Intrusion oder Extrusion als Behandlungsmöglichkeit des Tiefbisses

Zusammenfassung

In diesem Beitrag wird ein Überblick über die Entstehung bzw. Behandlung des Tiefbisses gegeben. Nach einem kurzen Einblick in die Prävalenz bzw. Genese des tiefen Bisses wird vor allem auf die Möglichkeiten der Behandlung eingegangen. Das Ziel der unterschiedlichen Behandlungsmethoden ist ein Ausgleich bzw. die Nivellierung der Spee`schen Kurve, welche entweder durch Intrusion im Bereich der Inzisiven, Extrusion im Molaren- oder Prämolarenbereich oder einer Kombination von Intrusion und Extrusion erzielt wird.

Summary

The purpose of this article is to give a short review on the origin and treatment options regarding deep overbite malocclusion. After a short glimpse into the genesis and prevalence the goal was to focus primarily on the different treatment options. All options are linked in the sense, that for a successful treatment outcome the curve of Spee should be levelled. This is accomplished by intrusion in the anterior segment, extrusion in the posterior segment or a combination of both intrusion and extrusion.

Schlüsselwörter

Spee’sche Kurve - Intrusion - Extrusion - Tiefbiss

Key words

curve of Spee - intrusion - extrusion - deep bite

• Literatur

• 1 Gábris K, Márton S, Madléna M. Prevalence of mallocclusions in Hungarian adolescents. European Journal of Orthodontics 2006; 28: 467-470
• 2 Nanda R. Correction of deep overbite in adults. Dent Clin North Am 1997; 41: 67-87
• 3 Goldstein MS, Stanton FL. Various types of occlusion and amounts of overbite in normal and abnormal occlusion between two and twelve years. Int J Orthod Oral Surg 1936; 22: 549-569
• 4 Lux CJ, Dücker B, Pritsch M. et al. Occlusal status and prevalence of occlusal malocclusion traits among 9-year-old schoolchildren. European Jounrnal of Orthodontics 2009; 1-6
• 5 Grieve GW. The most difficult problem in orthodontia – the elimination of the deep overbite. Dental Cosmos 1928; 19: 704-707
• 6 Callaways GS. The use of open bite plates. Am J Orthod Oral Surg 1940; 26: 120-126
• 7 Weiland F, Droschl H, Bantleon HP. Möglichkeiten und Grenzen der kieferorthopädischen Bisshebung. Z Stomatol 1991; 88: 205-219
• 8 Köllner H, Dette K. Einige Aspekte der prothetischen Therapie beim tiefen Biss. Stomatol 1978; 28: 585-590
• 9 Diedrich P. Erfahrungen mit der Segmentbogentechnik nach Burstone im Erwachsenengebiss. Fortschr Kieferorthop 1990; 51: 14-22
• 10 Diedrich P. Verschiedene orthodontische Verankerungssysteme. Fortschr Kieferorthop 1993; 54: 156-171
• 11 El-Dawlatly MM, Fayed MM, Mostafa YA. Deep overbite malocclusion: analysis of the underlying components. American journal of orthodontics and dentofacial orthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 2012; 142: 473-480
• 12 Hirschfelder U, Fleischer-Peters A. Funktionelle Behandlung des tiefen Bisses- Ergebnisse einer Langzeitstudie. Fortschr Kieferorthop 1992; 53: 313-321
• 13 Davidovith M, Rebellato J. Two-couple orthodontic appliance systems utility arch (a two-couple intrusion arch). Semin Orthod 1995; 1: 25-30
• 14 Janzen EK. A balanced smile – A most important treatment objective. Am J Orthod 1977; 72: 359-372
• 15 Alexander TA, Gibbs CH, Thompson WJ. investigation of chewing pattern in deep-bite malocclusions before and after orthodontic treatment. Am J Orthod Oral Surg 1984; 85: 21-27
• 16 Perry HT. Mandibular function: a orthodontic resposibility. Am J Orthod 1975; 67: 316-323
• 17 Gould MSE, Picton DCA. The relation between irregularities of the teeth and periodontal diseas: a pilot study. Br Dent J 1966; 121: 20-23
• 18 Andrews LF. The six keys to normal occlusion. Am J Orthod 1972; 62: 296-309
• 19 Burstone CR. Deep overbite correction by intrusion. Am J Orthod 1977; 72: 1-22
• 20 Hans MG, Kishiyama C, Parker SH. et al. Cephalometric evaluation of two treatment strategies for deep overbite correction. Angle Orthod 1994; 11: 62-66
• 21 Weiland F, Bantleon HP, Droschl H. Evaluation of Continuous arch and segmented arch levling techniques in adult patients-a clinical study. Am J Orthod 1996; 110: 647-652
• 22 Lindauer SJ, Lewis SM, Shroff B. Overbite correction and smile aesthetics. Semin Orthod 2005; 11: 62-66
• 23 Ng J, Major PW, Heo G. et al. True incisor intrusion attained during orthodontic treatment: A systematic review and meta-analysis. Am J Orthod 2005; 128: 212-219
• 24 Bernstein RL, Preston CB, Lampasso J. Leveling the curve of Spee with a continous archwire technique: A long term cephalometric study. Am J Orthod 2007; 131: 363-371
• 25 Kaley J, Phillips C. Factors related to root resorption in edgewise practice. Angle Orthod 1991; 61: 125-132
• 26 AlQabandi A, Sadowsky C, EA B. A comparison of the effects of rectangular and round arch wires in leveling the curve of Spee. Am J Orthod 1999; 116: 522-529
• 27 Baier C, Bantleon HP. Die praktische Anwendung der Tip-back-Mechanik. Inf Orthod Kieferorthop 2002; 34: 205-209
• 28 Burstone CR. Segmented arch syllabus. Indianapolis: Indiana University; 1959