Skelettale Verankerung und CAD/CAM – die perfekte Kombination

Zusammenfassung

Gerade bei der Behandlung komplexer Fälle mit Asymmetrien, Vorwanderungen oder bei Lückenschlussaufgaben ist die Planung der Verankerung essentiell für eine vorhersagbar erfolgreiche Therapie. Neben den bekannten intra- und extraoralen Verankerungsmethoden nimmt die skelettale Verankerung einen mittlerweile unverzichtbaren Platz ein.

Zur Schonung anatomischer Strukturen und präzisen Planung der Biomechanik ist eine geneau Positionierung der Schrauben wichtig. In einem modernen Behandlungskonzept kann sowohl die Planung, Insertion als auch Fertigung in einem vollständig digitalen Workflow umgesetzt werden. Anhand von Behandlungsbeispielen wird im Folgenden das Vorgehen detailliert erläutert und um praktische Hinweise für die klinische Umsetzung ergänzt.

Abstract

Especially in the treatment of complex cases with asymmetries, pre-migrations or gap closure tasks, planning the anchorage is essential for a predictably successful therapy. In addition to the well-known intraoral and extraoral anchoring methods, skeletal anchoring has become indispensable.

Accurate positioning of the screws is important to protect anatomical structures and precisely plan the biomechanics. In a modern treatment concept, planning, insertion and fabrication can be realised in a completely digital workflow. The procedure is explained in detail below using treatment examples and supplemented with practical tips for clinical implementation.

Stichwörter

skelettale Verankerung - TAD - Intraoralscan - digitaler Workflow - 3D-Druck

Keywords

skelettal anchorage - TAD - intra oral scan - digital workflow - 3D-prinitng

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