Die dentoalveoläre Kompensation: Grundlagen und klinische Bedeutung

Zusammenfassung

Der vorliegende Beitrag bietet einen Überblick über Grundlagen und klinische Bedeutung des dentoalveolären Kompensationsmechanismus, mit dessen Hilfe Zähne und Alveolarbögen an unterschiedliche Lagebeziehungen zwischen Ober- und Unterkiefer angepasst werden. Dabei liegt ein Schwerpunkt auf dem Hintergrund des Mechanismus, einer großen individuellen Variabilität in Hinblick auf das Wachstum beider Kiefer. Die Funktionsweise des Systems wird dargelegt und auf mögliche dahinter stehende Faktoren eingegangen. Ein Zusammenhang mit der Entstehung von Fehlbisslagen wird untersucht und es werden einige Konsequenzen bei der Interpretation kephalometrischer Analyseverfahren und für die kieferorthopädische Behandlungsplanung angesprochen.

Abstract

The present paper aims to survey the background and clinical implications of the dento-alveolar compensatory mechanism by which the teeth and alveolar arches are adapted to the varying jaw relationships. The background, a large individual variability in the growth pattern of the jaws, is presented in some detail. The operation of the system is described, and possible underlying factors outlined. The relation to the development of malocclusion is analysed, and some consequences for the interpretation of cephalometric analysis systems and for orthodontic treatment planning are discussed.

Schlüsselwörter

kephalometrische Analysemethoden - dentoalveoläre Kompensation

Key words

cephalometric analysis systems - dento-alveolar compensation

Literatur

• 1 Bassett C A. A biophysical approach to craniofacial morphogenesis.  Acta Morphol Neerl Scand. 1972;  10 71-86
• 2 Björk A. The face in profile. An anthropological X-ray investigation on Swedish children and conscripts.  Svensk Tandl Tidskr. 1947;  40 (Suppl)
• 3 Björk A. Cranial base development. A follow-up X-ray study of the individual variation in growth occurring between the ages of 12 and 20 years and its relation to brain case and face development.  Am J Orthod. 1955;  41 198-225
• 4 Björk A. Facial growth in man studies with the aid of metal implants.  Acta Odontol Scand. 1955;  13 9-34
• 5 Björk A. The relationship of the jaws in the cranium. In: Lundström A (Hrsg). Introduction in Orthodontics. McGraw-Hill, London 1961; 104-140
• 6 Björk A. Variations in the growth pattern of the human mandible: longitudinal radiographic study by the implant method.  J Dent Res. 1963;  42 400-411
• 7 Björk A. Sutural growth of the upper face studied by the implant method.  Acta Odontol Scand. 1966;  24 109-127
• 8 Björk A. The use of metallic implants in the study of facial growth in children: method and application.  Am J Phys Anthropol. 1968;  29 243-254
• 9 Björk A. Prediction of mandibular growth rotation.  Am J Orthod. 1969;  55 585-599
• 10 Björk A. Kaebernes relation til det ovrige kranium. In: Lundström A (Hrsg). Nordisk Lärobok i Ortodonti. 4th ed., Sveriges Tandläkarförbunds Förlagsförening, Stockholm 1975; 69-110
• 11 Björk A, Palling M. Adolescent age changes in sagittal jaw relation: alveolar prognathy and incisal inclination.  Acta Odontol Scand. 1955;  12 201-232
• 12 Björk A, Skieller V. Facial development and tooth eruption. An implant study at the age of puberty.  Am J Orthod. 1972;  62 339-383
• 13 Björk A, Skieller V. Growth in width of the maxilla studied by the implant method.  Scand J Plast Reconstr Surg. 1974;  8 26-33
• 14 Björk A, Skieller V. Growth in the maxilla in three dimensions as revealed radiographically by the implant method.  Br J Orthod. 1977;  4 53-64
• 15 Enlow D H. Handbook of Facial Growth. Saunders, Philadelphia 1975
• 16 Forsberg C M. Facial morphology and ageing: a longitudinal cephalometric investigation of young adults.  Eur J Orthod. 1979;  1 15-23
• 17 Hasund A. Klinische Kephalometrie für die Bergen-Technik. Universität Bergen, Bergen 1973
• 18 Hasund A, Ulstein G. The position of the incisors in relation to the lines NA and NB in different facial types.  Am J Orthod. 1970;  57 1-14
• 19 Helm S, Prydsø U. Prevalence of malocclusion in medieval and modern Danes contrasted.  Scand J Dent Res. 1979;  87 91-97
• 20 Houston W JB. The current status of facial growth prediction: a review.  Br J Orthod. 1979;  6 11-17
• 21 Isaacson R J, Zapfel R J, Worms F W, Erdman A G. Effects of rotational jaw growth on the occlusion and profile.  Am J Orthod. 1977;  72 276-286
• 22 Lager H. The individual growth pattern and stage of maturation as a basis for treatment of distal occlusion with overjet.  Rep Congr Eur Orthod Soc. 1967;  137-145
• 23 Melsen B. The cranial base. The postnatal development of the cranial base studied histologically on human autopsy material.  Acta Odontol Scand. 1974;  32 (Suppl 62)
• 24 Poole D FG, Stack M V. (Hrsg) .The Eruption and Occlusion of the Teeth. Colston Papers Nr. 27. Butterworths, London 1976
• 25 Proffit W R. Equilibrium theory revisited: factors influencing position of the teeth.  Angle Orthod. 1978;  48 175-186
• 26 Ricketts R M. Planning treatment on the basis of the facial pattern and an estimate of growth.  Angle Orthod. 1957;  27 14-37
• 27 Ricketts R M. The value of cephalometrics and computerized technology.  Angle Orthod. 1972;  42 179-199
• 28 Rix E. Deglutition and the teeth.  Dent Rec. 1946;  103-108
• 29 Roche A F, Lewis A B. Sex differences in the elongation of the cranial base during pubescence.  Angle Orthod. 1974;  44 279-294
• 30 Roche A F, Lewis A B. Late growth changes in the cranial base. In: Bosma JF (Hrsg). Symposium on Development of the Basicranium. DHEW Publ. No. (NIH) 76-989, Bethesda MD 1976; 221-239
• 31 Sarnäs K V, Solow B. Early adult changes in the skeletal and soft-tissue profile.  Eur J Orthod. 1980;  2 1-12
• 32 Skieller V. Cephalometric growth analysis in treatment of overbite.  Rep Congr Eur Orthod Soc. 1967;  147-157
• 33 Solow B. The pattern of craniofacial association. A morphological and methodological correlation and factor analysis study on young male adults.  Acta Odont Scand. 1966;  24 (Suppl 46)
• 34 Solow B. Computers in cephalometric research.  Comput Biol Med. 1970;  1 41-49
• 35 Solow B. Graphical simulation of craniofacial growth.  Trans Eur Soc Orthod. 1973;  516-521
• 36 Solow B, Tallgren A. Head posture and craniofacial morphology.  Am J Phys Anthropol. 1976;  44 417-435
• 37 Solow B, Greve E. Craniocervical angulation and nasal respiratory resistance. In: McNamara JA (Hrsg). Naso-respiratory Function and Craniofacial Growth. Craniofacial Growth Series 9. Center for Human Growth and Development, University of Michigan, Ann Arbor 1979; 87-119
• 38 Steiner C. Cephalometrics in clinical practice.  Angle Orthod. 1959;  29 8-29
• 39 Thilander B, Ingervall B. The human spheno-occipital synchondrosis. II. A histological and microradiographic study of its growth.  Acta Odontol Scand. 1973;  31 323-334
• 40 Weinstein S, Haack D C, Morris L Y, Snyder B B, Attaway H E. On an equilibrium theory of tooth position.  Angle Orthod. 1963;  33 1-26
• 41 Worms F W, Isaacson R J, Speidel T M. Surgical orthodontic treatment planning: profile analysis and mandibular surgery.  Angle Orthod. 1976;  46 1-25