Journal of Aligner Orthodontics, 1/2021
EditorialSeiten: 3-4, Sprache: EnglischHaubrich, julia
Journal of Aligner Orthodontics, 2/2020
Seiten: 111-142, Sprache: EnglischHaubrich, Julia / Schupp, Werner
Part 2Orofacial orthopaedics is a well proven treatment option in the young patient, often followed by fixed multibracket appliance treatment in a second phase. Nowadays, aligner orthodontics allow a treatment alternative to multibracket appliances, offering fewer potential side effects and more comfortable and aesthetic treatments for the patient. The following article describes several options of functional orthodontics in combination with aligner treatment.
Schlagwörter: aligner orthodontics, Fränkel appliance, functional orthodontics, Invisalign, orofacial orthopaedics
Dentista, 1/2020
Seiten: 16-18, Sprache: DeutschFunke, Julia / Haubrich, Julia / Schupp, Werner
Die Aligner-Orthodontie hat sich innerhalb der vergangenen zwei Jahrzehnte als fester Bestandteil in der kieferorthopädischen Behandlung etabliert. Die Schienen ermöglichen eine Verbesserung von Ästhetik und Funktion im stomatognathen System auf komfortable und nahezu unsichtbare Art und Weise. Einhergehend mit dieser ästhetischeren Variante der kieferorthopädischen Behandlung ist die Mitarbeit des Patienten für ein Behandlungsgelingen essentiell. Aus diesem Grunde war die AlignerOrthodontie zu Beginn besonders populär bei erwachsenen Patienten. Der folgende Beitrag stellt dar, wie eine Frühbehandlung mittels Alignertherapie mit einer geeigneten in-house-Software in Eigenregie geplant und umgesetzt werden kann.
Dentista, 1/2020
Seiten: 19-22, Sprache: DeutschHaubrich, Julia / Schupp, Werner
"Das Schlüsselelement bei der kieferorthopädischen Behandlung erwachsener Patienten mit Parodontitis ist die Beseitigung oder Verringerung der Plaque-Akkumulation und der Zahnfleischentzündung. Dies setzt voraus, dass während der gesamten Behandlung ein besonderes Augenmerk auf die Unterweisung in Mundhygiene, Geräteaufbau und die parodontalen Untersuchungen gelegt wird." Dieses Zitat aus dem Jahr 1998 war und ist bis heute richtig. Die Kontrolle des Biofilms ist die wichtigste Bedingung und ein wichtiger Erfolgsfaktor bei jeder kieferorthopädischen Behandlung. Auch in aggressiven parodontalen Fällen ist eine kieferorthopädische Behandlung mit strenger Biofilmkontrolle möglich.
Journal of Aligner Orthodontics, 4/2019
Seiten: 277-301, Sprache: EnglischChang, Stephen / Schupp, Werner / Haubrich, Julia / Yeh, Wei-Chang / Tsai, Min-Shi / Tabancis, Maria
Bimaxillary dentoalveolar protrusion is challenging to treat with aligners. Such patients have not only dental protrusion problems, but often a combination with skeletal protrusion problems. This article presents different bimaxillary protrusion case types, including treatment by extraction of the four first premolars, and non-extraction treatment. In the non-extraction case, temporary anchorage devices were used as anchorage to achieve molar distalisation and to prevent a 'rowboat' effect during the treatment. A special movement called the 'caterpillar motion design' is also described, which according to the authors helps to prevent the bowing effect in extraction space closure treatments. All described treatments were performed using the Invisalign System; extraction treatments are possible with aligner systems but require a profound knowledge of the biomechanics and forces of aligner orthodontics. Several possible approaches are presented.
Schlagwörter: aligner orthodontics, bimaxillary dentoalveolar protrusion, dental occlusion, protrusion, temporary anchorage device (TAD), tooth extraction
Kieferorthopädie, 4/2019
Seiten: 377-385, Sprache: DeutschHaubrich, Julia / Schupp, Werner
Ein PatientenbeispielBei Patienten mit vorzeitigem Verlust der Milchzähne und unzureichender Platzerhaltung kann die Lücke aufgrund einer unerwünschten Migration der Nachbarzähne verringert und der Platz für den Durchbruch aller bleibenden Zähne unzureichend werden. Heutzutage können viele verschiedene kieferorthopädische Behandlungsoptionen Anwendung finden, um Lücken wieder zu öffnen und mögliche Extraktionen im bleibenden Gebiss zu vermeiden. Eine Option hierbei ist die Behandlung mit dem Invisalign-System, das eine nahezu unsichtbare und komfortable Möglichkeit zur Patientenbehandlung mit weniger potenziellen Nebenwirkungen als mit herkömmlichen festsitzenden Geräten bietet. Dieser Artikel zeigt ein Patientenbeispiel in jungem Alter, in dem Platz für weiteren Zahndurchbruch geschaffen und dadurch eine potenzielle Extraktionsbehandlung vermieden werden konnte.
Schlagwörter: Invisalign, Aligner-Orthodontie, ClinCheck Software, Behandlung von Teenagern, Wechselgebiss, Extraktion, Platzmangel
Journal of Aligner Orthodontics, 2/2019
Seiten: 147-164, Sprache: EnglischSchupp, Werner / Funke, Julia / Haubrich, Julia / Boisserée, Wolfgang
Splints as therapeutic treatment instruments in temporomandibular disorder patients are widely accepted. The combination of splint therapy and aligner orthodontics not only provides comfortable and almost invisible treatment but also constitutes a powerful instrument for the orthodontic treatment of the temporomandibular disorder patient. To this end, precise knowledge of the temporomandibular joint, temporomandibular disorders and treatment using removable and fixed splints is indispensable. The two-phase treatment and the combination of fixed splint and aligner transform occlusal splint therapy into a permanently stable occlusion with physiological posterior vertical support.
Schlagwörter: aligner, temporomandibular disorder (TMD), temporomandibular joint (TMJ)
Journal of Aligner Orthodontics, 3/2018
Seiten: 183-197, Sprache: EnglischXie, Xianju / Yin, Hongyang / Schupp, Werner / Haubrich, Julia / Gerwing, Hanna / Bai, Yuxing
Part 2: Oral health-related quality of life and pain in patients with acceleration devicesObjective: The purpose of this study was to evaluate the oral health-related quality of life and pain in patients with acceleration devices during orthodontic treatment with Invisalign.
Methods: Thirty patients were randomly assigned to three groups: control group (without additional accelerating devices, changing aligners every 7 days); Acceledent group (with Acceledent accelerating device aligners, changing every 6 days); Orthopulse group (with Orthopulse accelerating device aligners, changing every 6 days). The Oral Health Impact Profile (OHIP) questionnaire was used after the orthodontic treatment to measure the OHIP. This was a modified self-administered short version of the German Oral Health Impact Profile (OHIP-G16) questionnaire.
Results: Due to the reduced number of patients included in the study, as well as the individual differences in the groups, no sufficient statistical data could be obtained, but only trends stated. One trend seemed to be reduced pain both at the beginning of a new pair of aligners and during the orthodontic treatment in the Acceledent group and the Orthopulse group.
Conclusion: The accelerated orthodontic treatment using the Invisalign system, with the help of vibrating or low-level light emitting devices, may reduce pain.
Schlagwörter: acceleration devices, aligner, oral health-related photobiomodulation, quality of life and pain, vibration therapy
Journal of Aligner Orthodontics, 3/2018
Seiten: 199-213, Sprache: EnglischSchupp, Werner / Funke, Julia / Boisserée, Wolfgang / Heller, Rainer / Haubrich, Julia
The starting point for any orthodontic occlusion diagnostics, treatment planning and subsequent therapy should be the physiological mandibular position. A possible discrepancy between maximal intercuspation and occlusion in the physiological mandibular position should be carefully investigated. An unrecognised and therefore untreated temporomandibular dysfunction (TMD) nullifies the success of orthodontic treatment. If there are signs of a TMD in the short screening test, the following detailed functional diagnosis, possibly including the musculoskeletal system (MSS), is necessary. This also includes the diagnosis of analogue or virtual models mounted in a physiological condylar position. Cone beam computed tomography (CBCT) and sometimes also an MRI scan is needed to specify the diagnostics in some patients.
Schlagwörter: TMD, temporomandibular system, musculoskeletal system, temporomandibular disorder (TMD), temporomandibular joint (TMJ)
Journal of Aligner Orthodontics, 2/2018
Seiten: 141-150, Sprache: EnglischXie, Xianju / Yin, Hongyang / Schupp, Werner / Haubrich, Julia / Gerwing, Hanna / Bai, Yuxing
Objective: The purpose of this study was to evaluate the efficacy of AcceleDent and Orthopulse in accelerating the orthodontic tooth movement of aligner treatment.
Materials and methods: In total, 30 patients without skeletal malocclusion were randomly assigned to three groups: the 7 days group - patients were instructed to change aligners every 7 days, without any accelerating devices; the AcceleDent group - patients were instructed to change aligners every 6 days, with the AcceleDent accelerating device; and the Orthopulse group - patients were instructed to change aligners every 5 days, with the Orthopulse accelerating device. Dental information was collected upon pretreatment, aligner 10 and aligner 20 by iTero scanner as T0, T1 and T2; treatment expected dental information was collected upon aligner 10 and aligner 20 by Clincheck as T1' and T2'. Data was imported and analysed by Geomagic qualify 2013, according to the peer assessment rating (PAR) method.
Results: No statistical difference was found among those groups in both the maxillary and mandibular arches. The Orthopulse group had the highest tooth moving efficiency among the three groups for its shortest wearing duration and the least difference was between iTero scanner information and Clincheck Software Information, although the difference is not statistically significant.
Conclusion: AcceleDent and Orthopulse accelerating devices did not show an observable effect with statistical significance.
Schlagwörter: aligner, dental movement acceleration, tooth movement
