Informationen aus Orthodontie & Kieferorthopädie 2020; 52(04): 289-300
DOI: 10.1055/a-1241-9967
Übersichtsartikel

Der digitale Workflow in der In-Office-Alignertherapie

Digital Workflow of In-Office Treatment with Aligners
Werner Schupp
1   Praxis für Kieferorthopädie, Dres. Schupp/Haubrich, Köln
,
Julia Funke
2   Klinik für Kieferorthopädie, Universität Freiburg
,
Julia Haubrich
1   Praxis für Kieferorthopädie, Dres. Schupp/Haubrich, Köln
› Author Affiliations

Zusammenfassung

Die Alignertherapie hat sich im Zuge der Digitalisierung in den vergangenen 20 Jahren zunehmend als nicht mehr wegzudenkende Behandlungsalternative in der Kieferorthopädie etabliert. Das Indikationsspektrum hat sich mit steigender Erfahrung und besserem Verständnis der Biomechanik vom Auflösen geringer Engstände und Schließen von Lücken zu komplexeren Fällen erweitert. Die Weiterentwicklung von kieferorthopädischer Computersoftware in Bezug auf die Verarbeitung von 3D-Daten macht es möglich, dass der Behandler heute entscheiden kann, ob der Workflow gänzlich in der Praxis bzw. im Eigenlabor stattfinden soll, oder ob Teile der Behandlungsplanung und Alignerherstellung an externe Dienstleister outgesourct werden.

Der digitale Workflow für die In-House-Alignertherapie mithilfe der OnyxCeph³™ Software wird skizziert und an einem Beispiel verdeutlicht.

Abstract

In the course of digitization, aligner therapy has increasingly established itself as an indispensable alternative in orthodontics in the past 20 years. With increasing experience and a better understanding of biomechanics, the range of indications has advanced from mild crowding and spacing to more complex cases. The further development of orthodontic computer software with regard to the processing of 3D data makes it possible for the dentist to decide today whether the workflow should take place entirely in the practice or in the in-house laboratory, or whether parts of the treatment planning and aligner manufacturing are outsourced to external service providers.

The digital workflow for in-house aligner therapy using the OnyxCeph³™ software is outlined and illustrated using an example.



Publication History

Article published online:
02 December 2020

© 2020. Thieme. All rights reserved.

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  • Literatur

  • 1 Schupp W, Haubrich J. eds Aligner Orthodontics. Berlin:
  • 2 Xie X. et al. Clinical evaluation of the tooth movement in aligner orthodontic treatment with and without acceleration devices: Part 1. JAO 2018; 2: 171-182
  • 3 Mendoza BS, Martín GH, Jiménez CC. Finishing with clear aligner appliances: a systematic review. JAO 2018; 2: 171-182
  • 4 Piergentili M. et al. Pain and discomfort associated with labial multibracket appliances vs. clear aligners. JAO 2019; 3: 205-212
  • 5 Haubrich J, Schupp W. Invisalign treatment in early years to avoid potential extraction treatments – case reports. JAO 2018; 2: 39-52
  • 6 Castroflorio T. et al., Case reports on mandibular advancement with clear aligners in growing subjects. JAO 2018; 2: 125-139
  • 7 Blanck-Lubarsch M, Ehmer A, Ehmer U. Orofacial orthopaedics: background and possibility of combination with aligners. Part 1. JAO 2020; 4: 23-31
  • 8 Kravitz ND. et al. How well does Invisalign work? A prospective clinical study evaluating the efficacy of tooth movement with Invisalign. Am J Orthod Dentofacial Orthop 2009; 135: 27-35
  • 9 Krieger E. et al. Invisalign(R) treatment in the anterior region: were the predicted tooth movements achieved?. J Orofac Orthop 2012; 73: 365-376.
  • 10 Ramis MDM. et al. Evaluation of Invisalign treatment using the Peer Assessment Rating (PAR) index. JAO 2018; 2: 13-19
  • 11 Rossini G. et al. Controlling orthodontic tooth movement with clear aligners. An updated systematic review regarding efficacy and efficiency. JAO 2017; 1: 7-20
  • 12 Patzelt SB. et al. Accuracy of full-arch scans using intraoral scanners. Clin Oral Investig, 2014; 18: 1687-1694
  • 13 Boyd RL, Miller RJ, Vlaskalic V. The Invisalign System in Adult Orthodontics: Mild Crowding and Space Closure Cases. JCO 2000; 34: 203-212
  • 14 Elkholy F, Lapatki B. Recommendation of a novel film-thickness sequence, 0.4, 0.5 and 0.75 mm, for aligner systems. JAO 2018; 2: 295-304
  • 15 Simon M. et al., Treatment outcome and efficacy of an aligner technique-regarding incisor torque, premolar derotation and molar distalization. BMC Oral Health 2014; 14: 68
  • 16 Rossini G. et al., Efficacy of clear aligners in controlling orthodontic tooth movement: A systematic review.. Angle Orthod.
  • 17 Krey K. et al. Complete digital in office workflow for aligner treatment with a fused filament fabrication (FFF) 3D printer: Technical considerations and report of cases.
  • 18 Ahmad I, Al-Harbi F. Eds 3D Printing in Dentistry 2019/2020. ; Berlin:
  • 19 Krey K. et al. Behaviour of monolayer and multilayer foils in the aligner thermoforming process. JAO 2019; 3: 139-145
  • 20 Gao L, Wichelhaus A. Forces and moments delivered by the PET-G aligner to a maxillary central incisor for palatal tipping and intrusion. Angle Orthod 2017; 87: 534-541