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Stockfisch: The Principles and Practice of Dentofacial Orthopaedics
Stockfisch, Hugo

The Principles and Practice of Dentofacial Orthopaedics

1. Auflage 1995
Buch
Hardcover, 528 Seiten, 1.200 Abbildungen
Sprache: Englisch
Fachgebiet: Kieferorthopädie

Artikelnr.: 11191
ISBN 978-1-85097-029-3
Quintessence Publishing, Deutschland

Titel vergriffen.

Combine European and American treatment methods to increase the possibilities for effective treatment in dentofacial orthopaedics. This book surveys the current European systems, using case studies to show how they can be applied, adapted, and combined with American methods for increased effectiveness and shortened duration of treatment.

Contents

PART 1 EUROPEAN TREATMENT SYSTEMS
1 Three-dimensional treatment methods with bimaxillary appliances 17
1.1 Dentofacial orthopaedics 19
1.1.1 The Andresen-Häupl activator 19
1.1.1.1 The functional treatment concept of three-dimensional therapy 23
1.1.1.2 Muscle activity and dentofacial orthopaedics: the working bite 24
1.1.1.3 The working bite 27
1.1.1.4 Problems associated with bite registration and sagittal correction of the dental arches. Technical and clinical possibilities 28
1.1.1.5 The Harvold activator and its maximal working bite 32
1.1.1.6 The posterior bite plane and possible clinical effects in the vertical plane 39
1.1.1.7 Sagittal correction of the dental arches and problems associated with adaptation, growth and the tempero-mandibular joints 41
1.1.1.8 The advantage of activator therapy in preference to fixed appliances 42
1.1.1.9 Additional active components of an activator 45
1.1.1.9.1 Screws, springs, equiplan 45
1.1.1.9.2 Labial arch and labial wires 47
1.1.2 Open activators 48
1.1.2.1 The open activator of Klammt 48
1.1.2.2 Bionator, kybernator, Van Thiel activator 50
1.2 Dynamic dentofacial orthopaedics with myotonic bimaxillary appliances. The Bimler appliance 63
1.2.1 The Bimler model analysis and planned tooth movements prior to elastic bite former therapy 63
1.2.2 Construction of the Bimler appliance 66
1.2.3 Evaluation of the Bimler appliance 67
1.2.4 Mode of action and handling of the Bimler appliance 71
1.2.5 Construction and use of the elastic bite former in cases of narrow arch with spacing 72
1.2.5.1 Narrow pointed arch with spacing 72
1.2.5.2 Narrow pointed arch with crowding 77
1.2.5.3 Narrow arch with anterior crowding 77
1.2.5.4 The Class II/ii bite former 83
1.2.5.5 The Class III bite former 83
1.3 The function corrector of Fränkel. Use of myofunctional forces with bimaxillary appliances 87
1.3.1 The mechanics of the function corrector 88
1.3.2 Survey of types of function corrector 89
1.3.3 Construction of the function corrector 91
1.3.3.1 Function corrector type I 94
1.3.3.2 Function corrector type II 96
1.3.3.2.1 Function corrector type II in relation to other bimaxillary Class II/ii appliances 97
1.3.3.3 Function corrector type III 99
1.3.4 Handling the function corrector 102
1.3.5 The function corrector and mandibular development in distal bite cases 104
1.3.6 Mode of action of the function corrector: micro-fluorescence studies 104
1.4 Kinetic myofunctional dentofacial orthopaedics. The kinetor of Stockfisch 107
1.4.1 Action of the kinetor 108
1.4.2 Indication for use of the kinetor 108
1.4.3 The kinetor using the assembly kit for the treatment of allskeletal anomalies and malocclusions in mixed dentition 116
1.4.3.1 Construction of the kinetor in cases of spaced and crowded protrusion with neutrocclusion or distocclusion 116
1.4.3.2 Construction of the kinetor in cases of anterior crowding and Class II/ii with neutrocclusion or distocclusion 116
1.4.3.3 Construction of the kinetor for open bite and prognathism 119
1.4.4 The kinetor and transverse development of the dental arches. Simulation of growth 128
1.4.5 The kinetor technique with prefabricated components (assembly kit) 132
1.4.5.1 Labial arch, springs, screws 132
1.4.5.2 Construction of both kinetor plates using ready-made plastic components 133
1.4.5.3 Preparation of ready-made plastic components 134
1.4.5.4 Construction of the maxillary plate 135
1.4.5.5 Substituting the ready-made vestibular lop 140
1.4.5.6 Use of distal screws 140
1.4.5.7 Mesial screws and tongue guard 140
1.4.6 Handling and care of the kinetor 141
1.4.7 Kinetic myofunctional dentofacial orthopaedics 141
1.5 Single plate appliance in myotonic dentofacial orthopaedics 145
1.5.1 The C-functional appliance of Cervera for extraction and non-extraction cases in the mixed dentition 145
1.5.1.1 The C-functional appliance with anterior wall or elastic metal bite plate 147
1.5.1.2 Improvements of occlusal relationships with the C-functional plate 148
1.5.1.3 Additional biomechanical parts for the C-functional plate 148
1.5.1.4 Indications for the C-functional plate 149
1.5.2 The C-modeler with headgear of Cervera 150
1.5.2.1 Mouth breathing and the C-modeler 151
1.5.2.2 Position of the outer bow (headgear) with the C-modeler 153
1.5.2.3.1 Indications for the use of the C-modeler in infants 156
1.5.2.3.2 Indications for the C-modeler in the mixed dentition 159
1.5.2.4 Contra-indication to the C-modeler 159
1.5.2.5 Assessing treatment with the C-modeler 159
1.6 Removable appliances in biomechanical dentofacial orthopaedics using clasps or combined with headgear 165
1.7 Resumé of the Crozat appliance 173
PART 2 CASE STUDIES
2 European and American dentofacial orthopaedics/orthodontics; combinations 175
2.1 Problem associated with a narrow arch 177
2.1.1 The narrow arch in the infant 177
2.1.2 Crossbite in the primary dentition 177
2.1.3 Prophylaxis and early treatment 178
2.1.3.1 Special dentofacial orthopaedic measures in early treatment 180
2.1.3.2 Extreme mandibular retrusion in the Pièrre-Robin syndrome 184
2.2 The narrow V-shaped arch with anterior spacing: general observations 189
2.2.1 Spacing of anterior teeth and protrusion: neutral bite 189
2.2.1.1 Spacing of anterior teeth and protrusion, neutrocclusion, extraction therapy 192
2.2.1.2 Contra-indication to headgear forces 193
2.2.2 Anterior protrusion with spacing and distocclusion (narrow dental arch with V-shaped maxilla and spacing 195
2.2.2.1 Activators 195
2.2.2.2 Plates 197
2.2.2.3 The kinetor 200
2.2.2.4 The elastic bite former 200
2.2.2.5 Elastic treatment appliances or rigid bimaxillary appliances. Growth simulation with elastic/movable dentofacial orthopaedic appliances 200
2.2.2.6 Treatment of spacing of anterior teeth and distocclusion without or with extraction (comparison of two cases) 204
2.2.2.7 Early treatment of anterior protrusion and spacing and skeletal growth 212
2.2.3 The treatment of anterior protrusion with spacing without extraction 215
2.2.3.1 The activator and anterior protrusion with spacing 215
2.2.3.2 The Harvold-Woodside activator with increased bite opening, in cases of extreme anterior protrusion and deep bite 217
2.2.3.4 Activator and headgear (anterior protrusion with spacing) (non-extraction) 223
2.2.3.4 Activator and unilateral headgear for one-sided distal movement 230
2.2.3.5 Activator without distal screws for the upper molars and bilateral headgear 230
2.2.3.6 Elastic bite former and activator, anterior protrusion with spacing (non-extraction) 233
2.2.3.7 Activator and elastic bite former as pre-orthodontic measure with combination of headgear and multiband appliances in the treatment of anterior protrusion with spacing 237
2.2.3.8 Activator: combination with a bioprogressive technique (utility arches). Anterior protrusion with spacing, distocclusion, deep bite (non-extraction) 243
2.2.3.9 Kinetor (as sole bimaxillary appliance without headgear) for treatment of protrusion with spacing (non-extraction) 243
2.2.3.10 The kinetor in combination with headgear for the treatment of anterior protrusion with spacing (non-extraction) 246
2.2.3.11 Protrusion with spacing and bioprogressive Ricketts technique (utility arches) (Class II/I), deep bite, non-extraction 252
2.2.3.12 Summary 256
2.3 Contraction with crowded protrusions (narrow V-shaped arch with crowding: general observations 261
2.3.1 Arch contraction with crowded protrusion and distocclusion. Treatment without extraction. Combined therapy 263
2.3.1.1 Mesial movement of posterior teeth and treatment possibilities. Distal screws, cervical traction, lip-bumper (crowded protrusion) 264
2.3.1.2 Arch narrowing with crowded protrusion, distocclusion. Problems regarding extraction treatment ant sagittal correction 264
2.3.1.3 Treatment of crowded anterior protrusion and distocclusion without or with extraction (comparison of cases) 270
2.3.1.4 Crowded protrusion, distocclusion, non-extraction treatment 277
2.3.1.5 Arch narrowing, crowded protrusion, distocclusion. Non-extraction case kinetor treatment 285
2.3.1.6 Crowded protrusion, distocclusion, non-extraction cases: combination headgear and kinetor 285
2.3.1.7 Crowded protrusion, distocclusion. COmbination treatment with kinetor, plates, headgear and activator 291
2.3.1.8 Crowded protrusion, distocclusion, crossbite: kinetor and activator 293
2.3.1.9 Crowded protrusion, distocclusion, non-extraction treatment, bimaxillary treatment and combination with fixed appliances 299
2.3.1.10 Crowded protrusion, extraction therapy 302
2.4 Correction of distocclusions and vertical growth. Alteration of growth direction with the activator or kinetor 309
2.5 Surgical dentofacial orthopaedic treatment for prognathism (marked maxillary protrusion) 331
2.6 Bimaxillary protrusion 335
2.6.1 Bimaxillary proclination, narrow arch, crowded protrusion, distocclusion, deep bite, extraction of all first molars 339
2.6.2 Bimaxillary proclination with marked arch narrowing and anterior crowding, distocclusion, deep bite, extraction of all first premolars 342
2.6.3 Bimaxillary protrusion and mild arch narrowing, crowded protrusion, mild right-sided distocclusion, premolar extraction: late case 345
2.6.4 Bimaxillary protrusion and contra-indications for removable appliances 346
2.7 Arch narrowing with anterior crowding. general observations 347
2.7.1 Narrow arch in the primary dentition with tendency to anterior crowding 347
2.7.2 Arch narrowing with anterior crowding, neutrocclusion 348
2.7.3 Extreme arch narrowing with anterior crowding, microgenia, deep bite. Activator - early treatment 350
2.7.4 Arch narrowing, anterior crowding, analysis and prognosis for transverse/sagittal development of the dental arches in the mixed dentition 354
2.7.5 Arch narrowing, anterior crowding, plates and activator 358
3.7.6 Arch narrowing, anterior crowding, expansion plates, distal screws, hinge screws for molars 359
2.7.7 Anterior crowding, canine space loss, deep bite, distocclusion. Kinetor, activator and headgear 362
2.7.8 Arch narrowing, anterior crowding, crossbite. Plate and activator, closing posterior open bites with bands in posterior region, vertical elastics 362
2.7.9 Arch narrowing, anterior crowding, lightwire, combination, expansion plates with a classic edgewise technique: round and rectangular wires 365
2.7.10 Arch narrowing, anterior crowding, extraction, canine retraction with Sage plates. Activator 369
2.7.10.1 Marked arch narrowing with anterior crowding, premolar extractions, plates and fixed appliances 371
2.7.11 Anterior crowding, non-extraction, kinetor 371
2.7.12 Arch narrowing, anterior crowding, extraction, multiband techniques 374
2.7.13 Arch narrowing, anterior crowding, crossbite, rapid maxillary expansion and fixed appliances 380
2.7.14 Anterior crowding, inter-dental stripping of incisors 380
2.7.15 Anterior crowding in the mandibular arch. The mandibular wire plate 384
2.7.16 Narrow arch, anterior crowding, distocclusion and therapeutic questions 384
2.8 Rapid maxillary expansion 391
2.8.1 Indication for rapid maxillary expansion 397
2.8.2 Rapid maxillary expansion for crowded protrusion and distocclusion 400
2.8.3 Rapid maxillary expansion, narrow arch, protrusion and distocclusion 400
2.8.3 Rapid maxillary expansion, narrow arch, protrusion, distocclusion, crossbite 402
2.8.4 Rapid maxillary expansion, narrow arch, anterior crowding, unilateral crossbite, mandibular displacement, neutrocclusion 402
2.8.5 Rapid maxillary expansion, narrow arch, anterior crowding, crossbite, deep bite, neutrocclusion 405
2.8.6 Rapid maxillary expansion, marked arch narrowing, anterior crowding. Spontaneous transverse development of the mandible 405
2.8.7 Rapid maxillary expansion, prognathism, circular crossbite 405
2.8.8 Rapid maxillary expansion, prognathism and hypoplasia of the maxillary base 406
2.8.9 Rapid maxillary expansion, prognathism, circular crossbite, multiband appliances 408
2.8.10 Rapid maxillary expansion, prognathism, anterior development of the maxillary base according to Haas 410
2.8.11 The ultra-rapid maxillary expansion of Chateau 414
2.8.12 Rapid maxillary expansion and cleft lip and palate 415
2.8.13 Long term results and stability following rapid maxillary expansion 415
2.8.14 The apical base - widening by rapid maxillary expansion and coronal tilting, adaptation and stability 415
2.9 Class II/ii malocclusions 421
2.9.1 Activator and Class II/ii malocclusion 423
2.9.1.1 Open activator and Class II/ii malocclusion 423
2.9.2 Elastic bite former and Class II/ii malocclusion 424
2.9.3 Class II/ii and kinetor treatment, combination with distal screws 429
2.9.4 Class II/ii distocclusion, marked mandibular contraction with space loss of the lower canines. Kinetor, activator, plates 433
2.9.5 Class II/ii, distocclusion, mesial drift of posterior teeth. Combination treatment with plates and activator: inter-maxillary elastics for extruding posterior teeth 437
2.9.6 Class II/ii, marked arch narrowing, distocclusion, kinetor and headgear 437
2.9.6.1 Class II/ii, distocclusion, kinetor with distal screws and headgear 438
2.9.6.2 Class II/ii, distocclusion, marked anterior crowding and rotation. Kinetor with headgear 441
2.9.6.3 Class II/ii, marked retroclination and over-eruption of upper anterior teeth, distocclusion: kinetor, headgear, plates. Combination 446
2.9.7 Severe Class II/ii, distocclusion, space loss for upper canines. Combination of Cervera Equiplan headgear and removable appliances 449
2.9.8 Class II/ii, distocclusion, narrow arch, rotation and tilting of upper incisors. Pre-orthodontic treatment with kinetor, post-orthodontic combination with maxillary fixed appliance 449
2.9.9 Class II/ii, distocclusion. Non-extraction treatment, lightwire technique with combination maxillary bite plates for bite opening 449
2.9.10 Class II/ii, distocclusion. Combination activator nitinol - rectangular wire (edgewise) 456
2.9.11 Class II/ii, distocclusion, extraction case. Fixed appliance treatment 456
2.10 Prognathism. Class III 457
2.10.1 Treatment of true prognathism in the deciduous and in the early mixed dentition in the absence of marked arch narrowing 457
2.10.1.1 Construction bite for treatment with the activator 460
2.10.1.2 Trimming of the activator for Class III treatment 460
2.10.2 Treatment of Class III in the mixed and in the permanent dentition 463
2.10.2.1 The inclined plane 463
2.10.2.2 Plates and elastic bite planes (bite former according to Bimler) 463
2.10.2.3 Class III early and late treatment - the indication of an effective appliance system and time factor 467
2.10.2.4 Problems and efficiency of appliances 474
2.10.3 Prognathism and tongue reduction 479
2.10.4 Early Class III treatment, rapid maxillary expansion, fixed appliances 484
2.10.5 Late Class III treatment with fixed appliances, short treatment time 485
2.10.5.1 Prognathism and problems: long term or short term treatment? Prognostic uncertainty in early Class III treatment 488
2.10.5.2 Late Class III treatment, fixed appliances and prosthodontics 491
2.10.6 Posterior/anterior extra-oral forces (face mask, chin cap) 493
2.11 Open bite 499
2.11.1 Open bite, arch narrowing, neutrocclusion: kinetor 499
2.11.2 Open bite and the deciduous dentition, excessive tongue size and function: activator and utility arches 502
2.11.3 Anterior open bite, tongue thrust, narrow arch, extraction of upper first premolars. Plates and activator 503
2.11.3.1 Anterior open bite, tongue thrust, late cases, utility arches 505
2.11.4 Open bite with narrow arch, extraction of all first premolars. Ricketts bioprogressive technique 506
2.11.4.1 Open bite and prognathism, distocclusion, extraction of first premolars: bioprogressive technique 506
2.12 Miscellaneous: Diastema, reverse overbite, missing teeth, supplemental teeth, impactions, unerupted canines 511
2.12.1 Diastema 511
2.12.2 Supplemental, missing and impacted teeth 513
2.12.3 Reverse overbite (mandibular displacement) 515
Index of names 519
Index of topics 523