Borderline-Behandlung bei Patienten mit transversalem Defizit

Zusammenfassung

Eine Behandlung transversaler Oberkieferdefizite im Erwachsenenalter mit herkömmlichen Expansionsgeräten ist aufgrund der möglichen parodontalen Schädigung oft schwer durchführbar. Chirurgische Verfahren (SARME=surgically assisted rapid maxillary expansion oder Segment-LeFort-I-Operationen) werden bei abgeschlossenem Wachstum erfolgreich eingesetzt. Einige Patienten lehnen aber eine Operation in Allgemeinnarkose ab. Alternativ gibt es Möglichkeiten auch im Erwachsenenalter mit weniger invasivem Vorgehen eine transversale Oberkieferkorrektur durchzuführen. Dies wird anhand zweier Patientenbeispiele demonstriert.

Abstract

A single treatment of transversal deficits in the upper jaw at the adult age with conventional expansion devices is difficult due to possible periodontal injury. Surgical procedures (SARME=surgically assisted rapid maxillary expansion or multi-segment Fe Fort I surgery) are successfully used when growth is completed. However, some patients reject surgery in general anesthesia. Nevertheless, there are possibilities to perform a transversal upper jaw correction with a less invasive procedure also in the adulthood. This is demonstrated by 2 patient treatment protocols.

Schlüsselwörter

Kreuzbiss - Erwachsenenbehandlung - Expansion - Piezochirurgie - skelettale Verankerung

Key words

cross bite - adult treatment - expansion - piezosurgery - skeletal anchorage

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