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Informationen aus Orthodontie & Kieferorthopädie 2006; 38(4): 211-220
DOI: 10.1055/s-2006-955229
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© Georg Thieme Verlag

Interdisziplinäre Behandlungsplanung: Am Anfang steht die Ästhetik

Creating the Interdisciplinary Treatment Plan: Beginning with EstheticsV. G. Kokich1 , F. M. Spear1 , D. P. Mathews1
  • 1Abteilung für Kieferorthopädie, School of Dentistry, University of Washington, USA
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Publication History

Publication Date:
24 January 2007 (online)

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Zusammenfassung

In der Zahnheilkunde ist die Bedeutung der Ästhetik deutlich gestiegen. Früher wurden ästhetische Belange gegenüber funktionellen, strukturellen und biologischen Anforderungen eher vernachlässigt. Eine Behandlung, die nicht mit klaren Vorstellungen über die ästhetischen Auswirkungen der geplanten Maßnahmen auf den Patienten beginnt, kann leicht in einem Desaster enden. Die heutige interdisziplinär orientierte Zahnheilkunde erfordert eine Behandlungsplanung, die von klar definierten ästhetischen Zielsetzungen ausgeht. Man beginnt mit ästhetischen Fragen und bezieht dann nacheinander funktionelle, strukturelle und biologische Belange ein. Auf diese Weise können die unterschiedlichen zahnmedizinischen Disziplinen auf sinnvolle Art und Weise Hand-in-Hand arbeiten und jeden Patienten bestmöglichst versorgen. Und das funktioniert tatsächlich. Wir bezeichnen dies als interdisziplinäre Zahnheilkunde. Der vorliegende Beitrag hat zum Ziel, dem Leser eine systematische Methode vorzustellen, mit deren Hilfe Patienten, die einer interdisziplinären Behandlung bedürfen, beurteilt werden und angemessene Behandlungsplanungen entworfen werden können.

Abstract

Esthetics has become a respectable term in dentistry. In the past, the importance of esthetics was discounted in favor of terms such as function, structure, and biology. But in fact if a treatment plan does not begin with a clear view of its esthetic impact on the patient, then the outcome could be disastrous. In today's interdisciplinary dental world, treatment planning must begin with well-defined esthetic objectives. By beginning with esthetics, and taking into consideration the impact on function, structure, and biology, the clinician will be able to utilize the various disciplines in dentistry to deliver the highest level of dental care to each patient. It really works. We call this interdisciplinary dentistry. The purpose of this article is to provide the reader with a systematic method of evaluating and planning treatment for the multidisciplinary dental patient in a logical, interdisciplinary manner.

Schlüsselwörter

interdisziplinäre Zahnheilkunde

Key words

interdisciplinary dentistry

Literatur

  • 1 Spear F M. My growing involvement in dental study groups.  J Am Coll Dent. 2002;  69 22-24
    PubMedGoogle Scholar
  • 2 Vig R G, Brundo G C. The kinetics of anterior tooth display.  J Prosthet Dent. 1978;  39 502-504
    PubMedGoogle Scholar
  • 3 Ackerman M B, Brensinger C, Landis J R. An evaluation of dynamic lip-tooth characteristics during speech and smile in adolescents.  Angle Orthod. 2004;  74 43-50
    PubMedGoogle Scholar
  • 4 Spear F, Kokich V G, Mathews D. An interdisciplinary case report.  Esthet Interdisc Dent. 2005;  1 12-18
    PubMedGoogle Scholar
  • 5 Lopez-Gavito G, Wallen T R, Little R M, Joondeph D R. Anterior open-bite malocclusion: a longitudinal 10-year postretention evaluation of orthodontically treated patients.  Am J Orthod. 1985;  87 175-186
    CrossrefPubMedGoogle Scholar
  • 6 De Mol van Otterloo J J, Tuinzing D B, Kostense P. Inferior positioning of the maxilla by a Le Fort I osteotomy: a review of 25 patients with vertical maxillary deficiency.  J Craniomaxillofac Surg. 1996;  24 69-77
    PubMedGoogle Scholar
  • 7 Major P W, Philippson G E, Glover K E, Grace M G. Stability of maxilla downgrafting after rigid or wire fixation.  J Oral Maxillofac Surg. 1996;  54 1287-1291
    CrossrefPubMedGoogle Scholar
  • 8 Costa F, Robiony M, Zerman N, Zorzan E, Politi M. Bone biological plate for stabilization of maxillary inferior repositioning.  Minerva Stomatol. 2005;  54 227-236
    PubMedGoogle Scholar
  • 9 Kokich V G. Maxillary lateral incisor implants: planning with the aid of orthodontics.  J Oral Maxillofac Surg. 2004;  62 (9 Suppl 2) 48-56
    PubMedGoogle Scholar
  • 10 Spear F. Construction and use of a surgical guide for anterior periodontal surgery.  Contemp Esthet Restor Pract. 1999;  4 12-20
    PubMedGoogle Scholar
  • 11 Kokich V G. Esthetics and anterior tooth position: an orthodontic perspective Part II: Vertical position.  J Esthet Dent. 1993;  5 174-178
    CrossrefPubMedGoogle Scholar
  • 12 Nanda R. Correction of deep overbite in adults.  Dent Clin North Am. 1997;  41 67-87
    PubMedGoogle Scholar
  • 13 Kokich V G, Spear F M, Kokich V O. Maximizing anterior esthetics: an interdisciplinary approach. In: McNamara JA Jr, Kelly KA (eds). Frontiers of Dental and Facial Esthetics. Craniofacial Growth Series 38. Center for Human Growth and Development. The University of Michigan, Ann Arbor 2001
    Google Scholar
  • 14 Beyer J W, Lindauer S J. Evaluation of dental midline position.  Semin Orthod. 1998;  4 146-152
    CrossrefPubMedGoogle Scholar
  • 15 Kokich Jr V O, Kiyak H A, Shapiro P A. Comparing the perception of dentists and lay people to altered dental esthetics.  J Esthet Dent. 1999;  11 311-324
    CrossrefPubMedGoogle Scholar
  • 16 Thomas J L, Hayes C, Zawaideh S. The effect of axial midline angulation on dental esthetics.  Angle Orthod. 2003;  73 359-364
    PubMedGoogle Scholar
  • 17 Kokich V G. Esthetics and anterior tooth position: an orthodontic perspective. Part III: Mediolateral relationships.  J Esthet Dent. 1993;  5 200-207
    CrossrefPubMedGoogle Scholar
  • 18 Spear F M. The esthetic correction of anterior dental mal-alignment: conventional vs. instant (restorative) orthodontics.  J Calif Dent Assoc. 2004;  32 133-141
    PubMedGoogle Scholar
  • 19 Littlefield K. A Review of the Literature of Selected Cephalometric Analyses. University Press, St. Louis 1992
    Google Scholar
  • 20 Rufenacht C. Fundamentals of Esthetics. Quintessence Publishing, Coal Stream, IL 1990
    Google Scholar
  • 21 Denison T F, Kokich V G, Shapiro P A. Stability of maxillary surgery in openbite versus nonopenbite malocclusions.  Angle Orthod. 1989;  59 5-10
    PubMedGoogle Scholar
  • 22 Proffit W R, Bailey L J, Phillips C, Turvey T A. Long-term stability of surgical open-bite correction by Le Fort I osteotomy.  Angle Orthod. 2000;  70 112-117
    PubMedGoogle Scholar
  • 23 Naylor C K. Esthetic treatment planning: the grid analysis system.  J Esthet Restor Dent. 2002;  14 76-84
    PubMedGoogle Scholar
  • 24 van der Geld P A, van Waas M A. The smile line: a literature search.  Ned Tijdschr Tandheelkd. 2003;  110 350-354
    PubMedGoogle Scholar
  • 25 Chiche G, Kokich V, Caudill R. Diagnosis and treatment planning of esthetic problems. In: Chiche GJ, Pinault A (eds). Esthetics of Anterior Fixed Prosthodontics. Quintessence, Chicago 1994; 33-52
    Google Scholar
  • 26 Gillen R J, Schwartz R S, Hilton T J, Evans D B. An analysis of selected normative tooth proportions.  Int J Prosthodont. 1994;  7 410-417
    PubMedGoogle Scholar
  • 27 Sterrett J D, Oliver T, Robinson F, Fortson W, Knaak B, Russell C M. Width/length rations of normal clinical crowns of the maxillary anterior dentition in man.  J Clin Periodontol. 1999;  26 153-157
    CrossrefPubMedGoogle Scholar
  • 28 Wolfart S, Thormann H, Freitag S, Kern M. Assessment of dental appearance following changes in incisor proportions.  Eur J Oral Sci. 2005;  113 159-165
    CrossrefPubMedGoogle Scholar
  • 29 Kokich V G. Esthetics: The orthodontic-periodontic restorative connection.  Semin Orthod. 1996;  2 21-30
    CrossrefPubMedGoogle Scholar
  • 30 Kokich V G, Kokich V O. Orthodontic therapy for the periodontal-restorative patient. In: Rose L, Mealey B, Genco R, Cohen D (eds). Periodontics: Medicine, Surgery, and Implants. 2. rev ed. Mosby-Elsevier, St. Louis, Missouri 2004; 718-744
    Google Scholar
  • 31 Kokich V G. Esthetics and anterior tooth position: an orthodontic perspective Part I: Crown length.  J Esthet Dent. 1993;  5 19-23
    PubMedGoogle Scholar
  • 32 Kokich V G. Esthetics and vertical tooth position: the orthodontic possibilities.  Compend Contin Educ Dent. 1997;  18 1225-1231
    PubMedGoogle Scholar
  • 33 Kokich V G. Managing orthodontic-restorative treatment for the adolescent patient. In: McNamara JA Jr, Brunden W (eds). Orthodontics and Dentofacial Orthopedics. Needham Press Inc., Ann Arbor 2001; 395-422
    Google Scholar
  • 34 Kokich V G, Kokich V O. Interrelationship of orthodontics with periodontics and restorative dentistry. In: Nanda R (ed). Biomechanics and Esthetic Strategies in Clinical Orthodontics. WB Saunders, Philadelphia PA 2005; 348-373
    Google Scholar
  • 35 Kurth J R, Kokich V G. Open gingival embrasures after orthodontic treatment in adults: prevalence and etiology.  Am J Orthod Dentofacial Orthop. 2001;  120 116-123
    CrossrefPubMedGoogle Scholar
  • 36 Spear F. Maintenance of the interdental papilla following anterior tooth removal.  Pract Periodontics Aesthet Dent. 1999;  1 21-28
    PubMedGoogle Scholar
  • 37 Kokich V G, Spear F. Guidelines for treating the orthodontic-restorative patient.  Semin Orthod. 1997;  3 3-20
    CrossrefPubMedGoogle Scholar
  • 38 Emerich-Poplatek K, Sawicki L, Bodal M, Adamowicz-Klepalska B. Forced eruption after crown/root fracture with a simple and aesthetic method using the fractured crown.  Dent Traumatol. 2005;  21 165-169
    CrossrefPubMedGoogle Scholar
  • 39 Koyuturk A E, Malkoc S. Orthodontic extrusion of subgingivally fractured incisor before restoration. A case report: 3-years follow-up.  Dent Traumatol. 2005;  21 174-178
    CrossrefPubMedGoogle Scholar
  • 40 Spear F. When to restore and when to remove the tooth. Insight and Innovation 2001; 29-37
    Google Scholar
  • 41 Spear F. A conversation with Dr. Frank Spear. Dent Pract Report 2002; 42-48
    Google Scholar
  • 42 Spear F. Occlusion in the new millennium: the controversy continues.  Signature. 2002;  7 18-21
    PubMedGoogle Scholar
  • 43 Spear F. Implementing the plan: the economics of restorative dentistry. Insights and Innovations 2001; 33-40
    Google Scholar

Prof. Dr. V. G. Kokich

1950 South Cedar

USA-Tacoma WA 98405

Phone: +1/2 53/6 27 56 88

Fax: +1/2 53/2 72 67 19

Email: vgkokich@u.washington.edu

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