Die Behandlung des anterioren Engstandsin der frühen Wechselgebissperiode - Ungewöhnliche Maßnahmen

Zusammenfassung

Der Engstand im Unterkiefer des Wechselgebisses kann in 80 % der Fälle mit dem Erhalt und der Nutzung des Leeway-Spaces beseitigt werden, während bei einem Oberkiefer-Engstand häufig eine Zahnbogenerweiterung durchgeführt werden muss.

Dieser Artikel schildert und diskutiert wenig bekannte Therapieansätze, die das Ziel haben, den Engstand zu beheben, ohne die bleibenden Zähne in einer festsitzenden Apparatur einzubeziehen.

Abstract

In the mixed dentition, crowding in the lower arch can be solved in 80 % of the patients by preserving and utilizing the Leeway space, while in the upper arch, expansion is frequently requested in order to gain adequate space.

This article shows and discusses some uncommon early treatment procedures in order to solve the crowding in the mixed dentition without touching permanent teeth.

Frühe Behandlung - Milchzähne - approximale Schmelzabtragung - spontane Einreihung der Zähne - Expansion - Prävention

Early treatment - deciduous teeth - slicing - self-alignment - expansion - prevention

Literatur

• 1 Sillman M. Dimensional changes of the dental arches: Longitudinal study from birth to 25 years.  Am J Orthod. 1964;  50 824-842
• 2 Moorrees C FA, Chada J M. Available space for incisors during dental development: a growth study based on physiologic age.  Angle Orthod. 1965;  35 12-22
• 3 Moorrees C FA, Grøn A M, Lebret L M, Yen P KJ, Fröhlich F J. Growth studies of dentition: A review.  Am J Orthod. 1969;  55 600-616
• 4 Gianelly A A. Crowding, timing of treatment.  Angle Orthod. 1994;  64 415-8
• 5 Brennan M, Gianelly A A. The use of the lingual arch in the md to resolve crowding.  Am J Orthod Dentofacial Orthop. 2000;  117 81-85
• 6 Gianelly A A. Treatment of crowding in the mixed dentition.  Am J Orthod Dentofacial Orthop. 2002;  121 569-571
• 7 Little R M, Reidel R A, Stein A. Mandibular arch length increase during the mixed dentition: postretention evaluation of stability and relapse.  Am J Orthod Dentofacial Orthop. 1990;  97 393-404
• 8 Hotz R P. Guidance of eruption versus serial extraction.  Am J Orthod. 1970;  21 781-788
• 9 Rosa M. Sequential Slicing of Deciduous Teeth.  J Clin Orthod. 2001;  35 696-701
• 10 Rosa M, Cozzani M. R.P.E. on deciduous dentition: spontaneous effects on permanent maxillary first molars. AAO Book of Papers: Selected Scientific Posterboards Abstract. 95th Annual Session and 4th International Congress. San Francisco, May 12-17th 1995
• 11 Cozzani P, Rosa M, Cozzani M. Spontaneous Permanent Molar Expansion in Crossbite and Non-crossbite Patients.  Europ J Orthod.. 1999;  21 (4) 434
• 12 Cozzani M, Rosa M, Cozzani P, Siciliani G. Deciduous dentition-anchoreds rapid maxillary expansion in crossbite and non-crossbite mixed dentition patients: reaction of the permanent first molar.  Prog Orthod. 2003;  4 15-22
• 13 Caruso B. Espansione spontanea dell’arcata inferiore in dentatura mista a seguito di Espansione Rapida del Palato con ancoraggio sulla dentatura decidua. Tesi di Specializzazione 1997. Scuola di Specializzazione in Ortognatodonzia. Università degli Studi di Cagliari
• 14 Cozzani M, Rosa M, Mirenghi S, Guiducci A, Siciliani G. Risultati a lungo termine dell’ utilizzo di un espansore palatale rapido ancorato sulla dentatura decidua in pazienti con e senza morso crociato laterale. Atti delXVII Convegno Nazionale S.I.D.O. 2002: 347 -356
• 15 Bishara S E, Hoppens B D, Jacobsef J R., Kohout F J. Changes in the molar relationship between the deciduous and permanent dentitions: a longitudinal study.  Am J Orthod Dentofac Orthop. 1988;  93 19-28
• 16 Terry H K. Indications to Early Treatment. Am J Orthod (April) 1955; 279 -290
• 17 Gianelly A A. One-phase versus two-phase treatment.  Am J Orthod Dentofac Orthop. 1995;  108 556-559
• 18 Gianelly A A. Two-stage treatment: an outcome-based assessment.  Prog Orthod 1. 1999;  1 3-9
• 19 Livieratos F A, Johnston L .E. A comparison of one-stage and two-stage nonextraction alternatieves in matched Class II samples.  Am J Orthod Dentofac Orthop. 1995;  108 118-131
• 20 Proffit W R, Tulloch J FC. Preadolescence Class II problems: Treat now or wait?.  Am J orthod Dentofacial Orthop. 2002;  121 560-562
• 21 Von Bremen J, Pancherz H. Efficiency of early and late Class II Division I treatment.  Am J Orthod Dentofacial Orthop. 2002;  121 31-37
• 22 Järvinen S. Incisal overjet and traumatic injuries to upper permanent incisors. A retrospective study.  Acta Odontol Scand. 1978;  36 359-362
• 23 Nguyen Q V, Bezemer P D, Habets L, Prahl- Andersen B. A systematic review of the relationship between overjet size and traumatic dental injuries.  Eur J Orthod. 1999;  21 503-515
• 24 Kusters S T, Kuijpers-Jagtman A M, Maltha G. An experimental study in dogs of transseptal fiber arrangement between teeth which have emerged in rotated or not-rotated position.  J Dent Res. 1991;  70 (3) 192-197
• 25 Barber A F, Sims M R. Rapid maxillary expansion and external root resorption in man: a scanning electron microscope study.  Am J Orthod. 1981;  89 630-652
• 26 Langsford S R, Sims M R. Root surface resorption, repair and periodontal attachment following rapid maxillary expansion in man.  Am J Orthod. 1982;  81 108-115
• 27 Vardimon A D, Graber T M, Pitaru S. Repair process of external root resorption subsequent to palatal expansion treatment.  Am J Orthod Dentofac Orthop. 1993;  103 120-130