Zusammenfassung
Für den Ersatz kongenital fehlender lateraler Schneidezähne existieren drei Behandlungsansätze.
Dazu gehören die Substitution durch einen Eckzahn, die zahngestützte Restauration
und die Platzierung eines Einzelzahnimplantats. Die Auswahl des geeigneten Verfahrens
hängt von mehreren Faktoren ab, wie der Art der Malokklusion, dem Verhältnis des Überbisses / Overjets,
dem jeweiligen Platzangebot und dem Zustand der Nachbarzähne. Als ideal gilt grundsätzlich
ein möglichst konservatives Vorgehen, um die individuellen ästhetischen und funktionellen
Bedürfnisse zu befriedigen. Gegenstand dieses Artikels sind die interdisziplinären
Aspekte, die bei der Planung der kieferorthopädischen und restaurativen Behandlung
bei Patienten mit fehlenden seitlichen Schneidezähnen eine Rolle spielen. Außerdem
wird auf die Bedeutung eines interdisziplinären Therapieansatzes eingegangen, um ein
möglichst gutes und langfristiges ästhetisches Ergebnis zu erzielen.
Abstract
Three treatment options exist for the replacement of congenitally missing lateral
incisors. They include canine substitution, a tooth-supported restoration, and a
single-tooth implant. Selecting the appropriate treatment option depends on several
factors including type of malocclusion, overbite / overjet relationship, specific
space requirements, and condition of the adjacent teeth. The ideal treatment is typically
the most conservative option that satisfies individual esthetic and functional requirements.
This article closely examines many interdisciplinary issues that arise when planning
the orthodontic and restorative treatment for patients with missing lateral incisors.
It also illustrates the importance of an interdisciplinary treatment approach in the
pursuit of optimal esthetics and long-term predictability.
Schlüsselwörter
Nichtanlage seitlicher Schneidezähne - interdisziplinäre Behandlung
Key words
agenesis of lateral incisors - interdisciplinary treatment
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Dr. V. O. Kokich Jr.
1950 South Cedar
Tacoma, WA 98405
Phone: +1 / 2 53 / 6 27 56 88
Fax: +1 / 2 53 / 2 72 67 19
Email: vkokich2@u.washington.edu
