Königsteiner Hybridtechnik® 

Königsteiner Hybridtechnik®

Up to now, patients with a deep bite requiring fixed braces in the upper and lower jaw, frequently encountered the problem of the upper teeth biting down onto the lower brackets, causing them to break and ultimately delaying treatment. To avoid this, one either had to cap the lower molars with cement, or glue so-called bite turbos behind the front teeth. However, both scenarios made chewing more difficult, rendering it a less than perfect solution.

Through the advancement of lingual treatment, initially developed for aesthetic reasons, we were able to find a much more comfortable solution for the patient. We now bond the lower jaw brackets to the inner side of the teeth. Not only does this look better, it also improves the quality of life by avoiding cement caps and bite turbos. The insides of the teeth are also less prone to de-mineralisation because of the self-cleansing attributes of saliva.

 Königsteiner Intrusion® 

Königsteiner Intrusion®

The missing overlap between the upper and lower front teeth’s incisal edges is described as a frontal open bite. This malocclusion of the jaw and/or the teeth needs to be treated urgently, because not only does it affect the aesthetic appearance of a patient, it also reduces his or her ability to masticate. (Julien et al, 1996). Pronounced open bites can cause lisping and other speech impediments (Proffit, 1993).
To treat an open bite in a patient’s permanent dentition, we use the Königsteiner intrusion® mechanism in our therapy. This treatment technique – further advanced by us, will move the upper molars inwards and, due to the geometry of the jaw, leads to a positive forward movement of the lower jaw, bringing about the closure of an open bite. To achieve this, we insert an anchor pin into each palate at the level of the first large molars (also see “anchor pins”). A transpalatal arch (also see “transpalatal arch”) is fastened to the large molars, and using elastic chains running from the molar to the anchor pin, the molars can now be moved inwards and the bite will gradually close.

 Die Königsteiner Distalisierungsapparatur® 

Königsteiner Distalisierungsapparatur

The Königsteiner Distalisierungsapparatur® (distalisation appliance) is an excellent “non-compliance” alternative to the Carrière Distalizer.
1-2 mini-implants (also see “anchor pins“) are inserted into the palate as anchor points. An impression of the teeth and implants is taken and sent to the laboratory where the distaliser is made. In a second appointment, we glue the appliance in firmly. Because the distaliser works 24 hours a day, the teeth move backwards continuously via the build-in screws. This creates room for e.g. blocked-out canines in the region of the front dental arch.  Within a short space of time, the success of the treatment becomes visible, as gaps form. Once the teeth are distalised sufficiently (moved backwards), the whole appliance is taken out and the mini-implants can be removed.

 Königsteiner MiniAnts® 

Königsteiner MiniAnts

For patients with severe crowding in the lower jaw frontage, we developed a bracket design (”Königsteiner MiniAnts”®) that enables us to position all brackets perfectly, even when there is an acute lack of space. This keeps the length of treatment to a minimum.

 Königsteiner Early Fixed Functionals® 

Königsteiner Early Fixed Functionals

Early treatment means undertaking an orthodontic correction in mixed dentition. This marks the period when teeth start to rotate but numerous milk or “baby” teeth are still present. The aim is to optimise future teeth development, by early prevention of misalignment or growth deficiency. (early).

In Germany, the most frequently occurring misalignment of the jaw is mandibular retrognathism – the lower jaw lags behind during growth and lies too far back in relation to the upper jaw. Functional orthodontics uses inherent muscle power to trigger a growth impulse in the lower jaw. Specific corrective appliances activate the masseter, cheek, and tongue muscles to give a functional impulse (functional).

The treatment devices (activator, bionator, functional regulator, bite block, monobloc, etc.) are generally custom-made, removable applications.

However, we believe that particularly at an early age, a therapy for the treatment of growth deficits should be consistent. In the long run, this can only be achieved with a fixed appliance, like the Herbst appliance or FMA (fixed).
The advantage is that the therapy works 24 hours a day. We use removable appliances predominantly to uphold the outcome of our treatment – an approach that distinguishes us from many other orthodontists.