Miniscrews are now routinely used as a source of skeletal anchorage in orthodontic practice, with a high reported success rate. One of the safest and easiest areas in the upper arch to place miniscrews is the anterior palate, which offers the thickest bone in the entire region. Although there are no anatomical structures that can be damaged during miniscrew placement, the nasopalatine bundle (NPB) is close enough to the upper incisors to be contacted by a miniscrew, leading to complications such as non-osseointegration or sensory dysfunction.
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