The precise planning of orthodontic temporary anchorage devices (TADs) in the anterior maxilla is crucial due to anatomical complexity. This study aimed to evaluate the bone parameters for mini-implant placement using cone-beam computed tomography (CBCT). A total of 65 patients aged 15–50 years underwent CBCT analysis. Measurements were taken in three anterior regions (between and adjacent to central/lateral incisors and canines) at four vertical levels (2 mm, 4 mm, 6 mm, and 8 mm from the alveolar crest). Parameters included interdental width (IDW), buccopalatal bone depth (BPD), and distances from ideal implant points (IPPs) to adjacent structures. Descriptive statistics included means, standard deviations, confidence intervals, and frequency distributions. Statistical analysis revealed age-related differences, with subjects aged 21–30 showing higher CP-IPP and IDW values, and those aged 15–20 showing higher BPD values. Gender differences were noted in IDW and BPD, but not in CP-IPP. The most favorable IDW (≥3 mm) was observed in regio 1 at level A, while unfavorable values were found in regio 2′ at levels C and D. Positive correlations between IDW and BPD were found in multiple regions and levels. These results may guide safer and more predictable TAD placement. Considering that radiographic analysis forms the basis of this study, future in vivo studies are needed to confirm the practical impact of the proposed measurements.

Background/Objectives: Orthodontic temporary anchorage devices (TADs) in the lateral maxillary region are useful tools for successful orthodontic treatment. Radiological anatomical knowledge is crucial for the successful placement of TADs. The use of cone-beam computed tomography (CBCT) is essential for evaluating the relationship between the ideal placement point (IPP) and dental structures, particularly in cases with anatomical limitations. Accordingly, this study aims to assess the anatomical conditions for orthodontic mini-implant (MI) insertion in the posterior maxilla using CBCT as the gold standard. Methods: This retrospective study included 62 patients (37.1% male, 62.9% female) aged 11 to 50 years. CBCT scans (sagittal and axial cross-sections) were used to evaluate interdental bone characteristics in different regions. The evaluated regions were defined as follows: Region 1 (canine and first premolar), Region 2 (first and second premolars), Region 3 (second premolar and first molar), and Region 4 (first and second molars). All parameters were assessed at three predefined levels: A, B, and C, located 4, 3, and 2 mm, respectively, from the alveolar crest. At the aforementioned levels, we performed measurements, such as the interdental width (IDW) in the mesiodistal direction and buccopalatal depth (BPD). The last observation was the relationship between the ideal TAD placement point (IPP) and dental structures, such as contact points (CPs) and cusp tips (C1-cusp of mesial tooth, C2-cusp of distal tooth, in each region). Results: A statistically significant positive correlation was found between the IDW and BPD at Levels A, B, and C in Region 1, while a negative correlation was observed between the IDW and BPD at Level C in Region 2′. The highest percentages of IDW exceeding 3 mm were found in Region 4 at Level A (67.7%), followed by Region 1′ and 2′, both at Level A. The mean interdental width measured at each level on the right and left sides was highest at Level A, exceeding 3 mm, and the width decreased with each successive level. The mean BPD measured at each level on the right and left sides was also highest at Level A. Conclusions: This methodological approach could assist in ensuring precise and efficient implant insertion. Furthermore, it can be concluded that the safe zone for buccal and interdental mini-implant placement is located 4 mm from the alveolar crest at Level A. Also, the CBCT analysis algorithm may serve as a valuable tool for clinicians in determining optimal TAD placement in different dental regions.

Malocclusions are common oral health issues that require precise assessment of severity and the need for orthodontic treatment. The Index of Orthodontic Treatment Need (IOTN) is a reliable tool for objectively evaluating the necessity of orthodontic therapy. This study aimed to determine the need for orthodontic treatment among children and adolescents in Serbia using the IOTN index. Additionally, it sought to compare the subjective perception of dental aesthetics among participants with the evaluations provided by orthodontic professionals. The prevalence of malocclusion was also recorded. The study included 211 participants aged 9 to 25 years, all of whom were military health insurance beneficiaries and had not previously undergone orthodontic treatment. Examinations were conducted by a dentist under the supervision of an orthodontic specialist at the Military Medical Academy. Assessments were performed according to IOTN guidelines, incorporating both the Dental Health Component (DHC) and Aesthetic Component (AC). Statistical analysis was applied to process the results. Findings indicate that 63% of participants had a clear need for orthodontic treatment based on the DHC component, while 28% fell into the borderline category. According to the AC component, 32.2% of participants self-reported a need for treatment, whereas the therapists’ evaluation indicated a slightly lower percentage (27%). The most common orthodontic irregularity was contact point displacement, while patients with increased overjet and deep bite were most frequently in need of treatment. Children and adolescents in Serbia exhibit a high demand for orthodontic treatment. The IOTN index has proven to be an effective tool for prioritizing treatment needs. The study results emphasize the importance of integrating this index into clinical practice to optimize resource allocation and improve treatment efficiency for patients with the greatest need.