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This is a major new work dedicated to the increasingly prominent
area of adult orthodontics. Written by renowned contributors from
the orthodontic community and beyond, and compiled by a world-class
editor, it provides an authoritative resource on the subject,
marrying together clinical guidance with a thorough evaluation of
the evidence base. The opening chapters provide the context for
adult orthodontics, including patient demographics and aetiology,
and the book goes on to detail treatment planning considerations,
including patient case profiles, suggesting initial outcomes and
longer term expectations. Interdisciplinary and multidisciplinary
approaches are discussed, including the links between adult
orthodontics and periodontics, prosthetics and temporomandibular
disorders. The book is accompanied by a website containing further
examples of case studies and a wealth of clinical images.
Set to become the gold standard resource on the subject, this
book will be invaluable to all those providing orthodontic
treatment to adults and those dealing with orthodontics as part of
the inter-disciplinary management of the adult dentition.
KEY FEATURES
A major new work on an expanding area of orthodontic
treatment
Covers patient demographics, aetiology, treatment planning
and maintenance issues
Includes case studies, suggesting realistic and optimal
short and long term outcomes
Highly illustrated with full colour clinical photos
Accompanied by a website with further material:
www.wiley.com/go/melsen
Autorentext
Birte Melsen is Professor and Head of the Department of Orthodontics; School of Dentistry, Aarhus University in Aarhus, Denmark. She has authored more than 360 publications in the fields of growth, with her recent professional interests focusing primarily on the fields of skeletal anchorage, virtual imaging and adult orthodontic treatment.
Zusammenfassung
This is a major new work dedicated to the increasingly prominent area of adult orthodontics. Written by renowned contributors from the orthodontic community and beyond, and compiled by a world-class editor, it provides an authoritative resource on the subject, marrying together clinical guidance with a thorough evaluation of the evidence base. The opening chapters provide the context for adult orthodontics, including patient demographics and aetiology, and the book goes on to detail treatment planning considerations, including patient case profiles, suggesting initial outcomes and longer term expectations. Interdisciplinary and multidisciplinary approaches are discussed, including the links between adult orthodontics and periodontics, prosthetics and temporomandibular disorders. The book is accompanied by a website containing further examples of case studies and a wealth of clinical images.
Set to become the gold standard resource on the subject, this book will be invaluable to all those providing orthodontic treatment to adults and those dealing with orthodontics as part of the inter-disciplinary management of the adult dentition.
KEY FEATURES
• A major new work on an expanding area of orthodontic treatment
• Covers patient demographics, aetiology, treatment planning and maintenance issues
• Includes case studies, suggesting realistic and optimal short and long term outcomes
• Highly illustrated with full colour clinical photos
• Accompanied by a website with further material: www.wiley.com/go/melsen
Inhalt
List of Contributors xi
Introduction: More than a Century of Progress in Adult Orthodontic Treatment xiii
1 Potential Adult Orthodontic Patients Who Are They? 1
Birte Melsen
Introduction 1
Who are the patients? 1
How do the patients express their needs? 6
The first visit 7
Communicating with the patient 9
Summary 10
References 10
2 Diagnosis: Chief Complaint and Problem List 12
Birte Melsen, Marco A Masioli
Introduction 12
Work-up of a problem list the interview chief complaint 12
General health 14
Clinical examination 16
Extraoral examination 16
Extraoral photographs 19
Function of the masticatory system 23
Intraoral analysis oral health 23
Evaluation of dental casts arch form 24
Occlusal analysis 24
Space analysis 26
Cephalometric analysis 26
Final problem list 27
Indication for treatment 28
The presentation of the problem list the tip of the iceberg 29
Concluding remarks 33
References 33
3 Aetiology 35
Birte Melsen
Introduction 35
Biological background 35
Aetiology of malocclusions in adults 41
Age-related changes in the skeleton 42
Age-related changes in the craniofacial skeleton 46
Age-related changes in the local environment 46
Consequences of deterioration of the dentition 48
Case reports 49
Conclusion 50
References 52
4 Interdisciplinary Versus Multidisciplinary Treatments 54
Birte Melsen
Interdisciplinary or multidisciplinary treatments 54
Establishment of an interdisciplinary team 56
Treatment sequence 58
Essential and optional treatment procedures 59
Interaction during treatment 61
Post-orthodontic treatment 62
Patient satisfaction 62
Examples of interdisciplinary cases 63
References 63
5 Treatment Planning: The 3D VTO 64
Birte Melsen, Giorgio Fiorelli
Determining the treatment goal 64
Producing an occlusogram 64
Combining the occlusogram with the head fi lm 69
The computerized occlusogram 72
Responding to patients' needs 73
Orthodontic treatment: Art or science? 73
References 76
6 Tissue Reaction 77
Carlalberta Verna, Birte Melsen
Orthopaedic effects 77
Orthodontic effects in adult patients 78
References 95
7 Appliance Design 99
Birte Melsen, Giorgio Fiorelli, Delfi no Allais, Dimitrios Mavreas
Introduction 99
Defi nition of the necessary force system 100
Anchorage evaluation 101
Sequencing the treatment into phases 103
Appliance selection and design 105
Sliding mechanics 108
Segmented mechanics 112
Conclusion 128
References 129
8 Anchorage Problems 132
Birte Melsen, Carlalberta Verna
Introduction 132
Definition 132
Classification of anchorage 132
Intramaxillary anchorage 133
Soft tissue anchorage 136
Free anchorage 137
Intermaxillary anchorage 142
Occlusion 143
Differential timing of force application 144
Extraoral anchorage 144
Skeletal anchorage 145
References 160
9 Bonding Problems Related to Adult Rehabilitated Dentitions 163
Vittorio Cacciafesta, M Francesca Sfondrini, Carmen Giudice
Introduction 163
Brackets 163 <p>...