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

Year 2020, Volume: 6 Issue: 2, 65 - 70, 01.10.2020

Muhammed Gürcan Nourtzan Kechagıa Burcu Ece Koru Sanaz Sadry

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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