Einordnung ankylosierter Zähne im digitalen Zeitalter

Zusammenfassung

Ankylosierte Zähne sind eine große Herausforderung im Rahmen einer kieferorthopädischen Behandlung. Neben der Extraktion, der Transplantation, dem konventionellen Einordnungsversuch nach Lockerung, sowie der ossären Distraktion stellt die parodontale Distraktion (PDL-Distraktion) eine sehr effektive Methode zur Einordnung ankylosierter Zähne dar. Auch bei unsicherer langfristiger Prognose von Zähnen mit Defekten kann mittels PDL-Distraktion Knochen sowie Weichgewebe in der oft defizitären Region generiert werden. Neue CAD-CAM-Techniken wie Insertionsguides und Metalldruck mittels Lasersintering optimieren das Verfahren der PDL-Distraktion.

Abstract

Ankylosed teeth are a major challenge in orthodontic treatment. In addition to extraction, transplantation, conventional alignment after tooth loosening, and osseous distraction, periodontal distraction (PDL distraction) is a very effective method for aligning ankylosed teeth. Even when the long-term prognosis of deficient teeth is uncertain, PDL distraction can be used to generate bone as well as soft tissue in the often deficient region. New CAD-CAM techniques such as insertion guides and metal printing by laser sintering optimize the PDL distraction procedure.

Schlüsselwörter

Desmodontale Distraktion - PDL-Distraktion - Ankylose - verlagerte Zähne - Mini-Implantate

Key words

PDL distraction - ankylosis - impacted canines - mini implants

Publication History

Article published online:
07 July 2021

• Literatur

• 1 Ericson S, Kurol J. Radiographic examination of ectopically erupting maxillary canines. Am J Orthod Dentofacial Orthop 1987; 91: 483-492
• 2 Strobl H, Manhartsberger C. [Corrective movement of a palatal impacted canine tooth: methodology and outcome of a combined oral surgery/orthodontic procedure]. Fortschr Kiefer Gesichtschir 1995; 40: 100-103
• 3 Crismani AG, Freudenthaler JW, Weber R. et al. Impacted maxillary canine teeth: conventional radiography and treatment. Schweiz Monatsschr Zahnmed 2000; 110: 1256-1267
• 4 Leifert S, Jonas IE. Dental anomalies as a microsymptom of palatal canine displacement. J Orofac Orthop 2003; 64: 108-120
• 5 Grande T, Stolze A, Goldbecher H. et al. The displaced maxillary canine – a retrospective study. J Orofac Orthop 2006; 67: 441-449
• 6 Grande T, Stolze A, Goldbecher H. Management of an extremely displaced maxillary canine. J Orofac Orthop 2005; 66: 319-325
• 7 Harzer W. Retention von Zähnen: Ätiologie, Diagnostik und Therapie. In: Diedrich P. Praxis der Zahnheilkunde, Bd 12. München-Jena: Urban & Fischer; 2002: 75-99
• 8 Caminiti MF, Sandor GK, Giambattistini C. et al. Outcomes of the surgical exposure, bonding and eruption of 82 impacted maxillary canines. J Can Dent Assoc 1998; 64: 572-574 576-579
• 9 Becker A, Chaushu S. Success rate and duration of orthodontic treatment for adult patients with palatally impacted maxillary canines. Am J Orthod Dentofacial Orthop 2003; 124: 509-514
• 10 Isaacson RJ, Strauss RA, Bridges-Poquis A. et al. Moving an ankylosed central incisor using orthodontics, surgery and distraction osteogenesis. Angle Orthod 2001; 71: 411-418
• 11 Jacobs SG. Ankylosis of permanent teeth: a case report and literature review. Aust Orthod J 1989; 11: 38-44
• 12 Geiger AM, Bronsky MJ. Orthodontic management of ankylosed permanent posterior teeth: a clinical report of three cases. Am J Orthod Dentofacial Orthop 1994; 106: 543-548
• 13 Kurol J. Impacted and ankylosed teeth: why, when, and how to intervene. Am J Orthod Dentofacial Orthop 2006; 129: S86-S90
• 14 Thonner KE. Autotransplantation of impacted maxillary canines. Clinical and histological investigation through 5 years. Tandlakartidningen 1971; 63: 919-924
• 15 Zufia J, Abella F, Gomez-Meda R. et al. Autotransplantation of impacted maxillary canines into surgically modified sockets and orthodontic treatment: a 4-year follow-up case report. Int J Esthet Dent 2020; 15: 196-210
• 16 Berglund L, Kurol J, Kvint S. Orthodontic pre-treatment prior to autotransplantation of palatally impacted maxillary canines: case reports on a new approach. Eur J Orthod 1996; 18: 449-456
• 17 Ilizarov GA, Lediaev VI, Shitin VP. The course of compact bone reparative regeneration in distraction osteosynthesis under different conditions of bone fragment fixation (experimental study). Eksp Khir Anesteziol 1969; 14: 3-12
• 18 Hidding J, Lazar F, Zoller JE. [Initial outcome of vertical distraction osteogenesis of the atrophic alveolar ridge]. Mund Kiefer Gesichtschir 1999; 3: S79-S83
• 19 Huck L, Korbmacher H, Niemeyer K. et al. Distraction osteogenesis of ankylosed front teeth with subsequent orthodontic fine adjustment. J Orofac Orthop 2006; 67: 297-307
• 20 Kofod T, Wurtz V, Melsen B. Treatment of an ankylosed central incisor by single tooth dento-osseous osteotomy and a simple distraction device. Am J Orthod Dentofacial Orthop 2005; 127: 72-80
• 21 Alcan T. A miniature tooth-borne distractor for the alignment of ankylosed teeth. Angle Orthod 2006; 76: 77-83
• 22 Susami T, Matsuzaki M, Ogihara Y. et al. Segmental alveolar distraction for the correction of unilateral open-bite caused by multiple ankylosed teeth: A case report. J Orthod 2006; 33: 153-159
• 23 Iseri H, Kisnisci R, Bzizi N. et al. Rapid canine retraction and orthodontic treatment with dentoalveolar distraction osteogenesis. Am J Orthod Dentofacial Orthop 2005; 127: 533-541 quiz 625
• 24 Liou EJ, Huang CS. Rapid canine retraction through distraction of the periodontal ligament. Am J Orthod Dentofacial Orthop 1998; 114: 372-382
• 25 Sayin S, Bengi AO, Gurton AU. et al. Rapid canine distalization using distraction of the periodontal ligament: a preliminary clinical validation of the original technique. Angle Orthod 2004; 74: 304-315
• 26 Kisnisci RS, Iseri H, Tuz HH. et al. Dentoalveolar distraction osteogenesis for rapid orthodontic canine retraction. J Oral Maxillofac Surg 2002; 60: 389-394
• 27 Bilodeau JE. Nonsurgical treatment with rapid mandibular canine retraction via periodontal ligament distraction in an adult with a Class III malocclusion. Am J Orthod Dentofacial Orthop 2005; 128: 388-396
• 28 Wilmes B, Drescher D. Vertical periodontal ligament distraction – a new method for aligning ankylosed and displaced canines. J Orofac Orthop 2009; 70: 213-223
• 29 Wilmes B, Drescher D. A miniscrew system with interchangeable abutments. J Clin Orthod 2008; 42: 574-580 quiz 595
• 30 Wilmes B, Drescher D. Application and effectiveness of the Beneslider: a device to move molars distally. World J Orthod 2010; 11: 331-340
• 31 Wilmes B, Nienkemper M, Drescher D. Der Beneslider zur Distalisierung im Oberkiefer. Informationen aus Orthodontie & Kieferorthopädie 2013; 45: 42-50
• 32 Willmann JH, Chhatwani S, Drescher D. Blender – Freeware als dentales CAD-Programm. Kieferorthopädie 2018; 32: 161-165
• 33 Graf S, Cornelis MA, Hauber Gameiro G. et al. Computer-aided design and manufacture of hyrax devices: Can we really go digital?. Am J Orthod Dentofacial Orthop 2017; 152: 870-874
• 34 Graf S, Vasudavan S, Wilmes B. CAD-CAM design and 3-dimensional printing of mini-implant retained orthodontic appliances. Am J Orthod Dentofacial Orthop 2018; 154: 877-882
• 35 Chaushu S, Chaushu G, Becker A. The use of panoramic radiographs to localize displaced maxillary canines. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 88: 511-516