasia or Gardner's syndrome. This report presents two patients, a son and his mother, with multiple impacted and supernumerary teeth but no associated syndromes. The 27-year-old patient had 23 impacted teeth and 9 supernumerary teeth with maxillary osteoma. The patient's mother, 55 years old, had 14 impacted teeth and 6 supernumerary teeth with 16 hypodontial teeth.

The distribution of geological hazards is closely related to the slope factors. This paper adopts the methods of field geological survey and GIS software to investigate the geological hazards in the study area, and uses statistical methods to analyze the relationship between landslides development and slope factors, including elevation, slope shape and topographic relief amplitude. The results are as follows. (1) Landslides are mainly distributed in low altitude areas, and the disaster density is highest in the range of 500 to 700 meters elevations. (2) Compared with other slope shape types, the number and density of landslides on linear slope are the highest. (3) Within the topographic relief amplitude range of 0 to 10 meters, the landslide density is the highest.

Repairing bone defect by recapitulation of endochondral bone formation, known as developmental engineering, has been a promising approach in bone tissue engineering. The critical issue in this area is how to effectively construct the hypertrophic cartilaginous template in vitro and enhance in vivo endochondral ossification process after implantation. Pulsed ultrasound stimulation has been widely used in the clinic for accelerating bone healing in fractures and nonunions. The aim of this study was to investigate whether ultrasound (US) could accelerate in vitro chondrogenesis and the hypertrophic process in certain microenvironments. Rat bone marrow mesenchymal stem cells were chondrogenic or hypertrophic differentiated in a three-dimensional pellet culture system with different media, and treated with different intensities of US. US exposure promoted chondrogenic differentiation of stem cells and inhibited their transition into the hypertrophic stage in a chondrogenic-friendly microenvironment. US significantly advanced hypertrophic differentiation of bone marrow stem cell pellets in hypertrophic medium after chondrogenesis. Our data indicated that pulsed US promoted in vitro chondrogenic and hypertrophic differentiation of stem cell pellets in specific culture conditions. The present study proves the potential application of US in the in vitro stage of "developmental engineering" for bone development and repair.

In our screening for antitubercular leading compounds, an endophytic Streptomyces sp. YIM65484 was selected by biological assay. Four bioactive metabolites were isolated from this strain. Their structures were determined as (2E,4E)-5-(3-hydroxyphenyl)- penta-2,4- dienamide (1), ergosterol (2), ergosterol peroxide (3) and halolitoralin B (4) by spectral analysis. Compound 1 is a new phenylpentadienamide with its rarely encountered skeleton in natural products. Compounds 1-4 showed selectivity for anti-M. Tuberculosis activity in comparison with other antimicrobial activity. Compound 4 was first isolated from Streptomyces.

Objectives The aim of this study was to evaluate the osseointegration of loaded orthodontic microscrews at different cortical bone thickness (CBT) sites. Study Design Forty-eight microscrews were inserted bilaterally in the tibias of 12 beagles, and divided into thick and thin CBT group. After 1, 3, 5, and 7 weeks, the dogs were killed and bone-screw specimens prepared for polyfluorochrome sequential labeling, microscopic computerized tomography (μCT) analysis, and biomechanical pull-out testing. Results All μCT parameters were increased in the thin CBT group, and decreased in the thick CBT group with time passed. F max of microscrews in thick CBT sites reached a peak in week 1, but dropped to lowest levels in week 3. Remodeling, apposition, and measured deposition areas of 3 labels were significantly higher in the thin CBT group than in the thick CBT group ( P Conclusions Relatively larger CBT is of benefit for primary stability at early time points, whereas thinner CBT is more appropriate for achieving long-term stability with prolonged time.

In this paper, an image segmentation method is proposed that integrates fuzzy 2-partition into Yen’s maximum correlation thresholding method. A fuzzy 2-partition of the image is obtained by transforming the image into fuzzy domain by means of two parameterized membership functions. Fuzzy correlation is defined to measure the appropriateness of the fuzzy 2-partition. An ideal threshold is calculated from the optimal membership functions’ parameters, which make the corresponding fuzzy 2-partition have maximum fuzzy correlation. In the process of searching the optimal parameters of membership functions, a fast recursive algorithm is presented in order to reduce the computation complexity. Experimental results on synthetic image, brain magnetic resonance (MR) images and casting images show that the proposed method has a satisfactory performance.

During periodontitis and orthodontic tooth movement, periodontal vasculature is severely impaired, leading to a hypoxic microenvironment of periodontal cells. However, the impact of hypoxia on periodontal cells is poorly defined. The present study investigates responses of cocultured endothelial cells (ECs) and periodontal ligament stem cells (PDLSCs) to hypoxia.Osteogenic differentiation, molecular characterization, and various behaviors of PDLSCs and human umbilical venous ECs under hypoxia were assessed by quantitative real-time reverse-transcription polymerase chain reaction, Western blot, and enzyme-linked immunosorbent assay. Moreover, the effect of ECs on PDLSC osteogenic differentiation was tested using NS398 (cyclooxygenase 2 blocker), SU5416 (vascular endothelial growth factor [VEGF] receptor inhibitor), AH6809, L-798106, and L-161982 (EP1/2/3/4 antagonists).First, hypoxia promoted osteogenic differentiation in PDLSCs and enhanced EC migration, whereas PD98059 (extracellular signal-regulated protein kinase [ERK] inhibitor) blocked, and cocultured ECs further enhanced, hypoxia-induced osteogenic differentiation. Second, NS398 impaired EC migration and prostaglandin E2 (PGE2)/VEGF release, whereas cocultured PDLSCs and exogenous PGE2 partially reversed it. Third, NS398 (pretreated ECs) decreased PGE2/VEGF concentrations. NS398-treated ECs and AH6809/SU5416-treated PDLSCs impaired cocultured EC-induced enhancement of PDLSC osteogenic differentiation.Hypoxia enhances ERK-mediated osteogenic differentiation in PDLSCs. Coculture with EC further augments PDLSC osteogenic differentiation via cyclooxygenase-2/PGE2/VEGF signaling.

Purpose During orthodontic treatment and chronic periodontitis, the periodontal vasculature is severely impaired by overloaded mechanical force or chronic inflammation. This leads to the hypoxic milieu of the periodontal stem cell niche and ultimately affects periodontal tissue remodelling. However, the role of hypoxia in the regulation of periodontal ligament stem cell (PDLSC) behaviours still remains to be elucidated. The present study was aimed at investigating the effects of hypoxia on osteogenic differentiation, mineralisation and paracrine release of PDLSCs and further demonstrating the involvement of mitogen-activated protein kinase (MAPK) signalling in the process. Methods First, PDLSCs were isolated and characterised. Second, the effects of different periods of hypoxia on PDLSC osteogenic potential, mineralisation and paracrine release were investigated. Third, extracellular signal-regulated kinases 1 and 2 (ERK1/2) and p38 kinase activities under hypoxia were measured. Finally, specific MAPK inhibitors PD98059 and SB203580 were employed to investigate the involvement of two kinases in PDLSC osteogenesis under hypoxia. Results Immunocytochemical staining and multilineage differentiation assays verified that the isolated cells were PDLSCs. Cell viability, alkaline phosphatase (ALP) activity, messenger RNA (mRNA) and protein levels of runt-related transcription factor 2 (Runx2) and Sp7, mineralisation and prostaglandin E2 (PGE2) and vascular endothelial growth factor (VEGF) release were significantly increased by hypoxia. ERK1/2 and p38 were activated in different ways under hypoxia. Furthermore, hypoxia-stimulated transcription and expression of the above-mentioned osteogenic regulators were also reversed by PD98059 and SB203580 to different degrees. Conclusions Exposure of PDLSCs to hypoxia affected their osteogenic potential, mineralisation and paracrine release, and the process involved mitogen-activated protein kinase kinase/extracellular signal-regulated kinase (MEK/ERK) and p38 MAPK signalling.

Harmful cyanobacterial blooms and their negative impacts on water ecosystems and human health have been reported all over the world, and Microcystis aeruginosa is one of the most dominant and ecologically damaging species in eutrophic lakes such as Dianchi Lake and Taihu Lake in China. Although physical or chemical control of the blooms is possible in short period, these methods could cause other problems. Thus, there is still a need for research on biological factors controlling cyanobacteria blooms. We screened part of the Yunnan University actinomycete strain library and found that the extract of Streptomyces hebeiensis YIM 001 T exhibited obvious inhibition on M. aeruginosa . The main component – nanaomycin A methyl ester (NAME) was isolated at a level of 20 mg L −1 by scale-up fermentation. Lytic mechanism experiments of NAME on M. aeruginosa demonstrated it could effectively inhibit the growth of M. aeruginosa (EC 50 at 72 h = 2.97 mg L −1 ), hinder cell division and enlarge cell size. NAME damaged M. aeruginosa cells as evidenced by decreases in algal activity, biomass, esterase activity and chlorophyll- a content. The SOD activity of the treated cells initially increased, and then decreased together with a gradual increase in both O 2 − and malondialdehyde (MDA) content, consistent with inhibitory effects of NAME due to lipid peroxidation damage of the algal cell membrane. The results suggest that NAME is effective for controlling undesired cyanobacteria and the Chl -fluorescence is a potential endpoint to assay the NAME eco-toxicity on cyanobacteria.

Purpose: The purpose of this study was to evaluate the various factors that influence the success rate of miniscrew implants used as orthodontic anchorage. Materials and Methods: Potential confounding variables examined were sex, age, vertical (FMA) and sagittal (ANB) skeletal facial pattern, site of placement (labial and buccal, palatal, and retromandibular triangle), arch of placement (maxilla and mandible), placement soft tissue type, oral hygiene, diameter and length of miniscrew implants, insertion method (predrilled or drill-free), angle of placement, onset and strength of force application, and clinical purpose. The correlations between success rate and overall variables were investigated by logistic regression analysis, and the effect of each variable on the success rate was utilized by variance analysis. Results: One hundred fourteen patients were included with a total of 253 miniscrew implants. The overall success rate was 88.54% with an average loading period of 9.5 months in successful cases. Age, oral hygiene, vertical skeletal facial pattern (FMA), and general placement sites (maxillary and mandibular) presented significant differences in success rates both by logistic regression analysis and variance analysis (P < .05). Conclusion: To minimize the failure of miniscrew implants, proper oral hygiene instruction and effective supervision should be given for patients, especially young (< 12 years) high-angle patients with miniscrew implants placed in the mandible.

To evaluate the impact of hypoxia on the angiogenic capability of endothelial cells (ECs), and further investigate whether the cyclooxygenase-2 (COX-2)/prostaglandin E(2) (PGE(2)) signalling is involved in the angiogenic response of ECs to hypoxia. We explored the impact of various periods (1, 3, 6, 12, 24 hrs) of hypoxia (2% O(2)) on human umbilical vein endothelial cells (HUVECs) in vitro. We observed cell viability, migration, tube formation, analysed COX-2, vascular endothelial growth factor (VEGF), AQP1 mRNA transcription, protein expression and measured PGE(2), VEGF protein concentration in cell supernatants. Then we treated HUVECs with COX-2 selective inhibitor NS398, EP1/2 combined antagonist AH6809 and exogenous PGE(2) to investigate the role of COX-2/PGE(2) signalling in the angiogenic response of ECs to hypoxia. The results demonstrated that short-term hypoxic treatment enhanced HUVECs proliferation, migration, tube formation, significantly up-regulated COX-2, VEGF, AQP1 mRNA level, protein expression and promoted PGE(2) , VEGF release. The pharmacological inhibition study revealed that exposure of HUVEC to NS398 and AH6809 under hypoxia impaired the biological responses of ECs to hypoxia. Exogenous PGE(2) augments the effects of hypoxia on HUVECs, and partially reversed the inhibitory effects of NS398 on HUVECs proliferation and angiogenic capability. Short-term hypoxic treatment enhanced angiogenic capability of ECs, and COX-2/PGE(2) signalling may play a critical role in the biological response of ECs to hypoxia.

OBJECTIVE: The aim of this study was to evaluate the effect of different healing times on the stability of titanium mini-implants used for orthodontic anchorage. STUDY DESIGN: Eight male beagles were used and randomized into 4 groups according to different healing times (1, 3, 5, and 7 weeks); each group had 2 beagles. Sixty-four mini-implants were inserted bilaterally in the maxilla and mandible of the beagles. Microscopic computerized tomography (μCT) and pull-out test were used for morphometric and biomechanical analysis, respectively. RESULTS: All μCT parameters and F(max) (maximum pull-out force) increased with the prolongation of healing time. One week after insertion, all 4 measurements, namely osseointegration, trabecular bone volume density, intersection surface, and F(max), were lower in the maxilla group than in the mandible group (P < .05). Between the span of 1 and 3 weeks after insertion, a more obvious rising tendency of the 4 values was observed in the maxilla group than in the mandible group. Five and 7 weeks after insertion, the maxilla group expressed higher values of the 4 measurements than the mandible group (P < .05). CONCLUSIONS: Although insertion in the mandible could provide higher primary stability for mini-implants, with the prolongation of healing time, insertion in the maxilla achieves higher osseointegration. The results indicated that insertion in maxilla has a more positive effect on the stability of mini-implants than insertion in the mandible.