Troubleshooting in der Kieferorthopädie: Strategien zur Überwindung von Limitationen in der Kieferorthopädie

Zusammenfassung

Trotz neuer innovativer Apparaturen und aller Weiterentwicklungen kieferorthopädischer Mechaniken bestehen insbesondere bei der Behandlung atypischer oder ausgeprägter dentaler und skeletaler Fehlstellungen weiterhin Limitationen in der Behandlung sowohl mit festsitzenden Apparaturen als auch mit den Alignern.

Auch die Behandlung von Patientinnen und Patienten mit mangelnder Therapieadhärenz ist eine tägliche Herausforderung, die häufig die Anwendung einer kooperationsunabhängigen Technik erfordert.

Dieser Artikel beschreibt diverse praxisgerechte Strategien zur Überwindung von technischen, funktionellen und interdisziplinären Einschränkungen.

Abstract

Despite new innovative appliances and all further developments of orthodontic mechanics, limitations in the treatment with both fixed appliances and aligners still exist, especially in the treatment of atypical or pronounced dental and skeletal malocclusions.

The treatment of patients with poor treatment adherence is also a daily challenge that often requires the use of a noncooperative technique.

This article describes various practical strategies to overcome technical, functional and interdisciplinary limitations.

Schlüsselwörter

Wurzelbewegung - Lückenschluss - Intrusion - Aplasien - CMD

Key words

Root movement - gap closure - intrusion - aplasia - CMD

Publication History

Article published online:
05 October 2023

• Literatur

• 1 Seide M, Kruse T, Graf I. et al. Inadvertent side effects of fixed lingual retainers: An in vitro study. J Orofac Orthop 2022;
• 2 Pazera P, Fudalej P, Katsaros C. Severe complication of a bonded mandibular lingual retainer. Am J Orthod Dentofacial Orthop 2012; 142: 406-409
• 3 Shaughnessy TG, Proffit WR, Samara SA. Inadvertent tooth movement with fixed lingual retainers. Am J Orthod Dentofacial Orthop 2016; 149: 277-286
• 4 Katsaros C, Livas C, Renkema AM. Unexpected complications of bonded mandibular lingual retainers. Am J Orthod Dentofacial Orthop 2007; 132: 838-841
• 5 Sfondrini MF, Pascadopoli M, Beccari S. et al. Orthodontic Fixed Retainer and Unwanted Movements of Lower Anterior Teeth: A Case Report. Case Rep Dent 2022; 2022: 3100360
• 6 Sandra T. Clear Aligner Technique. Hanover Park, IL. 2018
• 7 Sabbagh H, Sabbagh A, Heppner A. et al. Patients’ perceptions on temporomandibular disorder treatment with hydrostatic oral splints – a pilot study. BDJ Open 2022; 8: 4
• 8 González Espinosa D, de Oliveira Moreira PE, da Sousa AS. et al. Stability of anterior open bite treatment with molar intrusion using skeletal anchorage: a systematic review and meta-analysis. Prog Orthod 2020; 21: 35
• 9 Papadopoulos MA. Orthodontic treatment of the Class II noncompliant patient: current principles and techniques; Elsevier Health Sciences. 2006
• 10 Rijpstra C, Lisson JA. Etiology of anterior open bite: a review. Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopädie 2016; 77: 281-286
• 11 Van Dyck C, Dekeyser A, Vantricht E. et al. The effect of orofacial myofunctional treatment in children with anterior open bite and tongue dysfunction: a pilot study. Eur J Orthod 2016; 38: 227-234
• 12 Umemoto G, Toyoshima H, Yamaguchi Y. et al. Therapeutic Efficacy of Twin-Block and Fixed Oral Appliances in Patients with Obstructive Sleep Apnea Syndrome. J Prosthodont 2019; 28: e830-e836
• 13 Al-Moghrabi D, Salazar FC, Pandis N. et al. Compliance with removable orthodontic appliances and adjuncts: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 2017; 152: 17-32
• 14 Sabbagh A. Influence of condylar hypermobility on relaps after bite jumping. In Proceedings of the 83rd European Orthodontic Society Congress Berlin. 2007
• 15 Baxmann M. Festsitzende Apparaturen zur Klasse-II-Therapie. Quintessenz, Berlin, Germany. 2012
• 16 Sabbagh A. Korrektur der unilateralen Distalbisslage ohne chirurgische Intervention. Informationen aus Orthodontie & Kieferorthopädie 2012; 44: 219-224
• 17 Jiang H, Tai BJ, Du MQ. Patterns and Risk Factors for White Spot Lesions in Orthodontic Patients with Fixed Appliances. Chin J Dent Res 2015; 18: 177-183
• 18 Baratieri C, Alves M, de Souza MM. et al. Does rapid maxillary expansion have long-term effects on airway dimensions and breathing?. Am J Orthod Dentofacial Orthop 2011; 140: 146-156
• 19 Rădescu OD, Colosi HA, Albu S. Effects of rapid palatal expansion (RPE) and twin block mandibular advancement device (MAD) on pharyngeal structures in Class II pediatric patients from Cluj-Napoca, Romania. Cranio 2020; 38: 22-29
• 20 Engboonmeskul T, Leepong N, Chalidapongse P. Effect of surgical mandibular setback on the occurrence of obstructive sleep apnea. J Oral Biol Craniofac Res 2020; 10: 597-602
• 21 Tan SK, Leung WK, Tang ATH. et al. Effects of mandibular setback with or without maxillary advancement osteotomies on pharyngeal airways: An overview of systematic reviews. PLoS One 2017; 12: e0185951
• 22 Sabbagh H, Sabbagh A. SARA-Splints – Sabbagh Advanced Repositioning Appliance. Kieferorthopädie 2020; 34: 289-292