Borderline Klasse III Therapie mit skelettal verankerter CAD/CAM Apparatur

Zusammenfassung

Bei skelettalen Klasse III Malokklusionen stellt sich häufig die Frage, ob eine konservative oder chirurgische Therapie angezeigt ist – insbesondere bei sogenannten „Borderline“-Fällen. Dieser Artikel beschreibt ein dreisäuliges Behandlungskonzept bestehend aus skelettaler Gaumennahterweiterung mittels CAD/CAM (Computer Aided Design/Computer Aided Manufacturing) gefertigtem Expander, temporären Verankerungsschrauben (TADs) und skelettal verankerten Klasse III-Elastics. Anhand zweier klinischer Fälle wird demonstriert, wie diese kombinierte Herangehensweise zu einer Verbesserung der sagittalen und transversalen Kieferrelation führen kann. Die dentofaziale Veränderung verbessert dabei Ästhetik und Funktion nachhaltig.

Abstract

In skeletal Class III malocclusions, there is often a debate about whether conservative or surgical treatment is necessary, particularly in “borderline” cases. This article outlines a three-column treatment strategy that includes skeletal palatal expansion utilizing CAD/CAM (Computer Aided Design/Computer Aided Manufacturing) fabricated expanders, temporary anchorage devices (TADs), and skeletally attached Class III elastics. Two clinical examples demonstrate how this integrated approach can enhance sagittal and transversal jaw relations. The resulting dentofacial modifications greatly enhance aesthetics and function.

Schlüsselwörter

CAD/CAM - Minischrauben - Digitale Kieferorthopädie - 3D Druck - dentofaziale Orthopädie

Keywords

CAD/CAM - TAD - digital orthodontics - medical 3D printing - dentofacial orthopedics

Publikationsverlauf

Artikel online veröffentlicht:
17. September 2025

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