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Biomedical subjects

H De Clerck

Publications and source records attributed to H De Clerck.

7 recordsLinked to original sources

[Dental tours de force 4. The use of a bone anchor for holding upright a tipped molar in the lower jaw].

Mini-implants are increasingly used for orthodontic anchorage. Using a mini-implant as anchorage in uprighting a mandibular molar, the need for other orthodontic appliances is minimal. Furthermore, the treatment is not evoking any risk of disturbing the occlusion, since other teeth are not loaded. Depending on a good control of the applied forces and the extrusion of the molar during uprighting, the orthodontic treatment can be simple and not burdening the patient.

Bone Screws↗

[Pre- and post-surgical orthodontic objectives and orthodontic preparation].

Orthodontics in combination with orthognathic surgery is a possibility today for correcting sagittal, vertical and transversal dysmorphosis. To do this, orthodontic preparation before surgery is necessary. In the sagittal plane, dental compensations should be removed. In the vertical plane, levelling of a severe mandibular SPEE curve should be accomplished postsurgically, and transverse coordination obtained. Orthodontic preparation is very specific to the type of dysmorphosis: class II malocclusion, class III malocclusion or in open bite. Postsurgical orthodontic treatment is used to finalize tooth alignment as in conventional orthodontics.

Craniofacial Abnormalities↗

[Extraction in orthodontics: when and why?].

During the last century orthodontic treatment philosophies changed continuously. The necessity to extract teeth in order to correct a lack of space has many times been the subject of discussion. In fact there exists several techniques which make it possible to avoid extractions in many cases. A number of criteria which influence the decision to extract or not, as well as some techniques to regain space in upper and lower arch are discussed.

Malocclusion↗

[Effect of headgear activator treatment and of mandibular advancement osteotomy on profile convexity].

A first group of 19 class II1 patients (mean age 11 years) was treated with a headgear activator. X-rays were taken before and after treatment and again 4 years after treatment was completed. A second group of 26 class II1 patients (mean age 21 years) was treated with an advancement osteotomy of the mandible (BSO). X-rays were taken just before and 6 months after surgery. The dento-alveolar compensation (mainly retrusion of the upper incisors) was greater for the activator-group. The convexity of the hard and soft tissues improved in a comparable way for both groups of patients. Only a small part of the correction obtained with the headgear activator relapsed 4 years after treatment.

Activator Appliances↗

The value of the macerated skull as a model used in orthopaedic research.

In this study a method was developed to enable the measurement of initial bone displacement in vivo, post-mortem, and in vitro. Speckle interferometry was used as measuring technique. Through the construction of the centres of rotation, the different orthopaedic effects could easily be compared. Also the magnitude of the bone displacement could be calculated. The initial post-mortem displacement of the maxilla corresponds very well with the initial in vivo displacement. After maceration and drying of the skull, however, clear differences from the in vivo displacement were found. The orthopaedic effects on a macerated skull can be manipulated considerably by changing, for instance, the degree of humidity. Only a limited number of skulls was examined in these experiments and probably still other variables exert an influence on the bone displacement in the macerated skull. Nevertheless, it is certain now that the dry skull cannot reliably be used as a model to simulate the initial bone displacement in vivo. The experimental set-up of this study will be used in the future to evaluate the effect of environmental factors (humidity, temperature, etc.) in an attempt to improve the value of the skull as a model for orthopaedic research. Moreover, this technique permits investigation of the link between initial displacements in vivo and longitudinal changes.

Aging↗