Mögliche Formen der Verankerung nach Extraktion eines Molaren zum kontrollierten orthodontischen Lückenschluss

Zusammenfassung

Der Lückenschluss bei Kindern, sowie jugendlichen und erwachsenen Patienten beispielsweise nach Extraktion eines MIH-Molaren bedarf der interdisziplinären Zusammenarbeit im Sinne der gemeinsamen Planung und Umsetzung. Die Diversität der folgenden Kasus bietet verschiedene Therapiemöglichkeiten, um einen Lückenschluss mit adäquater Verankerung durchzuführen. Dieser Artikel soll einen kurzen Überblick über einige kieferorthopädische Verankerungsmöglichkeiten verschaffen, die zum effektiven Lückenschluss dienen.

Abstract

To successfully plan and execute orthodontic dental gap closure procedures in children, adolescent and adult patients, e. g. after extraction of the first molar an interdisciplinary approach is essential. The following cases offer a variety of treatment options for dental gap closures with adequate anchorage. This article gives a small overview of available orthodontic tools and their use in the treatment of dental gap closures.

Schlüsselwörter

kieferorthopädische Verankerung - Molarenextraktion - Lückenschluss

Keywords

orthodontic anchorage - molar extraction - gap closure

Publication History

Article published online:
09 August 2022

• Literatur

• 1 Steffen R, Krämer N, Bekes K. The Würzburg MIH concept: the MIH treatment need index (MIH TNI): A new index to assess and plan treatment in patients with molar incisior hypomineralisation (MIH). European Archives of Paediatric Dentistry 2017; 18: 355-361
• 2 Bekes et al. 2016. Das Würzburger MIH-Konzept: Teil 2. Der Therapieplan. Oralprophylaxe & Kinderzahnheilkunde 2016; 38: 171–175. 10.3238/OPKZH.2016.0171
• 3 Huang LH, Shotwell JL, Wang HL. Dental implants for orthodontic anchorage. American Journal of Orthodontics and Dentofacial Orthopedics 2005; 127: 713-722
• 4 Malhotra A, Mangla R, Dua VS. et al. A clinical comparative study using anchorage from mini-implants and conventional anchorage methods to retract anterior teeth. Journal of family medicine and primary care 2021; 10: 468-474
• 5 Becker K, Pliska A, Busch C. et al. Efficacy of orthodontic mini implants for en masse retraction in the maxilla: a systematic review and meta-analysis. International Journal of Implant Dentistry 2018; 4
• 6 Wilmes B, Vasudavan S, Drescher D. Maxillary molar mesialization with the use of palatal mini-implants for direct anchorage in an adolescent patient. American Journal of Orthodontics and Dentofacial Orthopedics 2019; 155: 725-732
• 7 Wilmes B, Nanda R, Nienkemper M. et al. Correction of upper-arch asymmetries using the Mesial-Distalslider. Journal of clinical orthodontics : JCO 2013; 47: 648-655
• 8 Sander FG, Schwenzer N, Crismani A. et al. eds. Vom Gaumenimplantat zu Miniplatten und Minischrauben. In: Kieferorthopädie. Stuttgart: Georg Thieme Verlag; 2011: 359
• 9 Findik Y, Baykul T, Esenlik E. et al. Surgical difficulties, success, and complication rates of orthodontic miniplate anchorage systems: Experience with 382 miniplates. Nigerian Journal of Clinical Practice 2017; 20: 512-516
• 10 de Clerck EEB, Swennen GRJ. Success rate of miniplate anchorage for bone anchored maxillary protraction. Angle Orthodontist 2011; 81: 1010-1013
• 11 Metzner R, Schwestka-Polly R, Helms HJ. et al. Comparison of anchorage reinforcement with temporary anchorage devices or a Herbst appliance during lingual orthodontic protraction of mandibular molars without maxillary counterbalance extraction. Head and Face Medicine 2015; 11: 1-9
• 12 Karbach M, Zöller C, Zöller G. et al. The Herbst appliance and its modifications – prevalence and individuality. Head and Face Medicine 2021; 17: 1-7
• 13 Klang E, Beyling F, Knösel M. et al. Quality of occlusal outcome following space closure in cases of lower second premolar aplasia using lingual orthodontic molar mesialization without maxillary counterbalancing extraction. Head and Face Medicine 2018; 14: 1-11
• 14 Steffen R, Krämer N, Bekes K. The Würzburg MIH concept: the MIH treatment need index (MIH TNI): A new index to assess and plan treatment in patients with molar incisior hypomineralisation (MIH). European Archives of Paediatric Dentistry 2017; 18: 355-361
• 15 Elhennawy K, Jost-Brinkmann PG, Manton DJ. et al. Managing molars with severe molar-incisor hypomineralization: A cost-effectiveness analysis within German healthcare. Journal of Dentistry 2017; 63: 65-71
• 16 Jälevik B, Möller M. Evaluation of spontaneous space closure and development of permanent dentition after extraction of hypomineralized permanent first molars. International Journal of Paediatric Dentistry 2007; 17: 328-335
• 17 Patel S, Ashley P, Noar J. Radiographic prognostic factors determining spontaneous space closure after loss of the permanent first molar. American Journal of Orthodontics and Dentofacial Orthopedics 2017; 151: 718-726
• 18 Ciftci V, Guney AU, Deveci C. et al. Spontaneous space closure following the extraction of the first permanent mandibular molar. Nigerian journal of clinical practice 2021; 24: 1450-1456
• 19 Elhussein M, Jamal H. Molar Incisor Hypomineralisation-To Extract or to Restore beyond the Optimal Age?. Basel; Switzerland: 2020: 7
• 20 Sander FG, Schwenzer N, Crismani A. et al. eds. Die Verankerung in der Kieferorthopädie. In: Kieferorthopädie. Stuttgart: Georg Thieme Verlag; 2011. 348.
• 21 Stocker B, Willmann JH, Wilmes B. et al. Wear-time recording during early Class III facemask treatment using TheraMon chip technology. American journal of orthodontics and dentofacial orthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 2016; 150: 533-540
• 22 Jacobs C, Jacobs-Müller C, Luley C. et al. Orthodontic space closure after first molar extraction without skeletal anchorage. Journal of orofacial orthopedics=Fortschritte der Kieferorthopadie: Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie 2011; 72: 51-60
• 23 Pancherz H. Treatment of class II malocclusions by jumping the bite with the Herbst appliance. A cephalometric investigation. American journal of orthodontics 1979; 76: 423-442
• 24 Roberts WE, Marshall KJ, Mozsary PG. Rigid endosseous implant utilized as anchorage to protract molars and close an atrophic extraction site. Angle Orthodontist 1990; 60: 135-152
• 25 Roberts WE, Arbuckle GR, Analoui M. Rate of mesial translation of mandibular molars using implant-anchored mechanics. Angle Orthodontist 1996; 66: 331-338
• 26 Wehrbein H, Glatzmaier J, Mundwiller U. et al. The Orthosystem–a new implant system for orthodontic anchorage in the palate. Journal of orofacial orthopedics=Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie 1996; 57: 142-153
• 27 Sander FG, Schwenzer N, Crismani A. et al. eds. Temporäre skelettale Verankerungselemente. In: Kieferorthopädie. Stuttgart: Georg Thieme Verlag; 2011: 350
• 28 Krieger E, Yildizhan Z, Wehrbein H. One palatal implant for skeletal anchorage – frequency and range of indications. Head and Face Medicine 2015; 11: 1-5
• 29 Ludwig B, Glasl B, Kinzinger GSM. et al. Anatomical guidelines for miniscrew insertion: Vestibular interradicular sites. Journal of clinical orthodontics: JCO 2011; 45: 165-173
• 30 Choi B-H, Zhu S-J, Kim Y-H. A clinical evaluation of titanium miniplates as anchors for orthodontic treatment. American journal of orthodontics and dentofacial orthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 2005; 128: 382-384
• 31 Cornelis MA, Scheffler NR, Mahy P. et al. Modified miniplates for temporary skeletal anchorage in orthodontics: placement and removal surgeries. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons 2008; 66: 1439-1445