QTextEdit::toHtml() gibt schon gültiges HTML zurück - nicht nötig da noch einmal was zu konvertieren (was eh nicht mehr vorhanden ist). ß wird übrigens falsch konvertiert...

If you put your buttons in a QButtonGroup you could simply store the button id so you can programmatically check it when loading your document.

I think I have found the problem. I went through the source code of the QGraphicsTextItem and came across the private _q_updateBoundingRect. In there there is a line:

if (size == qq->m_boundingRect.size() || pageSize.height() != -1) return;

It looks like the pageSize.height() != -1 part is the problem. I have removed it and it seems to be working!