HIZLI MAKSİLLER GENİŞLETME VE AKTİVATÖR APAREYLERİ İLE İSKELETSEL SINIF II BÖLÜMLÜ ÖN AÇIK KAPANIŞ MALOKLÜZYONUNUN TEDAVİSİ: BİR VAKA SUNUMU

Abstract

Bu vaka raporunun amacı; iskeletsel II ve dişsel Sınıf II artmış openbite’a sahip olan erkek hastanın fonksiyonel apareyler ile tedavisi yapılan olguyu sunmaktır. Kliniğimize 9 yaşında erkek hasta ön dişlerinde aralanma şikâyeti ile başvurdu. Alınan anamnezde hastanın dil itimi yaptığı öğrenildi. Yapılan klinik ve radyografik değerlendirmede mandibular retrognati kaynaklı iskeletsel sınıf II ve dişsel sınıf II anomali ve artmış openbite bulundu. Tedaviye fonksiyonel aparey olan hızlı üst çene genişletmesi ile başlandı. 6 aylık pekiştirme süresinden sonra mandibular retrognatisi ve artmış openbite’ı olduğundan openbite aktivatör apareyi ile tedavisine devam edildi. 10 aylık aktivatör kullanım sonucu mandibuler ilerletme ve sınıf I molar ve kanin ilişkisi sağlandı. Sonuç olarak, dişsel sınıf II, artmış openbite olan vakada hızlı üst çene genişletilmesi ve aktivatör apareyi ile yapılan fonksiyonel tedavi sonucunda dişsel sınıf I ilişkilerle birlikte normal overbite ve overjete sahip iyi bir okluzyon sağlanmıştır.

Keywords

• Artmış openbite
• fonksiyonel tedavi
• Sınıf II

TREATMENT OF SKELETAL CLASS II DIVISION OPENBITE MALOCCLUSION WITH RME AND ACTIVATOR APPLIANCES: A CASE REPORT

Abstract

The aim of this case report presents a case of skeletal II and dental Class II treated with functional appliance in a male patient with increased openbite. A 9-year-old male patient was admitted to our clinic with gaping of anterior teeth. Clinical and radiographic evaluation revealed skeletal class II and dental class II anomaly and increased openbite due to mandibular retrognathia. The treatment was started with rapid maxillary expansion. After the retention period of 6 months, the treatment was continued with activator appliance to correct mandibular retrognathia. Mandibular advancement and class I molar and canine relationship were achieved after 10 months of activator use. In conclusion, in the case of dental class II, increased overjet, rapid maxillary expansion and functional treatment with activator appliance resulted in a good occlusion with normal overbite and overjet with dental class I relationships.

Keywords

• Class II division I
• increased openbite
• functional treatment

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