Zusammenfassung
Schraubenverlust und Verankerungsverlust sind in der Privatpraxis wichtige Kriterien
für die Wahl des skelettalen Verankerungssystems. Mithilfe von Daten aus der Praxis
und der Literatur soll dem Anwender die Entscheidung, Minischraube oder Gaumenimplantat
erleichtert werden. Je größer die Misserfolge und die unerwarteten Probleme, die
ein System mit sich bringt, desto länger die Behandlung und desto tiefer sinkt das
Vertrauen des Patienten in den Behandler. Je direkter der Weg zum Ziel, desto besser
ist das Kosten- / Nutzenverhältnis. Die Qualität, Sicherheit, Zuverlässigkeit und
das Handling beeinflussen die Entscheidung für ein Verankerungssystem. Lohnen sich
die Mehrkosten und der externe chirurgische Eingriff, das Gaumenimplantat den Minischrauben
in bestimmten Situationen vorzuziehen?
Abstract
In private practice, minimizing implant failure and loss of anchorage are basic criteria
in choosing a skeletal anchorage system. The choice between using a mini-screw or
palatal implant can be simplified with the help of information from clinical practice
and the professional, scientific literature. The more complete, the greater the potential
scope of failure and subsequent problems that can occur with any (skeletal anchorage)
system, the greater the potential increase in treatment time, and the greater the
patient's possible loss of trust in the practitioner. The more direct the route to
the treatment goal, the more favorable is the cost / benefit ratio. Quality, safety,
dependability, and ease of use influence the choice of a skeletal anchorage system.
Are there situations when a palatal implant, in spite of the higher costs and surgical
procedure associated with it, is preferable to mini-screws?
Schlüsselwörter
skelettale Verankerung - Gaumenimplantate - Verankerungsverlust - Minischrauben
Key words
skeletal anchorage - palatal implants - loss of anchorage - miniscrews
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Dr. P. Göllner
Fachzahnarzt für Kieferorthopädie (CH)
Spitalgasse 16
3011 Bern
Switzerland
Email: goellner@bluewin.ch
