Download The rational use of skeletal anchorage

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, 2014
9:30 am to 1:00 pm and 2:00 to 5:30 pm
Saturday, May 24, 2014
9:00 am to 1:00 pm and 2:00 to 5:00 pm
Universitätskliniken für Zahnmedizin
Hebelstrasse 3
4056 Basel
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 3
4056 Basel
Telefon +41 61 267 2641
Fax +41 61 267 2657
[email protected]
http://kfo-zahnmed.unibas.ch
Language
German and English (simultaneous translation)
Prof. Dr. Birte Melsen
Professor Melsen received her dental degree in 1964 and
became a certified orthodontist in 1971. 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 re­ceived 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.
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 post­graduate
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 2009.
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 inter­ference
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.
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 re­quested
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.
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 develop­ment. 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 2014.
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.
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 Ortho­dontics 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
Land
phone
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.
J
se
as
str
en
se
ras
rg
Nadelberg
lbe
Barfüsserplatz
p
ben
nen
no
Ka sse
ga
St.
A
n
lba
-G
ra b
en
Dufourstras
g ra
rasse
nen
nst
ke
W
brü et t ste
c ke i n -
Petersgrab
Ko
g as r n ha
se us-
r.
t st
at
rg
Sc
ube
Stei
me
üc
ter
ns
Mü t z
sse
p la
t ra
ie S
Fr e
He
Holbeinst
se
L ei
tt
Br
g
dt
Mi
e
ler
run
Totengasse
sse
nm
e
ga
t ze
ss
nz
hü
ga
Mü
st a
gs
sp
se
nstrasse
vo r
er
ein
s
Vesalga
Schönbei
len
rb
Rh
as s e
Petersplat z
Spa
adt
He
e
pfe
Sc
r st
sse
ullistr
ras s
St a
en
nz
ha
-Vo
ra
Ber no
elst
c
nns
lst
Heb
brü
o ha
it a
Universitätskliniken
für Zahnmedizin
Hebelstrasse 3
4056 Basel
iter
J
St.
Sp
Location
nn
o ha
Bitte
frankieren
Klinik für Kieferothopädie
und Kinderzahnmedizin
Frau Jacqueline Burger
Hebelstrasse 3
4056 Basel