Lösungen für alltägliche Probleme bei der kieferorthopädischen Feineinstellung

Zusammenfassung

Jedem praktisch tätigen Kieferorthopäden ist die Bedeutung einer guten Feineinstellung klar, auch wenn dies nicht durch wissenschaftliche Nachweise gestützt wird. Einige Probleme treten während des Finishings immer wieder auf. Eine unterschiedliche Zahnbogenlänge, die Torqueanpassung am Eckzahn und seitliche Frühkontakte sind dabei die häufigsten Probleme, für die Lösungsmöglichkeiten vorgestellt werden.

Abstract

The importance of good orthodontic finishing, although not supported by scientific evidence, is clear to any clinician. Some problems are recurring in the finishing stage of orthodontic treatment. Arch length discrepancy, canine torque fit, posterior pre-contacts are the most common problems. Possible solutions to these problems are presented.

Schlüsselwörter

kieferorthopädische Feineinstellung/Finishing

Key words

orthodontic finishing

• Literatur

• 1 Shiau YY, Syu JZ. Effect of working side interferences on mandibular movement in bruxers and non-bruxers. J Oral Rehabil 1995; 22: 145-151
• 2 Tunjan L, Schneider HG. Mode and frequency of artificially produced occlusal interferences. Stomatol DDR 1989; 39: 95-99
• 3 Kloprogge MJ, van Griethuysen AM. Disturbances in the contraction and co-ordination pattern of the masticatory muscles due to dental restorations: an electromyographic study. J Oral Rehabil 1976; 3: 207-216
• 4 Christensen LV, Rassouli NM. Experimental occlusal interferences. Part I: a review. J Oral Rehabil 1995; 22: 515-520
• 5 Belser UC, Hannam AG. The influence of altered working-side occlusal guidance on masticatory muscles and related jaw movement. J Prosthetic Dent 1985; 53: 406-413
• 6 Vallon D, Ekberg EC, Nilner M. et al. Short-term effect of occlusal adjustment on craniomandibular disorders including headaches. Acta Odontol Scand 1991; 49: 89-96
• 7 Watanabe EK, Yatani H, Kuboki T. et al. The relationship between signs and symptoms of temporomandibular disorders and bilateral occlusal contact patterns during lateral excursions. J Oral Rehabil 1998; 25: 409-415
• 8 Wassell RW. Do occlusal factors play a part in temporomandibular dysfunction?. J Dent 1989; 17: 101-110
• 9 Okeson JP. Management of Temporomandibular Disorders and Occlusion. 5^th ed St Louis, CV Mosby; 2003
• 10 Henrikson T, Nilner M. Temporomandibular disorders, occlusion and orthodontic treatment. J Orthod 2003; 30: 129-137
• 11 McNamara Jr JA, Seligman DA, Okeson JP. Occlusion, orthodontic treatment and temporomandibular disorders: a review. J Orofac Pain 1995; 9: 73-90
• 12 Pahakala R, Qvarnström M. Can temporomandibular dysfunction signs be predicted by early morphological or functional variables?. Eur J Orthod 2004; 26: 367-373
• 13 Tahir E, Sadowsky C, Schneider BJ. An assessment of treatment outcome in American Board of Orthodontic cases. Am J Orthod Dentofacial Orthop 1997; 111: 335-342
• 14 Roth RH. Functional occlusion for the orthodontist. J Clin Orthod 1981; 15: 32-40 44 - 51
• 15 Andrews LF. The six keys to normal occlusion. Am J Orthod 1972; 62: 296-309
• 16 Andrews LF. Straight wire - the concept and the appliance. In Valleau J, Olfe JT. eds Straight Wire. LA Wells; San Diego CA: 1989: 32-33
• 17 McLaughlin RP, Bennet JC. Finishing with the preadjusted orthodontic appliance. Semin Orthod 2003; 9: 165-183
• 18 Williamson EH. Occlusion - understanding or misunderstanding. Angle Orthod 1976; 46: 86-93
• 19 Dalstra M, Eriksen H, Bergamini C. et al. Actual versus theoretical torsional play in conventional and self-ligating bracket systems. J Orthod 2015; 42: 103-113
• 20 Burstone CJ, Koenig HA. Force system from an ideal arch. Am J Orthod 1974; 65: 270-289