Is low budget therapy of mandibular frontal crowding possible?
The treatment of adult patients takes pleasure in more and more popularity during the last years. Orthodontics as an exclusive treatment of children and youngsters belongs long ago to the past. Among the rest, this is due to the increased awareness of aesthetics of the older patients what becomes apparent just also in the dental medicine. The claims of the patients are beside a quick and inexpensive therapy just also the claim of the invisibility.
Modern orthodontic therapy is connected with regenerative medicine. Alveolar bone seems to play a key role in providing support to the teeth, which are anchored to the bone by desmodontal fibers. The progressive alveolar bone resorption process occurs due to a loss of anatomic, biologic and mechanical factors.
Tooth extraction leads to typical bone deficiency of ridge width and height of alveolar crest. When tooth extraction is necessary, trauma should be minimized during the procedure and bone preservation should receive careful attention. The literature has shown that early bone loss can be significantly reduced by socket grafting. The process of socket grafting requires an understanding of wound healing and an appreciation of the biological properties of the products available for socket grafting.
This presentation gives an overview about the different aesthetic possibilities of treatment for the removal of anterior crowding in the lower jaw and confronts this under economic and therapeutic points of view.