Details

The Orthodontic Mini-implant Clinical Handbook


The Orthodontic Mini-implant Clinical Handbook


2. Aufl.

von: Richard Cousley

114,99 €

Verlag: Wiley-Blackwell
Format: EPUB
Veröffentl.: 29.01.2020
ISBN/EAN: 9781119509745
Sprache: englisch
Anzahl Seiten: 352

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Beschreibungen

<p><b>Offers the very latest on the theory and practice of integrating mini-implant techniques into clinical practice</b></p> <p>This all-new second edition of <i>The Orthodontic Mini-implant Clinical Handbook</i> provides a thoroughly revised and expanded update to the theoretical and practical aspects of using mini-implants in orthodontic practice. Taking a practical step-by-step approach with hundreds of clinical images, it presents updated clinical techniques and new clinical cases, covering all topics of importance for utilising mini-implants. It also includes a new chapter on mini-implant anchored maxillary expansion appliances.</p> <p>It begins with a chapter that looks at mini-implant principles and potential complications, before moving onto clinical and design factors for maximising mini-implant success. Other chapters cover incisor retraction; molar distalisation and protraction; intrusion and anterior openbite treatments; bone anchored rapid maxillary expansion; orthognathic surgical uses; and ectopic teeth.</p> <ul> <li>Provides a comprehensive guide to both theoretical and practical advice for the use of mini-implants in orthodontic practice</li> <li>Covers updated clinical techniques and new clinical cases</li> <li>Presents a new chapter on mini-implant anchored maxillary expansion appliances</li> <li>Takes a highly illustrated step-by-step approach ideal for clinical practice</li> </ul> <p><i>The Orthodontic Mini-Implant Clinical Handbook</i> is an essential resource to orthodontists, maxillofacial surgeons, practicing dentists, and anyone with an interest in mini-implant skeletal anchorage.</p>
<p>Preface to Second Edition xi</p> <p><b>1 Orthodontic Mini-implant Principles and Potential Complications </b><b>1</b></p> <p>1.1 The Origins of Orthodontic Bone Anchorage 1</p> <p>1.2 The Evolution of Mini-implant Biomechanics 1</p> <p>1.3 3D Anchorage Indications 1</p> <p>1.4 Using the Right Terminology 2</p> <p>1.5 Principal Design Features 2</p> <p>1.6 Clinical Indications for Mini-implants 2</p> <p>1.6.1 Routine Cases 2</p> <p>1.6.2 Complex Cases 3</p> <p>1.6.3 Direct and Indirect Anchorage 3</p> <p>1.7 Benefits and Potential Mini-implant Complications 3</p> <p>1.8 Mini-implant Success and Failure 4</p> <p>1.9 Medical Contraindications 5</p> <p>1.10 Root/Periodontal Damage 5</p> <p>1.11 Perforation of Nasal and Maxillary Sinus Floors 6</p> <p>1.12 Damage to Neurovascular Tissues 6</p> <p>1.13 Mini-implant Fracture 7</p> <p>1.14 Pain 7</p> <p>1.15 Soft Tissue Problems 8</p> <p>1.16 Mini-implant Migration 8</p> <p>1.17 Biomechanical Side-effects 10</p> <p>1.18 Factors Affecting Mini-implant Success 11</p> <p>References 11</p> <p><b>2 Maximising Mini-implant Success: Patient (Anatomical) Factors </b><b>15</b></p> <p>2.1 Cortical Bone Thickness and Density 15</p> <p>2.2 Interproximal Space 16</p> <p>2.3 Soft Tissue and Oral Hygiene 17</p> <p>2.4 Maxillomandibular Planes Angle 17</p> <p>2.5 Age 18</p> <p>2.6 Cigarette Smoking 18</p> <p>2.7 Body Mass Index 18</p> <p>References 19</p> <p><b>3 Maximising Mini-implant Success: Design Factors </b><b>21</b></p> <p>3.1 Mini-implant Design Factors 21</p> <p>3.2 The Infinitas™ Mini-implant System 22</p> <p>3.2.1 Infinitas Mini-implant Design Features 22</p> <p>3.2.2 Infinitas Guidance System 24</p> <p>3.3 Digital Stent Fabrication Processes 27</p> <p>References 29</p> <p><b>4 Maximising Mini-implant Success: Clinical Factors </b><b>31</b></p> <p>4.1 Clinical Technique Factors 31</p> <p>4.1.1 Insertion Technique 31</p> <p>4.1.2 Root Proximity 31</p> <p>4.1.3 Force Application 33</p> <p>4.2 Introducing Mini-implants to your Clinical Practice 33</p> <p>4.3 Patient Consent 33</p> <p>4.4 Key Points to Consider for Valid Consent 35</p> <p>4.4.1 Rationale for Mini-implant Anchorage 35</p> <p>4.4.2 Patient Discomfort 35</p> <p>4.4.3 Mini-implant Instability 35</p> <p>4.4.4 Periodontal/Root Contact 35</p> <p>4.4.5 Mini-implant Fracture 35</p> <p>4.4.6 Mini-implant Displacement 35</p> <p>4.4.7 Written Information 35</p> <p>4.5 Staff Training 35</p> <p>4.6 Patient Selection 35</p> <p>References 37</p> <p><b>5 Mini-implant Planning </b><b>41</b></p> <p>5.1 Mini-implant Planning 41</p> <p>5.1.1 Treatment Goals and Anchorage Requirements 41</p> <p>5.2 Mini-implant Location 41</p> <p>5.3 Hard Tissue Anatomy and Radiographic Imaging 41</p> <p>5.4 Soft Tissue Anatomy 45</p> <p>5.5 Vertical Location and Inclination 46</p> <p>5.6 Insertion Timing 46</p> <p>5.7 Guidance Stent 49</p> <p>5.8 Mini-Implant Dimensions 49</p> <p>References 51</p> <p><b>6 Mini-implant Insertion </b><b>53</b></p> <p>6.1 Mini-implant Kit Sterilisation 53</p> <p>6.2 Superficial Anaesthesia 53</p> <p>6.3 Antibacterial Mouthwash 54</p> <p>6.4 Stent Application (Optional) 54</p> <p>6.5 Soft Tissue Removal 54</p> <p>6.6 Cortical Perforation 55</p> <p>6.7 Mini-implant Insertion 55</p> <p>6.8 Mini-implant Fracture 58</p> <p>6.9 Postoperative Instructions 58</p> <p>6.10 Force Application 59</p> <p>6.11 Biomechanics 59</p> <p>6.12 Explantation 59</p> <p>6.13 Summary of Mini-implant Insertion Steps 60</p> <p>6.14 Maximising Mini-implant Success: Ten Clinical Tips 60</p> <p>References 60</p> <p><b>7 Retraction of Anterior Teeth </b><b>63</b></p> <p>7.1 Clinical Objective 66</p> <p>7.2 Treatment Options 66</p> <p>7.3 Key Treatment Planning Considerations 66</p> <p>7.4 Biomechanical Principles 67</p> <p>7.5 Midtreatment Problems and Solutions 67</p> <p>7.6 Clinical Steps for a Posterior Mini-implant 67</p> <p>7.6.1 Preinsertion 67</p> <p>7.6.2 Mini-implant Selection 68</p> <p>7.6.3 Insertion 68</p> <p>7.6.4 Postinsertion 69</p> <p>7.7 Biomechanical Options for Anterior Teeth Retraction 69</p> <p>7.8 Case Examples 70</p> <p>References 99</p> <p><b>8 Molar Distalisation </b><b>101</b></p> <p>8.1 Alternatives to Mini-Implant Distalisation 101</p> <p>8.1.1 Class II Growth Modification Treatment, Involving Mini-implant Anchorage (Figure 8.1) 102</p> <p>8.1.2 Mandibular Distalisation Using Miniplate Anchorage (Figure 8.3) 105</p> <p>8.2 Clinical Objectives of Molar Distalisation 105</p> <p>8.3 Treatment Options 105</p> <p>8.4 Key Treatment Planning Considerations 110</p> <p>8.5 Biomechanical Principles 110</p> <p>8.6 Midtreatment Problems and Solutions 110</p> <p>8.7 Mandibular Arch Distalisation 110</p> <p>8.7.1 Clinical Steps for Mandibular Distalisation 110</p> <p>8.7.2 Case Examples 113</p> <p>8.8 Maxillary Arch Distalisation 116</p> <p>8.8.1 Clinical Steps for Palatal Alveolar Distalisation 116</p> <p>8.8.2 Case Examples 117</p> <p>8.9 Midpalatal Distaliser Options 121</p> <p>8.9.1 Pushcoil Distaliser 127</p> <p>8.9.2 Traction Distaliser 127</p> <p>8.9.3 Clinical Steps for a Midpalatal Distaliser 127</p> <p>8.9.4 Case Examples 129</p> <p>References 135</p> <p><b>9 Molar Protraction </b><b>137</b></p> <p>9.1 Clinical Objective 141</p> <p>9.2 Treatment Options 141</p> <p>9.3 Key Treatment Planning Considerations 141</p> <p>9.4 Biomechanical Principles 141</p> <p>9.5 Midtreatment Problems and Solutions 142</p> <p>9.6 Clinical Steps for Molar Protraction Using Alveolar Site Anchorage 142</p> <p>9.6.1 Preinsertion 142</p> <p>9.6.2 Mini-implant Selection 144</p> <p>9.6.3 Insertion 145</p> <p>9.6.4 Postinsertion 145</p> <p>9.7 Case Examples 145</p> <p>9.8 Clinical Steps for Midpalate (Indirect) Anchorage (Figure 9.3) 161</p> <p>9.8.1 Preinsertion 161</p> <p>9.8.2 Mini-implant Selection 161</p> <p>9.8.3 Insertion 161</p> <p>9.8.4 Postinsertion 161</p> <p>9.9 Direct Palatal Anchorage Example (Figure 9.15) 162</p> <p>References 166</p> <p><b>10 Intrusion and Anterior Openbite Treatments </b><b>167</b></p> <p>10.1 Single-Tooth and Anterior Segment Intrusion Treatments 169</p> <p>10.1.1 Clinical Objectives 169</p> <p>10.1.2 Treatment Options 169</p> <p>10.1.3 Relevant Clinical Details 169</p> <p>10.1.4 Biomechanical Principles 169</p> <p>10.1.5 Clinical Tips and Technicalities 169</p> <p>10.1.6 Clinical Steps 170</p> <p>10.1.7 Case Examples 170</p> <p>10.2 Anterior Openbite Treatment 172</p> <p>10.2.1 Clinical Objectives 174</p> <p>10.2.2 Treatment Options 174</p> <p>10.2.3 Relevant Clinical Details 174</p> <p>10.2.4 Biomechanical Principles 174</p> <p>10.2.5 Clinical Tips and Technicalities 176</p> <p>10.2.6 Simultaneous Mandibular Molar Intrusion 182</p> <p>10.2.7 Clinical Steps for Maxillary Molar Intrusion 182</p> <p>10.2.8 Case Examples 185</p> <p>References 206</p> <p><b>11 Transverse and Asymmetry Corrections </b><b>209</b></p> <p>11.1 Asymmetry Problems 209</p> <p>11.2 Dental Centreline Correction 209</p> <p>11.2.1 Clinical Objective 209</p> <p>11.2.2 Treatment Options 209</p> <p>11.2.3 Relevant Clinical Details 210</p> <p>11.2.4 Biomechanical Principles 210</p> <p>11.2.5 Clinical Tips and Technicalities 210</p> <p>11.2.6 Midtreatment Problems and Solutions 210</p> <p>11.2.7 Clinical Steps for Centreline Correction 210</p> <p>11.2.8 Case Examples 211</p> <p>11.3 Unilateral Intrusion (Vertical Asymmetry Correction) 227</p> <p>11.3.1 Clinical Objective 227</p> <p>11.3.2 Treatment Options 227</p> <p>11.3.3 Relevant Clinical Details 227</p> <p>11.3.4 Biomechanical Principles 228</p> <p>11.3.5 Clinical Tips and Technicalities 228</p> <p>11.3.6 Midtreatment Problems and Solutions 228</p> <p>11.3.7 Clinical Steps for Unilateral Intrusion 232</p> <p>11.3.8 Case Example (Figure 11.7) 234</p> <p><b>12 Ectopic Teeth Anchorage </b><b>239</b></p> <p>12.1 Clinical Objectives 239</p> <p>12.2 Treatment Options 239</p> <p>12.3 Relevant Clinical Details 239</p> <p>12.4 Biomechanical Principles 240</p> <p>12.5 Clinical Tips and Technicalities 241</p> <p>12.6 Midtreatment Problems and Solutions 241</p> <p>12.7 Clinical Steps for Ectopic Tooth Alignment 241</p> <p>12.7.1 Preinsertion 241</p> <p>12.7.2 Mini-implant Selection 241</p> <p>12.7.3 Insertion 242</p> <p>12.7.4 Postinsertion 242</p> <p>12.7.5 Case Examples 242</p> <p><b>13 Bone-anchored Maxillary Expansion </b><b>259</b></p> <p>13.1 Conventional Rapid Maxillary Expansion 259</p> <p>13.2 Expansion Forces and Speed 260</p> <p>13.3 Potential Advantages of Mini-implant Anchored RME 263</p> <p>13.3.1 Greater Basal Skeletal Expansion 263</p> <p>13.3.2 Basal Expansion in Older Aged Patients (Postpuberty) 263</p> <p>13.3.3 Greater Posterior Palatal Expansion 263</p> <p>13.3.4 Increased Nasal Airflow 263</p> <p>13.3.5 Fewer Dental and Periodontal Side-effects 263</p> <p>13.4 Clinical Objective 264</p> <p>13.5 Treatment Options 264</p> <p>13.6 Relevant Clinical Details 264</p> <p>13.7 Design Options for Mini-implant Expanders 264</p> <p>13.8 Hybrid RME 264</p> <p>13.8.1 Mini-implant Assisted Rapid Palatal Expansion (MARPE) 264</p> <p>13.8.2 Hybrid Hyrax RME Appliance 266</p> <p>13.8.3 Biomechanical Principles for Hybrid RME Appliances 271</p> <p>13.8.4 Clinical Steps for Hybrid RME 271</p> <p>13.9 Non-tooth Borne Mini-Implant Only RME 271</p> <p>13.9.1 Case Examples 271</p> <p>13.10 Biomechanical Principles 278</p> <p>13.10.1 Clinical Steps for OMI-borne RME 278</p> <p>13.11 Haas-type (Mucosa) and Mini-implant RME 278</p> <p>13.11.1 Clinical Steps for Mucosa-OMI Borne RME 279</p> <p>13.11.2 Case Example 279</p> <p>13.12 Summary of RME Design Selection 279</p> <p>References 283</p> <p><b>14 Orthognathic Surgical Uses </b><b>285</b></p> <p>14.1 Clinical Objectives 285</p> <p>14.2 Treatment Options 302</p> <p>14.3 Relevant Clinical Details 302</p> <p>14.4 Biomechanical Principles 322</p> <p>14.5 Clinical Tips and Technicalities 323</p> <p>14.6 Clinical Steps 324</p> <p>14.6.1 Preinsertion 324</p> <p>14.6.2 Mini-implant Selection 324</p> <p>14.6.3 Insertion 324</p> <p>14.6.4 Postinsertion 325</p> <p>14.7 Case Examples 325</p> <p>References 328</p> <p>Index 329</p>
<p><b>About the Author</b> <p><b>Richard Cousley</b> is a Consultant Orthodontist based at the Priestgate Clinic in Peterborough and also an Honorary Consultant Orthodontist, Peterborough City Hospital, the North West Anglia NHS Foundation Trust, Peterborough, UK.
<p><b>Offers the very latest on the theory and practice of integrating mini-implant techniques into clinical practice</b> <p>This all-new second edition of <i>The Orthodontic Mini-implant Clinical Handbook</i> provides a thoroughly revised and expanded update to the theoretical and practical aspects of using mini-implants in orthodontic practice. Taking a practical step-by-step approach with hundreds of clinical images, it presents updated clinical techniques and new clinical cases, covering all topics of importance for utilising mini-implants. It also includes a new chapter on mini-implant anchored maxillary expansion appliances. <p>It begins with a chapter that looks at mini-implant principles and potential complications, before moving onto clinical and design factors for maximising mini-implant success. Other chapters cover incisor retraction; molar distalisation and protraction; intrusion and anterior openbite treatments; bone anchored rapid maxillary expansion; orthognathic surgical uses; and ectopic teeth. <ul> <li>Provides a comprehensive guide to both theoretical and practical advice for the use of mini-implants in orthodontic practice</li> <li>Covers updated clinical techniques and new clinical cases</li> <li>Presents a new chapter on mini-implant anchored maxillary expansion appliances</li> <li>Takes a highly illustrated step-by-step approach ideal for clinical practice</li> </ul> <p><i>The Orthodontic Mini-implant Clinical Handbook</i> is an essential resource to orthodontists, maxillofacial surgeons, practicing dentists, and anyone with an interest in mini-implant skeletal anchorage.

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