Skip to main content
SpringerLink
Log in

GTR-Technik im Rahmen einer kombinierten parodontal-kieferorthopädischen Behandlung

GTR-technic in a combinited periodontal and orthodontic therapy

Eine Fallbeschreibung

  • Klinisches Forum
  • Published:
Fortschritte der Kieferorthopädie Aims and scope Submit manuscript

Zusammenfassung

Vielfach sind Kieferorthopäden diejenigen, die bei Heranwachsenden oder jungen Erwachsenen parodontale Defekte feststellen. Diese Patienten leiden möglicherweise an einer Sonderform der Parodontalerkrankung, der juvenilen Parodontitis. Mit der GTR-(guided tissue regeneration-) Technik steht eine Therapiemöglichkeit zur Verfügung, die eine dauerhafte Versorgung solcher Fälle ermöglicht. Bei dem vorgestellen Fall waren diese parodontaten Probleme mit einer Fehlstellung der betrofferen Zähne verbunden. Mittels kieferorthopädischer und parodontaler Behandlung konnten die Fehlstellung korrigiert und die Knochendefekte zum großen Teil regeneriert werden. Die regelmäßigen Kontrollen zeigten, daß dieses Ergebnis nun über eine Beobachtungszeitraum von über zwei Jahren stabil blieb.

Summary

Periodontal defects in adolescents or young adults are often an incidental finding within the framework of orthodontic treatment. Often these patients are suffering from a special fromm of periodontal disease, juvenile periodontitis. Guided tissue regeneration (GTR) offers a technique for long-term therapy in such cases. in the case presented here, the periodontal problems were aggravated by malpositioning of the effected teeth. Orthodontic and periodontal treatment enable the malpositioning to be corrected and the ossseous defects of be largely regenerated. Controlls on regular bases up to now reveilled as stable status over 2 years.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatur

  1. Aukhil, L., E. Pettersson, C. Suggs: Guided tissue regeneration. an experimental procedure in beagle dogs. J. Penodont. 57 (1986), 727–734.

    Google Scholar 

  2. Baer, P. N., S. D. Benjamin: Periodontal disease in childen and adolescents. Lippincott, Philadelphia 1974, p. 319.

    Google Scholar 

  3. Flores-de-Jacoby, E., A. Zimmermann, L. Tsulikis: Experiences with guided tissue regeneration in the treatment of advanced pernodontal disease. J. clin. Periodont. 21 (1994), 113–117.

    Google Scholar 

  4. Folio, J., T. Rams, P. H. Keyes: Orthodontic therapy in patients with juvenile penodontitis; clinical and microbiologic effects. Amer. J. Orthodont. 87 (1985), 321–341.

    Google Scholar 

  5. Genco, R. J., J. J. Zambon, L. A. Christersson: Use and interprelation of microbiological assay in periodontal disease. Oral Microbiol.Immunol. 1 (1986), 73–79.

    Google Scholar 

  6. Goldstein, M. C., M. E. Fritz: Treatment of periodontitis by combined orthodontic, and periodontal approach: report of a case. J. Amer. dent. Ass. 93 (1976) 985–990.

    Google Scholar 

  7. Gottolow, J., S. Nyman, T. Karring, J. Lindhe, New attachment formation as the results of controlled tissue regeneration. J. clin. Periodont. 11 (1984), 494–503.

    Google Scholar 

  8. Gottlow, J., S. Nyman, J. Luidhe, Karring, J. Wennström: New attrachment formation in the human periodontion by guided tissue regeneration. Case reports. J. clin. Perlodont. 13 (1986), 604–616.

    Google Scholar 

  9. Karring, T., S. Nyman, J. Lindhe: Healing following implantation of periodontitis-affected roots into bone tissue. J. clin. Periodont. 45 (1980), 725–730.

    Google Scholar 

  10. Lindhe, J.: Textbook of clinical periodontology, Munksgard, Copenhagen 1983, p. 158–159.

    Google Scholar 

  11. Listgarten, M. A., J. Lindhe, L. Hellden: Effects of tetracycline and/or sealing on human periodontal disease. J. clin. Periodont. 9 (1978), 246–271.

    Google Scholar 

  12. Magnusson, I., C. Batich, B. R. Collins: New attachment formation following controlled tissue regeneration using biodegradable membranes. J. Periodont. 59 (1988), 1–6.

    Google Scholar 

  13. Mandell, R. L., S. S. Socransky: A selective medium for actinobacillus actinomycetemcomitants and the incidence of the organism in juvenile periodontitis. J., Periodont. 52 (1981), 593–598.

    Google Scholar 

  14. Mandell, R. L., J. L. Ebersole, S. S. Socransky: Clinical, immunologic and microbiologic features of active disease sites in juvenile periodontitis. J. Clin. Periodont. 14 (1987), 534–540.

    Google Scholar 

  15. McLain, J. B., W. R. Proffit, R. H. Davenport: Adjunctive orthodontic therapy in the treatment of juvenite periodontitis: report of a case and review of the literature. Amer. J. Orthodont. 83 (1983), 290–298.

    Google Scholar 

  16. Nyman, S., J. Gottlow, T. Karring, J. Lindhe: The regenerative potential of the periodontal ligament. An expertment study in the monkey. J. clin. Periodont. 9 (1982), 257–265.

    Google Scholar 

  17. Nyman, S., J. Lindhe, T. Karring, H. Rylander: New attachment following surgical treatment of human periodontal disease. J. clin. Periodont. 9 (1982), 290–296.

    Google Scholar 

  18. Page, R. C., H. E. Schoroeder: Periodontitis in man and other animals. Karger, Basel 1982, p. 224–225.

    Google Scholar 

  19. Pavicic, M. J. A. M. P., A. J. van Winkelhoff, J. de Graaff: Synergistic effects between amoxicillin, mettonidazole and ist hydroxymetabolic against actinobacillus actinomycetemcomitans. Antimicrob. Agents Chemother 35 (1991), 961–966.

    Google Scholar 

  20. Pavicic, M. J. A. M. P., A. J. van Winkelhoff, J. de Graaff: Susceptibilities of actinobacillus actinomycetemcomitans to a number of antimicrobial combinations. Antimicrob. Agents. Chemother. 36 (1992), 2634–2638.

    Google Scholar 

  21. Pavicic, M. J. A. M. P., J. van Winkelhoff, N. H. Douque, R. W. R. Steures, J. de Graaff: Microbiological and clinical effects of metromidazole and amoxicillin in actinobacillus actinomycetemcomitans asociated periodontitis. J. clin. Periodont. 21 (1994), 107–112.

    Google Scholar 

  22. Peros, W. J., E. D. Savitt, G. Vassos, R. Milligan, R. Niederman: Rapid microbiologic tests as an adjumet to the diagnose of periodontal disease. Comp. cont. Educ. Dent. 9 (1988), 234–241.

    Google Scholar 

  23. Saxen, L.: Juvenile periodontinis. J. clin. Periodont. 7 (1980), 1–19.

    Google Scholar 

  24. Stots, J., H. S. Reynoldsd, R. J. Genco: Actinobacillus actinomycotemcomitans in human periodontal disease: a crossectional microbiological investigation. Infection Immunity 29 (1980), 1013–1020.

    Google Scholar 

  25. Slots, J., B. Rosling: Suppression of periodontopathic microflora in localized juvenile periodontitis by systemic tetracycline. J. clin. Periodont. 10 (1983), 465–486.

    Google Scholar 

  26. Slots, J., T. E. Rams: Antibiotes in periodonatal therapy: advantages and disadvantages. J. clin. Periodont. 17, (1990), 479–493.

    Google Scholar 

  27. Stelzel M, J., I. Rosito, L. Flores-de-Jacoby: GTR- and modified Widman flap technic, long term ruslts. Abstract AAP pp (1994).

  28. Winkelhoff van A. J., C. J. Tijhof, J. de Graaff: Microbiological and clinical results of metoronidazole plus amoxicillin therapy in Actinobacillus actinomycetemcomitants associated periodonitis. J. Periodont. 63 (1992). 52–57.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Abteilung für Parodontologie, Zentrum für ZMK-Heilklunde, Philipps-Universität Marburg, Georg-Voigt-Straße 3, D-35022, Marburg

    M. Stelzel

Authors
  1. M. Stelzel
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Stelzel, M. GTR-Technik im Rahmen einer kombinierten parodontal-kieferorthopädischen Behandlung. Fortschritte der Kieferorthopädie 56, 347–352 (1995). https://doi.org/10.1007/BF02173161

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02173161

Search

Navigation