Стратегия управления пространством. Удалять или нет?
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Лектор: Guido Sampermans врач-ортодонт
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1. Indications for Extraction vs. Non-Extraction
- When is extraction necessary? – Stability, esthetics, and occlusion considerations
- Alternatives to extraction – Expansion mechanics and space creation
2. Space Management in Non-Extraction Treatment
- Arch expansion strategies – Creating space without extractions
- Balancing proclination and stability – Managing side effects in nonextraction
- cases
3. Lower Arch-First Planning (Dental VTO)
- Evaluating lower arch constraints before determining upper arch treatment strategies
- Predicting upper arch adaptations based on lower arch movement
4. Utilizing E-Space for Optimal Outcomes
- Natural growth considerations – Understanding E-space utilization
- Strategies for maintaining arch integrity during treatment
5. The Role of Interproximal Reduction (IPR)
- When and how to use enamel stripping as an alternative to extraction
- Pros and cons of IPR vs. arch expansion
6. Advanced Considerations
- Digital treatment planning tools for extraction decisions
- Anchorage strategies in borderline cases
- Long-term stability comparisons: extraction vs. non-extraction
Take-Home Messages:
- Clear extraction vs. non-extraction planning is essential for achieving
- both esthetic and functional success.
- Empower 2’s low-friction design facilitates efficient space closure but
- requires precise biomechanical control.
- Anchorage control is crucial—proper anchorage planning prevents
- unwanted side effects.
- Every case is unique, and individualized patient assessments should
- determine the most effective space management strategy.
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