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Wachstumsprognose-retrospektiv

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Summary

Regarding the cranio-facial growth in patients with Angle-class II/div. 1 who were treated by removable plates and activator, it was found:

  1. 1.

    An assessment of craniofacial growth based on the work ofBjörk seems to apply only in the case of some vertical variables and is not for practical work in clinics.

  2. 2.

    For clinical use the “inclination of the symphysis of the lower jaw”, the “inclination of the lower incisors” and the “lower face-height” all seem to help in forecasting the vertical growth of both jaws. The more positive these signs appear, the less the vertical growth which occurs.

  3. 3.

    The prediction of change in the sagittal variables is more difficult. The prognosis seems to be possible with the help of the “inclination of the symphysis”, in girls together with the “inclination of the lower incisors”, in boys with the “direction of the mandibular canal”.

  4. 4.

    The development of the chin—so important in treatment-planning—was assessed best from the “lower border of the mandible” and the “inclination of the lower incisors”, and the prognosis of the ANB-angle was assessed with the help of the “inclination of the symphysis”. It was surprising that in the case of both variables those with an expected negative growth in fact developed very good sagittal growth.

Résumé

On peut finalement faire les déclarations suivantes au sujet du pronostic de croissance établi chez des patients de la classe II, division l d'Angle, traités au moyen de plaques actives et d'activateurs:

  1. 1.

    Un pronostic qui s'établit sur certains signes de croissance n'est valable que pour quelques variables verticales et n'a ainsi qu'une signification clinique limitée.

  2. 2.

    Pour les besoins cliniques, il semble que les données établies parBjörk “Inclinaison de la symphyse mandibulaire”, “Inclinaison des incisives inférieures”, “Hauteur antéro-inférieure de la face” doivent suffire pour établir le pronostic de la croissance verticale tant maxillaire que mandibulaire. Plus la croissance verticale est réduite, plus les signes de croissance peuvent être reconnus clairement.

  3. 3.

    Le pronostic de la variable sagittale est plus difficile à établir. Il semble que là, l'inclinaison de la symphyse en fonction de l'inclinaison des incisives inférieures chez les filles et avec le canal mandibulaire chez les garçons facilitent le pronostic.

  4. 4.

    Le pronostic du développement du menton (important pour déterminer la thérapeutique) est a rechercher dans la position du bord inférieur mandibulaire et de l'inclinaison des incisives inférieures, et le pronostic de l'angle ANB dans celle de l'inclinaison de la symphyse. Pour les deux variables on a constaté avec surprise que dans des cas où on s'attendait à un pronostic des croissance défavorable, il en était résulté cependant un développement favorable.

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  1. F. Jenatschke

    Present address: , Bahnhofstr. 2, 7410, Reutlingen

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  1. Abteilung für Kieferorthopädie, Zentrum für Zahn-, Mund- und Kieferheilkunde der Universität Tübingen, Tübingen, Deutschland

    F. Jenatschke

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Jenatschke, F. Wachstumsprognose-retrospektiv. Fortschritte der Kieferorthopädie 38, 17–29 (1977). https://doi.org/10.1007/BF02172113

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