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Informationen aus Orthodontie & Kieferorthopädie 2020; 52(03): 169-186
DOI: 10.1055/a-1200-5947
Übersichtsartikel

Behandlung von Klasse-II-Malokklusionen von Extraktion bis Distalisation

Class II Malocclusion Treatment Protocols – From Extraction to Distalization
Dirk Kujat
1   Kieferorthopädische Fachpraxis, Groß-Gerau
,
Sinan Hamadeh
2   Kieferorthopädische Fachpraxis, Hennef
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Zusmmenfassung

Für eine langfristig erfolgreiche Korrektur von Klasse-II-Malokklusionen stehen heute zahlreiche Therapieoptionen zur Verfügung. Ihre Wahl ist von einigen patientenspezifischen Faktoren wie der Kooperationsbereitschaft, der für die Behandlung verfügbaren Zeit und den finanziellen Rahmenbedingungen, aber auch von der Erfahrung und Ausbildung des behandelnden Kieferorthopäden abhängig. Die im Folgenden vorgestellten Behandlungstechniken und klinischen Vorgehensweisen sollen dazu einladen, das eigene Repertoire an Behandlungstechniken zu erweitern und die Therapieoption in Zukunft stärker indikations- und bedürfnisorientiert zu wählen.

Abstract

For the correction of Class II malocclusions that are successful in the long term, several treatment options are nowadays available. Factors that have an impact on the selection of the most appropriate option include patient-specific conditions such as compliance, the time available for treatment and the financial framework, but also operator-specific facts influenced by the experience and educational background of the orthodontist. The treatment techniques and clinical protocols demonstrated in the following article shall serve as impetus for readers to expand their own repertoire of treatment options and to start selecting them with a stronger focus on the indication and patient-specific demands.

Schlüsselwörter

Klasse-II-Malokklusion - Klasse-II-Apparatur - Distalisationsapparatur - Extraktionstherapie - Unterkiefer-Vorverlagerung

Key Words

Class II malocclusion - Class II device - molar distalization device - extraction treatment - mandibular advancement


Publication History

Article published online:
11 September 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 

  • Literatur

  • 1 Alhammadi MS, Halboub E, Fayed MS. et al. Global distribution of malocclusion traits: A systematic review. Dental Press J Orthod 2018; 23: 40.e1-40.e10. DOI: 10.1590/2177-6709.23.6.40.e1-10.onl. Erratum in: Dental Press J Orthod 2019; 24:113
    CrossrefPubMedGoogle Scholar
  • 2 McNamara JA. Component of Class II Malocclusion in Children 8-10 Years of Age. The Angle orthodontist 1981; 51: 177-202
    PubMedGoogle Scholar
  • 3 Sassouni V. A classification of skeletal facial types. Am J Orthod 1969; 55: 109-123
    CrossrefPubMedGoogle Scholar
  • 4 Sassouni V, Nanda S. Analysis of dentofacial vertical proportions. Am J Orthod 1964; 50: 801-23
    CrossrefPubMedGoogle Scholar
  • 5 Moyers RE, Riolo ML, Guire KE. et al. Differential diagnosis of class II malocclusions. Part 1. Facial types associated with class II malocclusions. Am J Orthod 1980; 78: 477-494
    CrossrefPubMedGoogle Scholar
  • 6 Pancherz H, Zieber K, Hoyer B. Cephalometric characteristics of Class II division 1 and Class II division 2 malocclusions: a comparative study in children. Angle Orthod 1997; 67: 111-120
    PubMedGoogle Scholar
  • 7 Thiruvenkatachari B, Harrison J, Worthington H. et al. Early orthodontic treatment for Class II malocclusion reduces the chance of incisal trauma: Results of a Cochrane systematic review. Am J Orthod Dentofacial Orthop 2015; 148: 47-59. DOI: 10.1016/j.ajodo.2015.01.030.
    CrossrefPubMedGoogle Scholar
  • 8 Koroluk LD, Tulloch JF, Phillips C. Incisor trauma and early treatment for Class II Division 1 malocclusion. Am J Orthod Dentofacial Orthop 2003; 123: 117-125, discussion; 125–126
    CrossrefPubMedGoogle Scholar
  • 9 Janson G, Sathler R, Fernandes TM. et al. Correction of Class II malocclusion with Class II elastics: a systematic review. Am J Orthod Dentofacial Orthop 2013; 143: 383-392. DOI: 10.1016/j.ajodo.2012.10.015.
    CrossrefPubMedGoogle Scholar
  • 10 Yin K, Han E, Guo J. et al. Evaluating the treatment effectiveness and efficiency of Carriere Distalizer: a cephalometric and study model comparison of Class II appliances. Prog Orthod 2019; 20: 24
    CrossrefPubMedGoogle Scholar
  • 11 Bennett JC, McLaughlin RB. Kieferorthopädisches Management mit der vorprogrammierten Apparatur: Planung und Durchführung in Fallbeispielen. Dt. Ärzte Verlag. 3-5 1998
    PubMedGoogle Scholar
  • 12 Galan-Lopez L, Barcia-Gonzalez J, Plasencia E. A systematic review of the accuracy and efficiency of dental movements with Invisalign® . Korean J Orthod 2019; 49: 140-149
    CrossrefPubMedGoogle Scholar
  • 13 Behrents RG. Iatrogenic problems associated with the clinical practice of orthodontics. In: McNamara JA Jr, Trotman C Orthodontic treatment: The management of unfavorable sequelae. Craniofacial Growth Series 31. Ann Arbor, Mich: Center for Human Growth and Development, The University of Michigan.. 1996: 1-28
    PubMedGoogle Scholar
  • 14 Proffit WR, Fields HW. Sarver DM. Contemporary Orthodontics. St Louis: Mosby/ Elsevier; 2006
    Google Scholar
  • 15 Ludwig BGT, Bowman J, Wilmes B. et al. Anatomical Guidelines for Miniscrew Insertion: Palatal Sites. J Clin Orthod 2011; 45: 433-441
    PubMedGoogle Scholar
  • 16 Kim HJ. et al. Soft-tissue and cortical-bone thickness at orthodontic implant sites. Am J Orthod Dentofacial Orthop 2006; 130: 177-182
    CrossrefPubMedGoogle Scholar
  • 17 Wehrbein H, Glatzmaier J, Mundwiller U. et al. The Orthosystem: a new implant system for orthodontic anchorage in the palate. J Orofac Orthop 1996; 57: 142-153
    CrossrefPubMedGoogle Scholar
  • 18 Tinsley D, O'Dwyer JJ, Benson PE. et al. Orthodontic palatal implants: clinical technique. J Orthod 2004; 31: 3-8
    CrossrefPubMedGoogle Scholar
  • 19 Wilmes B, Drescher D. A miniscrew system with interchangeable abutments. J Clin Orthod 2008; 42: 574-580. quiz 595
    PubMedGoogle Scholar
  • 20 Winsauer H, Winsauer C, Vlachojannis JE. Das TopJet-Konzept. In: Baxmann M, Hrsg Festsitzende Apparaturen zur Klasse-II-Therapie. Quintessenz, Berlin, S. 2012: 271-283
    Google Scholar