ASİMETRİK HIZLI ÜST ÇENE GENİŞLETME VE SABİT ORTODONTİK APAREYLERLE İSKELETSEL TEKTARAFLI ÇAPRAZ KAPANIŞIN TEDAVİSİ: OLGU SUNUMU

Abstract

Bu vaka raporunun amacı; iskeletsel Sınıf I ve dişsel sol Angle Sınıf I posterior çapraz kapanışı olan kadın hastanın tek taraflı üst çene genişletme aparey ile sabit ortodontik tedavisini içeren olguyu sunmaktır. Kliniğimize 13 yıl 9 aylık kadın hasta sağ üst köpek dişinin üstte olması şikâyetiyle başvurdu. Yapılan klinik ve radyografik değerlendirmede iskeletsel Sınıf I, dişsel sol Angle Sınıf I ve posterior çapraz kapanış bulundu. Tedaviye asimetik hızlı üst çene genişletme apareyi ile başlandı. 6 ay sonra maksilla ve mandibula arasında transversal ilişki sağlandı. Üst çene genişletme tedavisinden sonra alt ve üst dişlere 0.022 slot MBT straightwire braketler uygulandı. Sonuç olarak iskeletsel Sınıf I ve dişsel sol Angle Sınıf I posterior çapraz kapanış olan vaka 15 aylık tedavi sonucunda dişsel Angle Sınıf I ilişkilerle birlikte normal overbite ve overjete sahip iyi bir okluzyon sağlanmıştır.

Keywords

• Tek Taraflı Çapraz Kapanış,Üst Çene Genişletme,Sabit Ortodontik Tedavi

TREATMENT OF SKELETAL UNILATERAL CROSSBITE WITH ASYMMETRİC RAPİD MAXİLLARY EXPANSION AND FIXED ORTHODONTIC APPLIANCES: A CASE REPORT

Abstract

The aim of this case report is to present a female patient with skeletal Class I, dental left Angle Class I relationship with skeletal unilateral posterior crossbite was treated by using asymmetric rapid maxillary expansion appliance and fixed orthodontic treatment. A 13-year, 9-month female came to our clinic with the complaint of infraposition of upper right canine. In clinical and radiographic evaluation, skeletal class I and dental left Angle class I relationship with skeletal unilateral posterior crossbite were found. Treatment was started with asymmetric rapid maxillary expansion appliance. After 6 months, the transversal relationship correction between maxillara and mandibula were achieved. 0.022 slot MBT straightwire brackets were applied to the upper and lower teeth after maxillary expansion treatment. Finally, in the case of skeletal Class I, dental left Angle Class I relationship with skeletal unilateral posterior crossbite was treated in 15 months with a good occlusion, normal overbite-overjet and achieved dental Angle Class I relationships.

Keywords

• Unilateral Cross-Bite,Maxillary Expansion,Fixed Otrhodontic Appliances

References

1. Moyers RE, Jay P. Orthodontics in midcentury: transactions of a workshop of orthodontics at The University of Michigan. St Louis: C. V. Mosby; 1959. 2. Kutin G, Hawers RR. Posterior crossbite in deciduous and mixed dentitions. Am J Orthod 1969; 56:491-504. 3. Melsen B, Steengard K, Pedersen J. Sucking habits and their influence on swallowing pattern and prevalence of malocclusion. Eur J Orthod 1979; 1:271-80. 4. Thilander B, Wahlund S, Lennartsson B. The effect of early interceptive treatment in children with posterior cross-bite. Eur J Orthod 1984; 6:25-34. 5. Schroder U, Schroder I. Early treatment of unilateral posterior cross-bite in children with bilaterally contracted maxillae. Eur J Orthod 1984; 6:65-9. 6. Sandikcioglu M, Hazar S. Skeletal and dental changes after maxillary expansion in the mixed dentition. Am J Orthod Dentofacial Orthop 1997; 111:321-7. 7. Kisling E, Krebs G. Patterns of occlusion in 3-year-old Danish children. Community Dent Oral Epidemiol 1976; 4:152-9. 8. Bresolin D, Shapiro PA, Shapiro GG, Chapko MK, Dassel S. Mouth breathing in allergic children: its relationship to dentofacial development. Am J Orthod 1983;83:334-40 9. Sarver DM, Johnston MW. Skeletal changes in vertical and anterior displacement of the maxilla with bonded rapid palatal expansion appliances. Am J Orthod Dentofacial Orthop.1989; 95:462–466. 10. Wertz RA. Skeletal and dental changes accompanying rapid midpalatal suture opening. Am J Orthod. 1970; 58:41–66. 11. Ileri Z, Basciftci FA. Asymmetric rapid maxillary expansion in true unilateral crossbite malocclusion: A prospective controlled clinical study. Angle Orthod 1 March 2015; 85 (2): 245–252. 12. Toroglu MS., Uzel E., Kayalioglu M., Uzel I., Asymmetric maxillary expansion (AMEX) appliance for treatment of true unilateral posterior crossbite. Am J Orthod Dentofacial Orthop. 2002; 122:164-173 13. Brin I, Ben-Bassat Y, Blustein Y., Skeletal and functional effects of treatment for unilateral posterior crossbite Am J Orthod Dentofacial Orthop 1996; 109:173–179. 14. Marshall SD, Southard KA, Southard TE. Early transverse treatment Semin Orthod 2005; 11:130–139 15. Wertz RA. Skeletal and dental changes accompanying rapid midpalatal suture opening. Am J Orthod 1970; 58:41-66.