Kieferorthopädische Dekompensation von Tiefbisspatienten– Kieferorthopädie am Limit in der kombiniert kieferorthopädisch/kieferchirurgischen Therapie

Zusammenfassung

Die Therapie von erwachsenen Patienten mit einer ausgeprägten skelettalen und dentalen Angle-Klasse II kann die Kieferorthopädie mit rein konservativen Behandlungsansätzen an ihre Grenzen bringen. Ein interdisziplinäres kieferorthopädisch-kieferchirurgisches Therapiekonzept ist in diesem Fall häufig die Therapie der Wahl. Hierbei stellt oft die präoperative Dekompensation eine entscheidende Schlüsselfunktion dar. Im nachfolgend dokumentierten Patientenfall soll der interdisziplinäre Therapieansatz unter der Verwendung einer individuellen skelettal verankerten, digital designten PIPA-Apparatur (Palatinal Inserierte Pins mit Aufbissplatte) vorgestellt werden.

Abstract

The treatment of adult patients with a pronounced skeletal and dental Angle Class II can push orthodontics to its limits with purely conservative treatment approaches. An interdisciplinary orthodontic and maxillofacial surgical treatment concept is often the treatment of choice in this case. Preoperative decompensation plays a key role here. In the following documented patient case, the interdisciplinary treatment approach using a skeletally anchored, individually designed PIPA appliance (Palatally Inserted Pins with Bite Plate) will be explained.

Schlüsselwörter

Prächirurgische Dekompensation - kombiniert kieferorthopädisch-kieferchirurgische Therapie - skelettale Verankerung - individualisierte digitale Apparaturen - Erwachsenenbehandlung

Keywords

Pre-surgical decompensation - combined orthodontic and maxillofacial therapy - skeletal anchorage - customised digital appliances - adult treatment

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