„Two-Phase Treatment“ und skelettale Klasse III

2019 ◽  
Vol 51 (01) ◽  
pp. 16-22
Author(s):  
Thomas Stamm
Keyword(s):  
Two Phase ◽  
Fixed Appliances ◽  
Removable Appliances ◽  
Skelettale Klasse

ZusammenfassungDas sogenannte „Two-Phase Treatment“ gerät immer wieder in den Fokus der ökonomisch orientierten Wissenschaft. Diese Überprüfung ist sinnvoll, stehen doch Vorwürfe wie Übertherapie, zusätzliche Kosten und Belastungen für Patient, Eltern und Arzt im Raum. In dieser kontroversen Diskussion scheint die Kenntnis über grundlegende Konzepte einer Frühbehandlung vollkommen verloren gegangen zu sein. Die Überprüfung medizinischer Hypothesen tritt zugunsten einer gerätelastigen Forschung in den Hintergrund, die den Fokus auf die Apparatur und nicht auf den kausalen Wirkmechanismus gerichtet hat. Begiffe wie „fixed Appliances“, „removable Appliances” als auch “One-, Two-Phase Treatment” simplifizieren die Konzepte der Funktionskieferorthopädie, der Orofazialen Orthopädie sowie der Funktionellen Orthopädie und tragen damit zur Fehlinterpretation aktueller Studien bei. Die Anwendungen im kraniofazialen Skelett lassen sich weit zurückverfolgen, sodass die Kieferorthopädie als Teilgebiet der funktionellen Orthopädie gesehen und nicht mit Mechaniken der Orthodontie verglichen werden kann.

scholarly journals Orthodontic Management of a Mandibular Double-tooth Incisor: A Case Report

2020 ◽  
Vol 14 (1) ◽  
pp. 219-255
Author(s):  
Paola Martina Marra ◽  
Ludovica Nucci ◽  
Luigi Femiano ◽  
Vincenzo Grassia ◽  
Livia Nastri ◽  
...  
Keyword(s):  
Rare Case ◽  
Treatment Plan ◽  
Maxillary Expansion ◽  
Two Phase ◽  
X Ray ◽  
Class 1 ◽  
Specific Complex ◽  
Fixed Appliances ◽  
Lip Bumper ◽  
Lower Arch

The presence of a double-tooth requires specific complex management due to the need for differential diagnosis and following treatment choices. The aim of this report was to present a rare case of a geminated mandibular lateral incisor, treated with an orthodontic approach. A Caucasian 10.9-year-old girl presented a lower right double-tooth incisor, with a class 1 molar and a class 2 cuspid tendency on both sides. The upper arch was constricted as shown by bilaterally tendencies to cross-bite, a slightly lower midline deviation was reported and a lack of space for all four permanent cuspids was confirmed also by the panoramic X-ray. In the lower arch, there was a severe crowding of about 14 mm and a buccally ectopic left canine. Overbite was normal and Overjet minimally increased. The double-tooth was identified like a geminated tooth, for the presence of one root and one pulp canal of increased size, as shown by the radiographic examinations. The anomalous tooth was managed with an orthodontic approach associated with a progressive stripping to reshape the crown. A two-phase treatment plan was performed, based on first maxillary expansion and lip bumper and then fixed appliances, in order to achieve a proper occlusion and a better aesthetic.

The Provision of Orthodontic Care in the General Dental Services of England and Wales: Extraction Patterns, Treatment Duration, Appliance Types and Standards

1993 ◽  
Vol 20 (4) ◽  
pp. 345-350 ◽  
Author(s):  
S. Richmond ◽  
M. Andrews ◽  
C. T. Roberts
Keyword(s):  
Treatment Duration ◽  
Older Age ◽  
Dental Practice ◽  
Age Group ◽  
Dental Services ◽  
England And Wales ◽  
Fixed Appliance ◽  
Systematic Sample ◽  
Fixed Appliances ◽  
Removable Appliances

A systematic sample of 1010 cases was collected by the Dental Practice Board. The commonest type of treatment involved extraction of the first premolars followed by removable appliances. Treatment duration was on average 1·9 years, one-arch fixed appliances were started in an older age group and two-arch fixed appliance treatment took longer to complete than other appliance types. The best standard of treatment was achieved using upper and lower fixed appliances.

The Development of Removable Appliances in the United Kingdom

1983 ◽  
Vol 10 (2) ◽  
pp. 73-77 ◽  
Author(s):  
Anne Hoyle
Keyword(s):  
United Kingdom ◽  
Active Treatment ◽  
Orthodontic Treatment ◽  
New Materials ◽  
Orthodontic Appliance ◽  
The United Kingdom ◽  
Fixed Appliances ◽  
Removable Appliances

The evolution since 1900 of the removable orthodontic appliance is described. The effects upon this evolution of political and economic events, the introduction of new materials and the British approach to orthodontic treatment are discussed. Present opinion favours the increased use of fixed appliances but it seems likely that removable appliances will still be suitable in about half those cases requiring active treatment.

scholarly journals Orthodontic Management of Silver-Russell Syndrome. A Case Report

2012 ◽  
Vol 6 (1) ◽  
pp. 131-136 ◽  
Author(s):  
Ioulia Ioannidou-Marathiotou ◽  
Ariel Sluzker ◽  
Athanasios E Athanasiou
Keyword(s):  
Case Report ◽  
Dental Arch ◽  
Comprehensive Treatment ◽  
Fixed Appliances ◽  
Gradual Expansion ◽  
Removable Appliances ◽  
Silver Russell Syndrome

This case report describes the orthodontic management of a 10-year-old female with Silver-Russell syndrome by means of gradual expansion of the mandibular dental arch using removable appliances and subsequent comprehensive treatment of malocclusion by means of fixed appliances.

scholarly journals Determination of Most Frequent Emergencies in Patients with Fixed and Removable Orthodontic Appliances at Tertiary Care Dental Hospital

2022 ◽  
Vol 9 (1) ◽  
pp. 69-74
Author(s):  
Syed Salman Shah ◽  
Kawish Syed ◽  
Zafar Ul islam ◽  
Shahab Adil
Keyword(s):  
Tertiary Care ◽  
Orthodontic Appliances ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Fixed Appliance ◽  
Dental Hospital ◽  
Fixed Appliances ◽  
Removable Appliances ◽  
Removable Orthodontic Appliances

OBJECTIVES: To determine the frequency of emergencies in patients with fixed and removable orthodontic appliances at tertiary care dental hospital. METHODOLOGY: A questionnaire was designed for this descriptive cross-sectional study to be filled by the clinician (L3/L4 FCPS resident) at the end of addressing every orthodontic emergency. Sampling was done under consecutive non-probability protocols. Descriptive statistics were applied to determine the frequency of different orthodontic emergencies, and Pearson’s chi-square test was applied to determine association of emergencies with gender and etiology of emergency (patient related vs operator related). Data was analyzed on SPSS version 20. RESULTS: A total of 175 patients reported with orthodontic emergencies. The sample comprised 38.3% males and 61.7% females. Most frequent orthodontic emergency reported was deboned brackets in fixed appliances, while the most common emergency in removable appliances was traumatic PNAM. A statistically significant association (Pearson’s Chi Square=4.74, Cramer’s V=0.165, p=0.029) was seen for removable and fixed appliance emergencies with males and females. CONCLUSION: Most frequent fixed appliance orthodontic emergencies were deboned brackets while for removable appliance emergencies were trauma due to PNAM. Emergencies with removable appliances were mostly due to the operator related factors, while in fixed appliances patient related factors were dominating.

scholarly journals Kombinasi penggunaan quadhelix dan tanggul gigitan posterior pada perawatan crossbite anterior

2017 ◽  
Vol 2 (1) ◽  
pp. 47
Author(s):  
Rhabiah El Fithriyah
Keyword(s):  
Female Patient ◽  
Active Treatment ◽  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Median Line ◽  
Fixed Appliance ◽  
Anterior Crowding ◽  
Fixed Appliances ◽  
Removable Appliances ◽  
Quad Helix

Combination quad helix and bite riser posterior for anterior crossbite treatment. Anterior crossbite treatment can be done with the appliances either by removable appliances or fixed appliances. One fixed appliance that can be used in the treatment of anterior crossbite is a quad helix with a combination of bite raiser posterior. It is the preferred appliance for correction of maxillary dental constriction in a preadolescent child. Quad helix is activated by widening the anterior or posterior helices. An 11-year-old female patient referred to the clinic with a problem of crowding teeth that affected her appearance. The diagnosis for her case was malocclusions dentoalveolar class I angle along with anterior crossbite 12 and 21, anterior crowding maxilla with convex face profile, shifted median line, and no TMJ disorder. The treatment plan used a quad helix and bite riser posterior followed by a fixed orthodontic treatment. The aim of this study was to correct the anterior crossbite using a combination of a quad helix and bite raiser posterior. The patient was treated using composite bite raiser posterior on the occlusal surface of 16.26, and quad helix soldered to bands and cemented on 16 and 26. The patient was instructed to get her teeth controlled every two week to activate quad helix. After 3 months of active treatment, anterior crossbite was corrected. The appliance was left passively in place for 3 months as retention. The study concluded that crossbite treatment with a combination of a quad helix and bite riser was effective in correcting anterior crossbite in adolescents.ABSTRAKPerawatan crossbite anterior dapat dilakukan dengan beberapa macam alat baik dengan alat lepasan ataupun alat cekat. Salah satu alat semi cekat yang dapat digunakan pada perawatan crossbite anterior adalah quad helix dengan kombinasi tanggul gigitan posterior. Quad helix merupakan alat yang dapat digunakan untuk konstriksi dental di maksila pada masa remaja. Seorang pasien anak perempuan berusia 11 tahun mengeluhkan keadaan giginya yang berjejal dan menganggu penampilannya. Diagnosis kasus adalah maloklusi dentoalveolar kelas I angle disertai crossbite gigi 12 dan 21, crowding anterior rahang atas dengan profil muka cembung, garis median tidak sesuai dan tidak disertai gangguan TMJ. Rencana perawatan menggunakan quad helix dan tanggul gigitan posterior kemudian dilanjutkan dengan perawatan ortodontik cekat. Tujuan artikel ini adalah menyajikan perawatan crossbite anterior dengan menggunakan kombinasi quad helix dan tanggul gigitan posterior. Pasien dirawat menggunakan tanggul gigitan komposit posterior pada permukaan oklusal gigi 16, 26 dan quad helix yang disolder pada molar band dan disementasi di molar band pada gigi 16 dan 26 kemudian pasien diinstruksikan untuk kontrol setiap dua minggu satu kali kunjungan untuk aktivasi quad helix. Setelah perawatan aktif 3 bulan crossbite anterior telah terkoreksi. Alat ditinggalkan di dalam mulut dalam keadaan pasif selama 3 bulan sebagai retensi. Dapat ditarik kesimpulan bahwa perawatan crossbite dengan kombinasi quad helix dan tanggul gigitan posterior efektif dalam mengoreksi  crossbite anterior pada remaja.

Orthodontics

2019 ◽  
Author(s):  
Nicholas Longridge ◽  
Pete Clarke ◽  
Raheel Aftab ◽  
Tariq Ali
Keyword(s):  
Orthodontic Treatment ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Orthodontic Appliances ◽  
Normal Occlusion ◽  
Wide Range ◽  
The Face ◽  
Functional Appliances ◽  
Fixed Appliances ◽  
Removable Appliances

Orthodontics is ‘the specialty of dentistry concerned with growth of the face, the development of dentition, and the prevention and correction of occlusal anomalies. A malocclusion can be defined as ‘a deviation from the ideal that may be aesthetically or functionally unsatisfactory, with a wide range of occlusal traits’. Orthodontics is a constantly evolving specialty, with ever changing principles and techniques continuing to be developed. There has been huge progress in orthodontics in recent times, with changes in the types of brackets, archwire materials, and appliance systems (such as tem­porary anchorage devices and aligner technology). The key principles of orthodontics date back to 1899 when Edward Angle described ‘the key to a normal occlusion as the anteropos­terior relationship between the upper and lower first molars’. In 1972, Lawrence Andrews described ‘six keys to an ideal static occlusion’. This was the basis of early orthodontic treatment planning. Knowledge of craniofacial development and growth is required as a foundation for understanding the aetiology of a patient’s malocclusion, to reach a diagnosis, and to plan orthodontic treatment. A basic under­standing of the types of orthodontic appliances is beneficial (mainly fixed appliances, functional appliances, some use of removable appliances, and retainers). In addition to the management of a malocclusion, orthodontic treat­ment is often required in conjunction with other specialties, including oral and maxillofacial surgery, paediatric and restorative dentistry Key topics discussed in this chapter include: ● Fixed appliances ● Functional appliances ● Removable appliances ● Retention ● Index of treatment need ● Orthodontic assessment and diagnosis ● Cephalometric analysis ● Malocclusion ● Ectopic canines ● Dental anomalies.

An Approach to Appliance Therapy

1974 ◽  
Vol 1 (5) ◽  
pp. 191-198 ◽  
Author(s):  
J. R. E. Mills ◽  
Katherine W. L. Vig
Keyword(s):  
Present Article ◽  
Orthodontic Appliances ◽  
Short Series ◽  
Combined Use ◽  
Fixed Appliances ◽  
Removable Appliances

This is the first of a short series of articles in which it is proposed to review various types of appliance treatment available to the orthodontist. In the present article the simpler forms of treatment are considered; treatment without orthodontic appliances or with removable appliances only. In future article consideration will be given to the combined use of removable and fixed appliances, and finally of the more advanced, wholly fixed techniques.

scholarly journals Long-Term Outcomes of Class III Treatment with Mandibular Cervical Headgear Followed by Fixed Appliances

2009 ◽  
Vol 79 (5) ◽  
pp. 828-834 ◽  
Author(s):  
Tiziano Baccetti ◽  
Diego Rey ◽  
Giovanni Oberti ◽  
Franka Stahl ◽  
James A. McNamara
Keyword(s):  
Skeletal Maturity ◽  
Control Group ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Two Phase ◽  
Fixed Appliance ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Fixed Appliances

Abstract Objective: To evaluate the stability of the outcomes of mandibular cervical headgear (MCH) and fixed appliance–treated Class III patients at a long-term posttreatment (5 years) observation, compared with well-matched untreated Class III controls, following a previous report on the short-term outcomes of this protocol. Materials and Methods: The treated group consisted of 20 patients with dentoskeletal Class III malocclusions treated with a two-phase protocol consisting of MCH and fixed appliances, while the control group comprised 18 untreated subjects with similar dentoskeletal Class III malocclusion. Lateral cephalograms of both patients and controls were analyzed at two time points: posttreatment (PT), after two-phase treatment; and long term (LT). All patients were at a postpubertal stage of skeletal maturity at PT, and they showed CS6 at LT, thus revealing completion of pubertal craniofacial growth. Results: In the long term, the treatment group showed significantly smaller values for mandibular length (Co-Gn), SNB angle, maxillomandibular differential, and molar relation. When compared with the controls, the treated patients exhibited also greater values for ANB angle, Wits appraisal, and overjet at LT. No significant difference between the two groups was found for the changes occurring from PT to LT. Conclusions: Favorable dentoskeletal outcomes induced by MCH and fixed appliances remained stable in the long term; untreated Class III malocclusion did not show any tendency toward self-improvement during the postpubertal interval.

The Casual Attender

1982 ◽  
Vol 9 (3) ◽  
pp. 154-157 ◽  
Author(s):  
R. G. Oliver
Keyword(s):  
Teaching Hospital ◽  
Older Patients ◽  
Younger Patients ◽  
Fixed Appliances ◽  
Removable Appliances

Patterns of casual attenders at a teaching hospital over a 17-week period are analysed and show that fixed appliances are more prone to problems than removable appliances, and younger patients tend to break appliances more frequently than older patients.

Sign in / Sign up

Export Citation Format

Share Document