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AÇIK KAPANIŞLA BERABER SINIF II ANOMALİYE SAHİP HASTANIN TEDAVİSİ VE 8 SENELİK TAKİBİ – OLGU SUNUMU

Year 2014, Volume: 24 Issue: 1, 102 - 107, 11.02.2015
https://doi.org/10.17567/dfd.19628

Abstract

Amaç: Bu vaka raporunun amacı hafif dereceli açık kapanış ve iskeletsel Sınıf II ilişkiye sahip hastanın tedavisinin sekiz senelik takibini sunmaktır.

Olgu ve Yöntem: 11 yaşında kız hastanın kliniğimize başvuru sebebi dişlerindeki çapraşıklıktır. Ağız içi değerlendirmeye göre her iki tarafta da kanin ve büyük azı ilişkilerinin Sınıf II, overjet’in 4 mm, overbite’ın ise -2 mm olduğu belirlenmiştir. Sefalometrik analiz sonuçlarına göre hastanın mandibuler retrognatiye bağlı iskeletsel Sınıf II maloklüzyona sahip olduğu, vertikal yön değerlerinin normal sınırlarda olduğu ve alt-üst kesici eğimlerinin arttığı görülmüştür. Üst büyük azıların distalizasyonunu sağlamak amacıyla servikal headgear; ekstrüzyonu önleyip açık kapanışın kontrolünü sağlamak için de high-pull headgear kombine edilerek uygulanmıştır. Sınıf I büyük azı ilişkisi sağlanmasının ardından sabit tedaviye geçilmiştir. Seviyeleme sonrası alt arka ters spee’li ark teli yerleştirilmiş ve anterior kutu elastik kullandırılmıştır. Tedavi sonunda sabit retainer yapıştırılmış ve gece kullanımı için positioner verilmiştir. Tedavinin uzun dönem sonuçlarını değerlendirmek için hasta sekiz yıl sonra yeniden çağırılmış ve kayıtları yenilenmiştir.

Bulgular: Tedavi sonunda dişsel Sınıf I ilişki, iyi bir oklüzyon ve estetik elde edilmiş olup; ideal overjet-overbite değerlerine ulaşılmıştır. Sekiz yıl sonra dişsel ilişkiler ve overjetin hala aynı olduğu tespit edilirken; overbite değerinin azaldığı görülmüştür.

Sonuç: Tedavi sonunda iyi bir overjet, overbite ve interdijitasyonun elde edilmesinin vakanın uzun dönem klinik başarısına katkı sağladığı düşünülmektedir. Ancak açık kapanış eğilimi olan bireylerde stabilite ve retansiyon üzerinde hassasiyetle durulması gerekmektedir.

Anahtar Kelimeler: Kombine headgear, sınıf II maloklüzyon, açık kapanış, anterior elastik.

References

  • Sayin MO, Turkkahraman H. Malocclusion and crowding in an orthodontically referred Turkish population. Angle Orthod, 2004;74:635-9.
  • Moyers RE, Riolo ML, Guire KE, Wainright RL, Bookstein FL. Differential diagnosis of Class II malocclusions. Part 1. Facial types associated with Class II malocclusions Am J Orthod, 1980; 78: 477-94.
  • McNamara JA, Brudon WL. Treatment of Class II malocclusion. In: McNamara JA, Brudon WL. Eds. Orthodontic and orthopedic treatment in the mixed dentition. 6th edition, America: Needham Press, Inc 1996: 95-116.
  • Siatkowski R. the role of headgear in Class II dental and skeletal corrections. In: Nanda R. ed. Biomechanics Philadelphia: Wd Saunders Co 1996: 109-41.
  • Ghosh J, Nanda RS. Evaluation of an intraoral maxillary molar distalization technique. Am J Orthod Dentofacial Orthop 1996; 110: 639-46.
  • Warren DW. Clinical application of the ACCO appliance. Part II. Am J Orthod Dentofacial Orthop 1992; 101: 199-209.
  • Blafer JL. Troubleshooting the ACCO. J Clin Orthod 1970; 4: 440-6.
  • Çelikoğlu M, Yavuz İ. Bir iskeletsel Sınıf III olgunun yüz maskesi ve kemik destekli pendulum apareyi ile tedavisi (Olgu sunumu). J Dent Fac Atatürk Uni 2011; 21: 33-8.
  • Kingsley NW Orthodontics, Historical Review. In Weinberger BW History of Orthodontia. St Louis The CV Mosby Company 1926.
  • Ülgen M. Ortodontik tedavi prensipleri (4.baskı). İstanbul Üniversitesi Diş Hekimliği Fakültesi Yayınları 1993: 197.
  • Proffit WR. Contemporary Orthodontics. 2nd Ed, CV Mosby, St. Louis, USA 1993, 434-46.
  • Jacobson A. A key to the understanding of extraoral forces. Am J Orthod 1979; 75: 361-86.
  • Björk A. Timing of interceptive orthodontic measures based on stages of maturation. Trans Eur Orthod Soc 1972;61-74.
  • Grave KC, Brown T. Skeletal ossification and the adolescent growth spurt. Am J Orthod 1976; 69: 611–19.
  • Bussick TJ, McNamara JA. Dentoalveolar and skeletal changes associated with the pendulum appliance. Am J Orthod Dentofac Orthop 2000; 117: 333-43.
  • Kopecky Gr, Fishman LS. Timing of cervical headgear maturation. Am J Orthod Dentofac Orthop 1993; 104: 162-9. based on skeletal
  • Üçem TT, Yüksel S. Effects of different vectors of forces applied by combined headgear. Am J Orthod Dentofac Orthop 1998; 113: 316-23.
  • Tulloch CJF, Phillips C, Koch G, Proffit WR. The effect of early intervention on skeletal pattern in Class II malocclusion: A randomized clinical trial. Am J Orthod Dentofac Orthop 1997; 111: 391- 400.
  • Ricketts RM. The influence of orthodontic treatment on facial growth and development. Angle Orthod 1960; 30: 103-33.
  • Badell MC. An evaluation of extraoral combined high-pull traction and cervical traction to the maxilla. Am J Orthod 1976; 69: 431-46.
  • Ochoa BK, Nanda RS. Comparison of maxillary and mandibular growth. Am J Orthod Dentofacial Orthop 2004;125:148-59.
  • Nanda RS, Ghosh J. Longitudinal growth changes in the sagittal relationship of maxilla and mandible. Am J Orthod Dentofacial Orthop 1995; 107: 79-90.
  • Proffit WR, Fields HWJr, Ackerman JL, Bailey LJ, Tulloch JFC. Contemporary Orthodontics. 3rd ed. St. Louis: Mosby Inc; 2000.
  • Kim YH, Han UK, Lim DD, Serraon MLP. Stability of anterior openbite correction with multiloop edgewise archwire therapy: A cephalometric follow up study. Am J Orthod Dentofac Orthop 2000; 118: 43-54.

TREATMENT AND 8-YEAR FOLLOW-UP OF A CLASS II OPEN BITE PATIENT – CASE REPORT

Year 2014, Volume: 24 Issue: 1, 102 - 107, 11.02.2015
https://doi.org/10.17567/dfd.19628

Abstract

Aim: The aim of this case report is to present the treatment and its 8-year follow-up of a patient who has Class II skeletal malocclusion with mild open bite. Case and Method: An 11-year-old female patient’s chief complaint was crowding. According to the intraoral examination, the patient had Class II canine and molar relationships on both sides. Overjet and overbite were found to be 4 mm and -2 mm respectively. According to cephalometric analysis she had normal vertical growth pattern, skeletal Class II relationship due to the small mandible, with proclined upper and lower incisors. In order to distalize the upper molars cervical headgear was used, and to prevent extrusion of molars high-pull headgear was combined. After achieving Class I molar relationship, fixed treatment was initiated. After leveling and aligning, reverse curve archwire was placed in the lower arch and anterior elastics were used. At the end of the treatment fixed retainers were bonded and the patient was instructed to use positioner for the night time. In order to observe the long term results of the treatment, patient was re-called after eight years and records were renewed. Results: Occlusion was improved both functionally and esthetically. Class I dental relationship and ideal overjet/overbite were achieved. Dental relationships and the amount of overjet were maintained after eight years whereas, a decrease was observed in overbite. Conclusion: Attainment of proper overjet, overbite and interdigitation makes a big contribution to longterm clinical success. However, more care is required for stability and retention in patients with openbite tendency

References

  • Sayin MO, Turkkahraman H. Malocclusion and crowding in an orthodontically referred Turkish population. Angle Orthod, 2004;74:635-9.
  • Moyers RE, Riolo ML, Guire KE, Wainright RL, Bookstein FL. Differential diagnosis of Class II malocclusions. Part 1. Facial types associated with Class II malocclusions Am J Orthod, 1980; 78: 477-94.
  • McNamara JA, Brudon WL. Treatment of Class II malocclusion. In: McNamara JA, Brudon WL. Eds. Orthodontic and orthopedic treatment in the mixed dentition. 6th edition, America: Needham Press, Inc 1996: 95-116.
  • Siatkowski R. the role of headgear in Class II dental and skeletal corrections. In: Nanda R. ed. Biomechanics Philadelphia: Wd Saunders Co 1996: 109-41.
  • Ghosh J, Nanda RS. Evaluation of an intraoral maxillary molar distalization technique. Am J Orthod Dentofacial Orthop 1996; 110: 639-46.
  • Warren DW. Clinical application of the ACCO appliance. Part II. Am J Orthod Dentofacial Orthop 1992; 101: 199-209.
  • Blafer JL. Troubleshooting the ACCO. J Clin Orthod 1970; 4: 440-6.
  • Çelikoğlu M, Yavuz İ. Bir iskeletsel Sınıf III olgunun yüz maskesi ve kemik destekli pendulum apareyi ile tedavisi (Olgu sunumu). J Dent Fac Atatürk Uni 2011; 21: 33-8.
  • Kingsley NW Orthodontics, Historical Review. In Weinberger BW History of Orthodontia. St Louis The CV Mosby Company 1926.
  • Ülgen M. Ortodontik tedavi prensipleri (4.baskı). İstanbul Üniversitesi Diş Hekimliği Fakültesi Yayınları 1993: 197.
  • Proffit WR. Contemporary Orthodontics. 2nd Ed, CV Mosby, St. Louis, USA 1993, 434-46.
  • Jacobson A. A key to the understanding of extraoral forces. Am J Orthod 1979; 75: 361-86.
  • Björk A. Timing of interceptive orthodontic measures based on stages of maturation. Trans Eur Orthod Soc 1972;61-74.
  • Grave KC, Brown T. Skeletal ossification and the adolescent growth spurt. Am J Orthod 1976; 69: 611–19.
  • Bussick TJ, McNamara JA. Dentoalveolar and skeletal changes associated with the pendulum appliance. Am J Orthod Dentofac Orthop 2000; 117: 333-43.
  • Kopecky Gr, Fishman LS. Timing of cervical headgear maturation. Am J Orthod Dentofac Orthop 1993; 104: 162-9. based on skeletal
  • Üçem TT, Yüksel S. Effects of different vectors of forces applied by combined headgear. Am J Orthod Dentofac Orthop 1998; 113: 316-23.
  • Tulloch CJF, Phillips C, Koch G, Proffit WR. The effect of early intervention on skeletal pattern in Class II malocclusion: A randomized clinical trial. Am J Orthod Dentofac Orthop 1997; 111: 391- 400.
  • Ricketts RM. The influence of orthodontic treatment on facial growth and development. Angle Orthod 1960; 30: 103-33.
  • Badell MC. An evaluation of extraoral combined high-pull traction and cervical traction to the maxilla. Am J Orthod 1976; 69: 431-46.
  • Ochoa BK, Nanda RS. Comparison of maxillary and mandibular growth. Am J Orthod Dentofacial Orthop 2004;125:148-59.
  • Nanda RS, Ghosh J. Longitudinal growth changes in the sagittal relationship of maxilla and mandible. Am J Orthod Dentofacial Orthop 1995; 107: 79-90.
  • Proffit WR, Fields HWJr, Ackerman JL, Bailey LJ, Tulloch JFC. Contemporary Orthodontics. 3rd ed. St. Louis: Mosby Inc; 2000.
  • Kim YH, Han UK, Lim DD, Serraon MLP. Stability of anterior openbite correction with multiloop edgewise archwire therapy: A cephalometric follow up study. Am J Orthod Dentofac Orthop 2000; 118: 43-54.
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Articles
Authors

Şirin Nevcatoğlu This is me

Buket Erdem

Ahu Acar This is me

Publication Date February 11, 2015
Published in Issue Year 2014 Volume: 24 Issue: 1

Cite

APA Nevcatoğlu, Ş., Erdem, B., & Acar, A. (2015). AÇIK KAPANIŞLA BERABER SINIF II ANOMALİYE SAHİP HASTANIN TEDAVİSİ VE 8 SENELİK TAKİBİ – OLGU SUNUMU. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 24(1), 102-107. https://doi.org/10.17567/dfd.19628
AMA Nevcatoğlu Ş, Erdem B, Acar A. AÇIK KAPANIŞLA BERABER SINIF II ANOMALİYE SAHİP HASTANIN TEDAVİSİ VE 8 SENELİK TAKİBİ – OLGU SUNUMU. Ata Diş Hek Fak Derg. February 2015;24(1):102-107. doi:10.17567/dfd.19628
Chicago Nevcatoğlu, Şirin, Buket Erdem, and Ahu Acar. “AÇIK KAPANIŞLA BERABER SINIF II ANOMALİYE SAHİP HASTANIN TEDAVİSİ VE 8 SENELİK TAKİBİ – OLGU SUNUMU”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24, no. 1 (February 2015): 102-7. https://doi.org/10.17567/dfd.19628.
EndNote Nevcatoğlu Ş, Erdem B, Acar A (February 1, 2015) AÇIK KAPANIŞLA BERABER SINIF II ANOMALİYE SAHİP HASTANIN TEDAVİSİ VE 8 SENELİK TAKİBİ – OLGU SUNUMU. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24 1 102–107.
IEEE Ş. Nevcatoğlu, B. Erdem, and A. Acar, “AÇIK KAPANIŞLA BERABER SINIF II ANOMALİYE SAHİP HASTANIN TEDAVİSİ VE 8 SENELİK TAKİBİ – OLGU SUNUMU”, Ata Diş Hek Fak Derg, vol. 24, no. 1, pp. 102–107, 2015, doi: 10.17567/dfd.19628.
ISNAD Nevcatoğlu, Şirin et al. “AÇIK KAPANIŞLA BERABER SINIF II ANOMALİYE SAHİP HASTANIN TEDAVİSİ VE 8 SENELİK TAKİBİ – OLGU SUNUMU”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24/1 (February 2015), 102-107. https://doi.org/10.17567/dfd.19628.
JAMA Nevcatoğlu Ş, Erdem B, Acar A. AÇIK KAPANIŞLA BERABER SINIF II ANOMALİYE SAHİP HASTANIN TEDAVİSİ VE 8 SENELİK TAKİBİ – OLGU SUNUMU. Ata Diş Hek Fak Derg. 2015;24:102–107.
MLA Nevcatoğlu, Şirin et al. “AÇIK KAPANIŞLA BERABER SINIF II ANOMALİYE SAHİP HASTANIN TEDAVİSİ VE 8 SENELİK TAKİBİ – OLGU SUNUMU”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol. 24, no. 1, 2015, pp. 102-7, doi:10.17567/dfd.19628.
Vancouver Nevcatoğlu Ş, Erdem B, Acar A. AÇIK KAPANIŞLA BERABER SINIF II ANOMALİYE SAHİP HASTANIN TEDAVİSİ VE 8 SENELİK TAKİBİ – OLGU SUNUMU. Ata Diş Hek Fak Derg. 2015;24(1):102-7.

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