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Informationen aus Orthodontie & Kieferorthopädie 2008; 40(01): 69-75
DOI: 10.1055/s-2008-1004719
Originalarbeit

Chirurgisch unterstützte orthopädische Behandlung einer Klasse-III-Fehlbisslage

Surgery Assisted Orthopaedic Treatment of Class III Malocclusion
N. Küçükkeleş
Marmara University, Faculty of Dentistry, Department of Orthodontics, Türkei
,
Ş. Nevzatoğlu
Marmara University, Faculty of Dentistry, Department of Orthodontics, Türkei
,
T. Koldaş
İstanbul University, Medicine Faculty, Plastic and Reconstructive Surgery Department
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Zusammenfassung

Im vorliegenden Fallbericht werden die Ergebnisse einer chirurgisch unterstützten Behandlung einer Klasse-III-Fehlbisslage mit einer Gesichtsmaske vorgestellt. Die 13 Jahre alte Patientin hatte eine skelettale Klasse-III-Fehlbisslage mit maxillärer Retrognathie und normalem vertikalem Wachstumsmuster. Im Anschluss an eine Le Fort-I-Osteotomie wurde eine Gesichtsmaske angewandt, um den Oberkiefer nach anterior zu bewegen. Nach Erreichen einer Klasse-I-Beziehung wurde die Behandlung mit festsitzenden Apparaturen beendet. Der Profilverlauf des Gesichtes verbesserte sich deutlich.

Abstract

Treatment results of a class III skeletal malocclusion characterized by maxillary retrognathy and normal vertical growth pattern are presented. A female patient of 13 years of age was treated with a face mask to advance the maxilla following Le Fort I osteotomy. After a class I relationship had been achieved, treatment was continued by fixed appliances and succesfully completed. Soft tissue profile had improved remarkably.

Schlüsselwörter

Klasse-III-Fehlbisslage - KFO / Chirurgie

Key words

class III skeletal malocclusion - orthodontic surgery


Publication History

Article published online:
05 June 2008

© Georg Thieme Verlag KG Stuttgart · New York

 

  • Literatur

  • Baccetti T, McGill JS, Franchi L, McNamara JA, Tollaro I. Skeletal effects of early treatment of Class III malocclusion with maxillary expansion and face-mask therapy.. Am J Orthod Dentofacial Orthop 1998; 113: 333-343
    CrossrefPubMedGoogle Scholar
  • Cohen SR, Burstein FD, Stewart MB, Rathburn MA. Maxillary-midface distraction in children with cleft lip and palate: a preliminary report.. Plastic Reconstr Surg 1997; 99: 1421-1428
    CrossrefPubMedGoogle Scholar
  • Cohen SR. Craniofacial distraction with a modular internal distraction system: evolution of design and surgical techniques.. Plastic Reconstr Surg 1999; 103: 1592-1607
    CrossrefPubMedGoogle Scholar
  • Figueroa AA, Polley JW. Management of severe cleft maxillary deficiency with distraction osteogenesis: procedure and results.. Am J Orthod Dentofacial Orthop 1999; 115: 1-12
    CrossrefPubMedGoogle Scholar
  • Hierl T, Hemprich A. A novel modular retention system for midfacial distraction osteogenesis.. Br J Oral Maxillofac Surg 2000; 38: 623-626
    CrossrefPubMedGoogle Scholar
  • Jacobson A, Evans WG, Preston CB, Sadowsky PL. Mandibular prognathism.. Am J Orthod 1974; 66: 140-171
    CrossrefPubMedGoogle Scholar
  • Kapust AJ, Sinclair PM, Turley PK. Cephalometric effects of face mask / expansion therapy in Class III children: a comparison of three age groups.. Am J Orthod Dentofacial Orthop 1998; 113: 204-212
    CrossrefPubMedGoogle Scholar
  • Keßler P, Wiltfang J, Schultze-Mosgau S, Hirschfelder U, Neukam FW. Distraction osteogenesis of the maxilla and midface using a subcutaneous device: report of four cases.. Br J Oral Maxillofac Surg 2001; 39: 13-21
    CrossrefPubMedGoogle Scholar
  • Mermigos J, Full CA, Andreasen G. Protraction of the maxillofacial complex.. Am J Orthod Dentofacial Orthop 1990; 98: 47-55
    CrossrefPubMedGoogle Scholar
  • Molina F, Ortiz Monasterio F, de la Paz Aguilar M, Barrera J. Maxillary distraction: aesthetic and functional benefits in cleft lip-palate and prognathic patients during mixed dentition.. Plast Reconstr Surg 1998; 101: 951-963
    CrossrefPubMedGoogle Scholar
  • Polley JW, Figueroa AA. Rigid external distraction: its application in cleft maxillary deformities.. Plast Reconstr Surg 1998; 102: 1360-1372
    CrossrefPubMedGoogle Scholar
  • Rachmiel A, Aizenbud D, Ardekian L, Peled M, Laufer D. Surgically-assisted orthopedic protraction of the maxilla in the cleft lip and palate patients.. Int J Oral Maxillofac Surg 1999; 28: 9-14
    CrossrefPubMedGoogle Scholar
  • Roser M, Cornelius CP, Bacher M, Reinert S, Krimmel M. Callus distraction of the maxilla. Supplement or alternative to advancement osteotomy.. Mund Kiefer Gesichtschir 2000; 4 (Suppl. 2): 438-441
    PubMedGoogle Scholar
  • Sue G, Chanoca SJ, Turley PK, Itoh J. Indicators of skeletal Class III growth.. J Dent Res 1987; 66: 343-343
    PubMedGoogle Scholar