Non-compliant upper molar mesialization using palatal mini-implants and the Mesialslider appliance
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Benedict Wilmes
Kursdetails
Dozenten
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1S 51M
Englisch
Unterrichtsprogramm
Unilateral or bilateral missing upper teeth are diagnosed quite frequently: Congenitally missing lateral incisors / second bicuspids, extremely displaced canines or a severe trauma of a central incisor are potential findings that result in a reduced upper dentition. Especially the prevalence of missing maxillary lateral incisors is quite high (0.8 to 2%). The two major treatment approaches are space closure and space opening to allow prosthodontic replacements either with a fixed prosthesis or single-tooth implant. Both of these treatment approaches may potentially compromise aesthetics, periodontal health, and function. Single-tooth dental implants in the maxillary anterior region have the highest risk of esthetic complications from infra-positioning due to continuing growth and the continuing eruption of adjacent teeth. In many cases, space closure to the mesial seems to be the favourable treatment goal, since treatment already can be completed as soon as the dentition is complete. Thus, a second orthodontic treatment to upright tipped adjacent roots before insertion of a dental implant can be avoided. Canine substitutions can be accomplished with good aesthetic outcomes by tooth reshaping and positioning, bleaching and porcelain veneers. The more mesial the missing tooth is the higher will be the demands for anchorage, which can be realized by reverse headgear or class III elastics. However, both anchorage modalities require a high level of compliance and may cause some unwanted side effects such as TMJ problems or retrusion of lower teeth on case of class III elastics. With the goal to achieve a more reliable anchorage, the use of mini-implants has increased over the last couple of years. However, buccally inserted mini-implants are in the path of moving teeth. As a consequence, the palatal area seems advantageous, since all teeth can be moved without any interference with TADs. The Mesialslider enables clinicians to mesialize upper molars and thus close upper spaces unilaterally or bilaterally. In addition, even contralateral distalization is possible (Mesial-Distalslider).
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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