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Die Rolle von genetischen und Umweltfaktoren bei der kieferorthopädischen Therapie

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Zusammenfassung

Ein Rezidiv einer behandelten Gebißanomalie kann durch Erb- und Umweltsfaktoren verursacht werden, welche Wachstumsabweichungen, pathologische Erscheinungen und lokale Störungen bedingen. Okklusale Unmanieren, Kieferhaltung, abnormale Druckgewohnheiten und fehlerhaftes Vorgehen bei der Behandlung können zusätzlich zu inhärenten genetischen Tendenzen unerwünschte Kräfte ins Spiel bringen, die dazu führen, das kieferorthopädisch behandelte Gebiß wieder in den Zustand der Anomalie zurückzubringen. Die Auswirkungen dieser Faktoren werden besprochen und gezeigt.

Summary

Relapse of treated malocclusion can be caused by hereditary and environmental factors that are responsible for aberrant growth, pathologic manifestations and local interferences. Occlusal mannerisms, jaw postering, abnormal pressure habits and faulty technique, in addition to inherent genetic tendencies, can introduce untoward forces that tend to move the orthodontically treated dentition back into malocclusion. Effects of these factors are discussed and illustrated.

Résumé

Après traitment d'une anomalie dento-maxillaire, une récidive peut être causée par hérédité ou par des facteurs acquis qui sont responsables d'une croissance anormale et de troubles pathologiques et locaux. Des dysfonctions occlusales, une position d'un maxillaire, des habitudes néfastes et des erreurs dans la conduite du traitement, peuvent, ajoutées à des tendances génétiques inhérentes, mettre en jeu des forces indésirables qui ramènent le cas à son point de départ. On analyse à la fin l'effet de tels facteurs.

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Author notes

  1. J. A. Salzmann DDS, FAPHA. FACD. FICD (Emeritus Professor Mount Sinai Medical Center)

    Present address: City University of New York, 25 Sutton Place South, 10022, New York, N. Y.

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    1. J. A. Salzmann DDS, FAPHA. FACD. FICD
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    Ins Deutsche übersetzt von Bedřich Neumann, Ostrava

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    Salzmann, J.A. Die Rolle von genetischen und Umweltfaktoren bei der kieferorthopädischen Therapie. Fortschritte der Kieferorthopädie 38, 3–16 (1977). https://doi.org/10.1007/BF02172112

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