Mini/micro screw implantation for orthodontic anchorage

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on mini/micro screw implantation for orthodontic anchorage.

Description

This procedure is most commonly undertaken by orthodontists . Orthodontic mini- and microscrew systems have been developed from maxillofacial fixation techniques; they use mechanical retention for anchorage. They are small  self-tapping titanium screws.

 Under local anaesthesia a pilot hole is drilled into the maxilla or mandible and the screw is inserted through the bone cortex and into the alveolar bone using a screwdriver-like tool. More than one screw can be inserted if necessary.

Orthodontic loading can be achieved immediately after insertion, although it is often undertaken at a second visit. Following completion of the orthodontic treatment the screw(s) can be extracted and the incision site can be expected to heal spontaneously.

OPCS4.6 Code(s):

For insertion:

F14.6 Insertion of orthodontic anchorage

            Includes: Insertion of orthodontic screw

                           Insertion of orthodontic mini screw

                           Insertion of orthodontic micro screw

For removal:      

F14.7 Removal of orthodontic anchorage

            Includes: Removal of orthodontic screw

                           Removal of orthodontic mini screw

                           Removal of orthodontic micro screw

 

_{The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding}

 

Details

Contact details:

Links:

	IPG238 Mini/micro screw implantation for orthodontic anchorage: guidance	28 November 2007
	IPG238 Mini/micro screw implantation for orthodontic anchorage: guidance (web format)	10 February 2011
	IPG238 Mini/micro screw implantation for orthodontic anchorage: understanding NICE guidance	28 November 2007
	IPG238 Mini/micro screw implantation for orthodontic anchorage: understanding NICE guidance (MS Word version)	28 November 2007
	IPG238 Mewnblannu sgriwiau bach yn yr ên i ail-alinio dannedd: deall canllawiau NICE (fformat MS Word)	24 July 2008
	IPG238 Mini/micro screw implantation for orthodontic anchorage: audit criteria	28 November 2007
	IPG 238 Mini/micro screw implantation for orthodontic anchorage: consultation comments table	27 December 2007
	Mini/micro screw implantation for orthodontic anchorage (interventional procedures consultation)	26 June 2007
	Mini/micro screw implantation for orthodontic anchorage (interventional procedures overview)	26 June 2007