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Informationen aus Orthodontie & Kieferorthopädie 2022; 54(01): 53-61
DOI: 10.1055/a-1717-8416
Fallbericht

Die kieferorthopädische Aufrichtung gekippter Molaren

Orthodontic Molar Uprighting
Hisham Sabbagh
1   Klinikum der Ludwig-Maximilians-Universität München, Poliklinik für Kieferorthopädie
,
Aladin Sabbagh
2   Kieferorthopädische Fachpraxis, Erlangen
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Zusammenfassung

Die kieferorthopädische Aufrichtung gekippter Molaren stellt eine häufige Behandlungsaufgabe dar. Dabei stehen neben funktionellen und präventiven Überlegungen vor allem parodontologische und prothetische Aspekte bei der Therapieplanung im Vordergrund. In der Literatur sind eine Vielzahl von Mechaniken und Methoden zur kieferorthopädischen Molarenaufrichtung beschrieben. Dabei erweitert der Einsatz von Mini-Implantaten heute das Spektrum der Verankerungsmöglichkeiten. Für die Auswahl einer geeigneten Mechanik sind die individuelle Ausgangsituation, das für die Therapieziele benötigte Kräftesystem und die Verankerung zu berücksichtigen. Im vorliegenden Artikel soll neben differentialtherapeutischen Überlegungen zu ausgewählten Mechaniken die Klinik der Molarenaufrichtung anhand von Fallbeispielen dargestellt werden.

Abstract

Orthodontic molar uprighting is a frequent treatment task. In addition to functional and preventive considerations, periodontal and prosthetic aspects are the main focus of treatment planning. A variety of mechanics and methods for orthodontic molar uprighting have been described in the literature. Today, the use of temporary skeletal anchorage devices expands the spectrum of anchorage options. For the selection of the appropriate mechanics, the individual initial situation, the force system required for the treatment objectives and the anchorage must be taken into account. In addition to differential therapeutic considerations for selected mechanics, this article presents the clinic of molar uprighting using case studies.

Schlüsselwörter

Molarenaufrichtung - gekippte Molaren - Aufrichtefeder - Biomechanik

Key words

molar uprighting - impacted molar - uprighting mechanics - biomechanics


Publication History

Article published online:
29 June 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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