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Informationen aus Orthodontie & Kieferorthopädie 2024; 56(02): 130-137
DOI: 10.1055/a-2282-7036
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Dentales Trauma und Kieferorthopädie – individualisierter Planung der Torqueübertragung zur Einstellung von verlagerten Frontzähnen

Dental Trauma and Orthodontics – Individualized Planning of Torque Transfer for the Adjustment of Displaced Anterior Teeth
Johanna Wiessner
1   Poliklinik für Kieferorthopädie, Universitätsmedizin Göttingen
,
Johanna Trautmann
1   Poliklinik für Kieferorthopädie, Universitätsmedizin Göttingen
,
Philipp Meyer-Marcotty
1   Poliklinik für Kieferorthopädie, Universitätsmedizin Göttingen
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Zusammenfassung

Hintergrund Das dentale Trauma stellt weltweit eine der häufigsten Verletzungen dar, wobei die Unfallzahlen mit Zahnverletzungen weiter ansteigen. Während in der Prävention von dentalen Frontzahntraumata die Kieferorthopädie schon eine klare evidenzbasierte und leitlinienkonforme Rolle spielt, wird sie nach bereits stattgefundenen Zahnunfällen als Therapieoption noch häufig unterschätzt.

Fallvorstellung Die 12-jährige Patientin stellte sich in der Poliklinik für Kieferorthopädie sechs Wochen nach einem Sturz auf die Frontzähne mit einer palatinalen Luxationsverletzung des Zahnes 11 unter Einbruch der bukkalen Knochenlamelle vor. Diese wurde mittels einer individualisierten Multi-Bracket-Apparatur unter Rehabilitation des Zahnbogens und der Okklusion behandelt.

Schlussfolgerung Der Fall konnte unter Anwendung einer individualisierten Biomechanik erfolgreich behandelt werden. Dies hebt hervor, dass die Kieferorthopädie einen wesentlichen Baustein in der interdisziplinären Behandlung nach dentalen Zahntraumata darstellen kann und stets in Erwägung gezogen werden sollte.

Summary

Background Dental trauma is one of the most common injuries worldwide and the number of accidents involving dental injuries continues to rise. While orthodontics already plays a clear evidence-based and guideline-compliant role in the prevention of dental anterior trauma, it is still often underestimated as a therapy option after dental accidents have already occurred.

Case presentation The 12-year-old female patient presented visited the Department of Orthodontics six weeks after a fall on her anterior teeth with a palatal luxation injury to tooth 11 with collapse of the buccal bone lamella. This was treated using a customized multi-bracket appliance with rehabilitation of the dental arch and occlusion.

Conclusion The case was successfully treated using individualized biomechanics. This emphasizes that orthodontics can be an essential component of interdisciplinary treatment after dental trauma and should always be considered.

Schlüsselwörter

dentales Trauma - Frontzahntrauma - Luxation - Biomechanik - Torque

Key words

Dental trauma - individualized torque - biomechanics - luxation - anterior teeth


Publication History

Article published online:
19 June 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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