Informationen aus Orthodontie & Kieferorthopädie 2018; 50(02): 143-152
DOI: 10.1055/a-0639-4595
Fallbericht
© Georg Thieme Verlag KG Stuttgart · New York

Piezocisionen mit simultanen Augmentationen zur Unterstützung der Engstandauflösung in der Unterkieferfront – Fallbericht

Piezocisions With Simultaneous Augmentions Supporting Decrowding in the Lower Anterior Region – Case Report
Elisabeth Harrer-Bantleon
1   Klinische Abteilung für Orale Chirurgie und Kieferorthopädie, Universitätsklinik für Zahnmedizin und Mundgesundheit, Graz, Österreich
,
Norbert Jakse
1   Klinische Abteilung für Orale Chirurgie und Kieferorthopädie, Universitätsklinik für Zahnmedizin und Mundgesundheit, Graz, Österreich
,
Hans-Peter Bantleon
2   Fachbereich Kieferorthopädie, Wien, Universitätszahnklinik Wien, Österreich
› Author Affiliations
Further Information

Publication History

Publication Date:
13 July 2018 (online)

Zusammenfassung

Anhand von 2 Patientenfällen wird die erfolgreiche chirurgische Unterstützung der kieferorthopädischen Engstandauflösung mittels Piezocisionen und simultaner Augmentationen demonstriert. Dabei sollen die interradikulären Osteotomien die Engstandauflösung erleichtern bzw. beschleunigen und die Augmentationen das Risiko von Rezessionen reduzieren. Trotz einer Ausgangssituation mit sehr schmalem Alveolarfortsatz und ausgeprägter kieferorthopädischer Protrusionsbewegung konnte in beiden Fällen nach Abschluss der Behandlung sowohl klinisch als auch radiologisch im Bereich der Unterkieferfront eine stabile parodontale Situation ohne Zeichen für Rezessionsbildung festgestellt werden.

Abstract

Based on 2 patient cases, successful surgical support of orthodontic crowding correction by means of piezocisions and simultaneous augmentations is demonstrated. In the process, interradicular osteotomies are used to facilitate and/or accelerate decrowding, while augmentations serve to reduce the risk of recession. After treatment completion, a stable periodontal situation with no signs of recession in the mandibular front was clinically and radiologically observable in both patients, despite a very narrow alveolar process and pronounced orthodontic protrusion movement prior to treatment.

 
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