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Non-compliant upper molar distalization, pros and cons of different mechanics using palatal mini-implants.
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Benedict Wilmes
Kursdetails
Dozenten
Details
1S 51M
Englisch
Unterrichtsprogramm
A treatment objective of upper molar distalisation may often be indicated for the correction of a dentoalveolar Class II malocclusion with an associated increased overjet and/or anterior crowding. Due to aesthetic concerns and the duration of treatment, molar distalisation using headgear is unacceptable for many patients. This has resulted in a preference for purely intraoral distalisation appliances which require minimal patient cooperation. Unfortunately, most conventional devices for non-compliance maxillary molar distalisation produce unwanted side effects, such as anchorage loss. If the anchorage unit includes teeth, mesial migration and/or protrusion of the anterior dentition need to be considered as major disadvantages. To minimise or eliminate anchorage loss related to the anterior teeth, skeletal anchorage has been integrated into distalisation appliances. The anterior palate has proved to be an ideal site for miniscrew placement for the distalisation of upper teeth. The good bone quality, the attached mucosa, and the minimal risk of injury to nearby teeth have been suggested as major advantages of miniscrew placement in this region. Furthermore, the mini-implants are unlikely to be in the path of tooth movement. Skeletal anchorage mechanics can be divided in direct and indirect appliances. If the maxillary molars are to be distalised, direct anchorage is advantageous, since a major disadvantage of devices employing indirect anchorage is the need for a two-phase clinical procedure: (a) distalisation of the molars, and (b) stabilisation of the molars while retraction of the anterior dental segment occurs. To benefit from the advantages of direct anchorage mechanics and use the anterior palate as the most suitable mini-implant insertion site, the Beneslider and the Pendulum B mechanics may be employed.
Dozenten 1
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Professor und stellvertretender Direktor des Department of Orthodontics an der Heinrich Heine Universität Düsseldorf, Deutschland (Professor seit 2013). Spezialist für Kieferorthopädie und dentofaziale Orthopädie mit Fokus auf nicht-kompliant-abhängige und unsichtbare Behandlungsstrategien einschließlich temporärer Verankerungsgeräte (TADs), lingualer Kieferorthopädie und Clear-Aligner-Therapie. Führt Privatpraxis für Kieferorthopädie in Düsseldorf neben akademischer Position.
Über 20 Jahre klinische und akademische Erfahrung in der Behandlung komplexer kieferorthopädischer Fälle unter Verwendung skelettaler Verankerungssysteme und digitaler Workflows. Pionier bei der Entwicklung innovativer TAD-Anwendungen einschließlich palatinaler TADs mit austauschbaren Abutments für transversale Expansion, orthopädische Protraktion und Molarendistalisierung. Forschungsschwerpunkte sind digitale Kieferorthopädie, CAD/CAM-Technologien für maßgeschneiderte Apparaturen, Biomechanik skelettaler Verankerung und Behandlungseffizienz in der Erwachsenenorthodontie. Experte im Kombinieren von TADs mit Alignern für vorhersagbare komplexe Zahnbewegungen.
Aktives Mitglied der Edward H. Angle Society of Orthodontists (Eastern Component). Empfänger des First Prize von der German Orthodontic Society (DGKFO, 2007), First Prize von der European Orthodontic Society (EOS, 2009), und First Prize von der German Society for Lingual Orthodontics (2018). Autor von über 200 begutachteten Publikationen und Lehrbuchkapiteln über TADs, linguale Kieferorthopädie und digitale Kieferorthopädie. Gutachter für zahlreiche internationale kieferorthopädische Zeitschriften einschließlich American Journal of Orthodontics and Dentofacial Orthopedics, Angle Orthodontist, European Journal of Orthodontics, und andere. Internationaler Dozent mit über 300 Vorträgen und Kursen in 70 verschiedenen Ländern weltweit über skelettale Verankerung, digitale Behandlungsplanung und zeitgenössische kieferorthopädische Biomechanik.
DMD von der Heinrich Heine Universität Düsseldorf, Deutschland. Postgradualer Abschluss (Dr. med. dent.) in Kieferorthopädie und dentofazialer Orthopädie von der Heinrich Heine Universität Düsseldorf. Professor-Ernennung an der Universität Düsseldorf (2013).
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