The rational use of skeletal anchorage

Transcription

1 Copyright Basel Tourismus The rational use of skeletal anchorage Do all roads lead to Rome? Skeletal anchorage in orthodontics has now reached a widespread use. A variety of systems, ranging from miniimplants, palatal implants to miniplates, has been introduced to the market. The orthodontist is therefore exposed to a substantial market bombing, and to make the appropriate choice, there is need for clear knowledge of the basic principles behind one or another system. This course, held by internationally known keynote speakers in this field, will focus on the use of mini-implants and palatal implants in combination with segmented and non-segmented orthodontics. The combined research background and clinical experience that the speakers will share with the participant will allow the fulfillment of the aim of the course, which is to give a structured knowledge of the pros and contra of the different systems. With this background the orthodontist will be able to make the therapeutical choice which is mostly appropriate for the individual patients. The course will mostly be of theoretical nature, but a practical session on mini-implant positioning will also be held. Date/Location Friday, May 23, :30 am to 1:00 pm and 2:00 to 5:30 pm Saturday, May 24, :00 am to 1:00 pm and 2:00 to 5:00 pm Universitätskliniken für Zahnmedizin Hebelstrasse Basel

2 Course Direction Prof. Dr. med. dent. Carlalberta Verna, PhD Head of the Department of Orthodontics and Pediatric Dentistry, School of Dentistry, Basel University, Switzerland. Speakers Prof. Dr. Birte Melsen, Professor Emeritus, Section of Orthodontics, School of Dentistry, Aarhus University, Denmark and private practice in Lübeck, Germany. Prof. Dr. med. dent. Benedict Wilmes, DDS, PhD, Duesseldorf University, Germany. Dr. med. dent. Peter Göllner, private practice in Berne, Switzerland. Dr. Björn Ludwig, private practice in Traben-Trarbach, Germany. Scientific coordinator and Assistant Professor, Department of Orthodontics, University of Homburg/Saar, Germany. Certificate Certificate for 14 educational hours Theoretical course with practical part Course fee Dentists, Orthodontists: CHF 900. for both days Post-graduate students: CHF 400. for both days Coffee breaks and lunch both days included Audience Dentists, Orthodontists Post-graduate students Information and Registration Frau Jacqueline Burger Klinik für Kieferorthopädie und Kinderzahnmedizin Universitätskliniken für Zahnmedizin Basel Universität Hebelstrasse Basel Telefon Fax Jacqueline.Burger@unibas.ch Language German and English (simultaneous translation)

3 Prof. Dr. Birte Melsen Professor Melsen received her dental degree in 1964 and became a certified orthodontist in In 1974, she finished her odontological doctorate and from 1975 to 2012, she has been Professor and Head at the Department of Orthodontics, School of Dentistry, Aarhus University, Denmark. From 1986, she has been working part-time in private practice in Lübeck, Germany (Adult Orthodontics only). In 2000, she re ceived the Knighthood of Dannebrog 1st degree. Professor Melsen has authored more than 350 publications in the fields of growth and development studied on human autopsy material, bone biology and clinical studies by means of the implant method. She is the Honorary Member of many Orthodontic Societies and has received numerous awards and honorary degrees within and outside Europe. During the last years, her special interest is in the fields of skeletal anchorage, virtual imaging and adult orthodontics. How did skeletal anchorage change the role in reconstruction of the dental occlusion? Skeletal anchorage was introduced as a solution to treat adult patients with reduced dentition, where conventional anchorage was not possible. Even in cases with lack of compliance skeletal anchorage was preferred over removable appliances or elastics. At last, it will be described that simply the presence of the skeletal anchorage can lead to improved quality of bone as well consequently an improved prognosis for a later dental implant insertion. This lecture will not just present the indication for mini-implants as alternative to conventional anchorage, how to improve the prognosis in cases with degenerating dentition, how dental movement can create bone, how the presence oft the screws can improve the quality of bone, but even how pins can solve special tasks.

4 Prof. Dr. med. dent. Benedict Wilmes, DDS, PhD Professor Wilmes did a postgraduate training in oral surgery at the Department of Maxillofacial Surgery at University of Muenster, Germany. He received a M.S. and a post graduate degree in orthodontics and dentofacial orthopedics at the University of the Duesseldorf, Germany. In 2004 he became Assistant Professor, in 2006 Associate Professor at the Department of Orthodontics at the University of Duesseldorf. Since 2013 he is Professor at the same University. Professor Wilmes is reviewer and consultant of the Angle Orthodontist, the World Journal of Orthodontics, the Journal of Dental Research and the German Board (DIN) for orthodontic products. He has held more than 100 national and international lectures and courses on skeletal anchorage in orthodontics. Professor Wilmes is a Visiting Associate Professor at the University of Alabama at Birmingham, USA. Professor Wilmes was awarded the First Prize of the German Orthodontic Society in 2007 and the First Prize of the European Orthodontic Society in Mechanics for skeletal anchorage in the upper jaw when is direct or indirect anchorage recommanded? The anchorage with mini-pins revolutionized the therapeutic possibilities in orthodontics. Due to the size of the mini-pins, their insertion in various regions of the upper and lower jaw can be taken into consideration. Accordingly, the alveolar bone is still the most common region used worldwide. However, the alveolar bone is of limited suitability concerning variability of quality of the alveolar bone, risk of contact with the roots and high rate of failure. Other regions, i. e. the anterior palate, have superior conditions for an insertion, because of the better quality of the bone. Moreover, there is no inter ference of tooth movement in cases of anchorage in the anterior palate. This lecture describes the advantages and disadvantages of direct and indirect anchorage. Possible complications and their management of different implant-worn mechanics will be discussed in detail.

5 Dr. med. dent. Peter Göllner Doctor Göllner did a post-graduate degree in orthodontics and dentofacial orthopedics at the University of Bern, Switzerland. Since 1997 he has treated 632 patients with palatal implants, 224 patients with mini-screws and 67 patients with mini-plates. Scientific cooperation and partners: Prof. Dr. H. Wehrbein (University of Mainz), Prof. Dr. B. Jung (University of Freiburg), Prof. A. Firestone (Columbus University, Ohio) Bookchapter (case reports): 2007 Ortho Temporary Anchorage Devices, Guide and Atlas by Jason Cope, 2009 Temporary Anchorage Devices in Orthodontics, by Ravindra Nanda. The palatal implant, still a good choice. 7,8 % of our population do have missing teeth. Missing teeth represent a problem that last the entire life of a patient. A replacement of one s own teeth that is as valid as the natural teeth cannot be found. A space left by a missing tooth can be closed with an artificial tooth. However, in the long-term, the own teeth are the only logical and biological solution, because they follow the parodontal changings and age-induced development of the face in a natural way. Since around two decades palatal implants and mini-plates are used in the orthodontic treatment concepts as skeletal anchorage units (temporary anchorage device, TADs). The TADs are, nowadays, a well-established solution and belong to the orthodontist`s every day routine in cases were maximum anchorage is needed. Palatal implants (632 patients) give the possibility to control side effects, facilitates the clinical work and allow a precise planning and occurrence of the re quested tooth movement. The speaker shows cases with space closure in patient with missing teeth due to agenesis or trauma treated in his private practice. The orthodontic space closure is a good alternative to a conventional or artificial tooth replacement.

6 Dr. Björn Ludwig Doctor Ludwig maintains a private orthodontic practice in Traben-Trarbach, Germany. He is scientific coordinator and Assistant Professor, Department of Orthodontics, University of Homburg/Saar, Germany. His focus of research work is cortical anchorage with mini-screws / mini-plates and their further clinical develop ment. He has published numerous peer reviewed papers, and is editor of the books Mini-implants in orthodontics, Quintessence, and Selfligating brackets-treatment and concepts Thieme. He is editor in chief of the Quintessenz Journal KIEFERORTHOPÄDIE and co-editor of the Journal of Clinical Orthontics. He is a frequent reviewer of the major orthodontic journals. Besides being member of the German and European Orthodontic Society he is member of the Pierre Fauchard Society and provisional member of the Angle Society of Europe. He is a invited keynote speaker at the EOS and AAO 2013 and Clinical advances in orthodontics, the current role of skeletal anchorage All kind of TADS (palatal implants, mini-plates and mini- screws) were one of the most frequently and intensively discussed topics of the last decade, experiencing continuously increasing interest over the last 10 years. Practitioners were enthusiastic about the possibility to counteract Newton s third law. More than ten years later, many clinicians are currently frustrated about high loss rates and non-working biomechanics. That means that up-to-date most research has not been able to identify factors significantly contributing to success or failure of TADS. This lecture will present reliable and highly successful insertions sites of miniimplants and miniplates. Beside a high success rate and a long-lasting survival rate, a suitable and well working biomechanic is mandatory for successful implementation in daily practice. Therefore the presentation will show many clinical cases of successful and replicable biomechanics. It will especially focus on indications in which the bony support gives superior and completely innovative possibilities compared with any conventional anchorage. This is mainly protraction of the entire maxillary arch in missing lateral cases, distalization and intrusion of upper molars, mesialization of lower molars and rapid palatal expansion, as well as Class III treatment.

7 Dr. Björn Ludwig Skelettal anchorage might be one of the greatest clinical advances over the last decade, but the type of TADS, the insertion site and the connected biomechanic has to be carefully selected. The rational use of skeletal anchorage Department of Ortho dontics and Pediatric Dentistry, School of Dental Medicine University of Basel, Switzerland May 23rd / 24th 2014 Prof. Dr. Mrs Mr Last name First name Address ZIP / city phone Land fax mail Registration Dentists / Orthodontists: CHF 900. Post-graduates: CHF 400. Please send this form until May 12th 2014 After receipt of your application you will get a confirmation with a credit slip.

8 Johanniterbrück Location Universitätskliniken für Zahnmedizin Hebelstrasse Basel Schanzenstrasse Bernoullistrasse Schönbeinstrasse Spitalstrasse Hebelstrasse Vesalgasse Spalenvorstadt Schützenmattstr. Leimenstrasse St. Johanns-Vorstadt Petersgraben Holbeinstrasse Herbergsgasse Nadelberg Totengasse Heuberg Steinengraben Münzgasse Rheinsprung Mittlere Brücke Stapfelberg Freie Strasse Barfüsserplatz p Petersplatz Kornhausgasse Münsterplatz Kanonengasse Wettsteinbrücke St. Alban-Graben Dufourstrasse Bitte frankieren Klinik für Kieferothopädie und Kinderzahnmedizin Frau Jacqueline Burger Hebelstrasse Basel