Saturday, November 27
03:45 p.m. – 04:45 p.m.

Dr. Heinz Winsauer, Bregenz

Median mandibular and maxillary distraction in combination with minimal
invasive surgery Indication, treatment plan, methodology and case studies.

The treatment of patients with a transversal deficiency of the mandible and/or the maxilla has often failed because of the patients age, the extent of the planned intervention or the fact that the skeletal base could hardly be changed. Winsauer and Ploder developed a tooth borne appliance for widening either the mandible or the maxilla and combined it with a minimal invasive approach for the osteotomy. The access is an incision of only 10mm for a procedure that takes only 10-15 minutes. After 2 days the patient is free of complains. The distraction is done by a toothborne splint expander made either of acrylic or cast wironium. This type of construction guarantees a parallel expansion of the distraction gap. Neither bone screws nor a second appliance removal operation are necessary.

The presentation was published in the Int. J. of Maxillofacial surgery and voted the best Austrian scientific orthodontic paper in the year 2008. Indication, diagnostic setup, preparing measures, check lists, educational advising, all surgical details (movies), the characteristic and fabrication of the appliance is presented step by step. The patients change from narrow jaws, space deficiency and obstructed nasal breathing on to comfortable chewing, attractive smile and free breathing is demonstrated in impressive treatment examples.

Dr. Heinz Winsauer did after completing his Dental and Medical Degree at the University of Innsbruck (1974-86) his specialisation in orthodontics. 1987–1990 he worked for the Dental University of Innsbruck. Since 1990 he has his own private practice in Bregenz, Austria. Dr. Winsauer was the first Austrian orthodontist in a private practice with European Board examination in 1998. Dr. Winsauer filed six international orthodontic patents. In his scientific research on moment/force quantification in rapid maxillary expansion (RME) at Graz Dental University he focusses on rapid maxillary expansion, torque of teeth, intermaxillary force deliverance, unilateral headgear and early treatment of Angle Class III. He published numerous articles and presentations.

E-Mail: praxis@dr-winsauer.at