Treatment of Class II,1 Deepbite Malocclusion with Other Complex Problems by Anterior Miniscrews and Fixed Appliances Case Report

Year 2016, Volume: 43 Issue: 1 - Volume: 43 Issue: 1, 53 - 62, 01.02.2016

Meliha Rübendüz Merve Berika Kadıoğlu

Abstract

Class II, 1 malocclusions are often inherited in our society, which is pretty much the incidence of a type of orthodontic malocclusion. As general popularly called 'upper jaw prominent' dubbed together, retrusive position of the lower jaw, or may appear as a result of the contribution of the comorbidity. As relation to the severity of the case, for effective correction of the facial aesthetics of this malocclusions, orthodontic treatment must be started at the period of mixed dentition. The developmental stage of the individual progresses to adult, as well as the severity and intensity of treatment device should be increased for facial and dental aesthetics. Development done in patients with moderate malocclusion, however, there can be only dentoalveolar level of orthodontic applications. However, the contribution to facial aesthetics of these applications is extremely limited. The solution of severe aesthetic apprehension due to Class II malocclusion of adult individuals, only can be brought with the cooperation of orthodontics and surgery. In this case report, upper limit orthodontic treatment results of adult person with Class II,1 malocclusions, who has undesired aesthetics appearance, advanced degree loss of function, multiple missing teeth, and deepbite will be evaluated

Keywords

Adult, Class II, 1, Deepbite, Maxillary incisor intrusions, Mini implant, Upper limit orthodontic treatment.

KOMPLEKS PROBLEMLERLE BİRLİKTE GÖRÜLEN DERİN KAPANIŞLI SINIF II,1 MALOKLUZYONUN ANTERİOR MİNİVİDA VE SABİT MEKANİKLERLE TEDAVİSİ VAKA RAPORU

Abstract

Sınıf II,1 malokluzyonlar çoğunlukla genetik geçişli olup toplumumuzda görülme sıklığı oldukça fazla olan ortodontik bir malokluzyon türüdür. Genel tabir itibariyle halk arasında ‘üst çene fırlaklığı’ olarak nitelendirilmekle birlikte, alt çenenin geride konumlanması ya da her iki durumun katkısı sonucunda da ortaya çıkabilmektedir. Vakanın ağırlığı ile ilişkili olarak, bu malokluzyona sahip bireylerde fasiyal estetiğin de etkili olarak düzeltilebilmesi için karışık dişlenme döneminden itibaren tedavilerine başlanması gereklidir. Bireyin gelişim durumu erişkine doğru ilerlediğinde, fasiyal ve dental estetik için hem tedavi aygıtlarının yoğunluğu hem de şiddeti artırılmaktadır. Gelişimi bitmiş, orta dereceli maloklüzyona sahip bireylerde, sadece dentoalveolar düzeyde ortodontik uygulamalar söz konusu olabilmektedir. Ancak bu uygulamaların fasiyal estetiğe katkısı son derece kısıtlıdır. Erişkin bireylerin Sınıf II,1 malokluzyona bağlı ağır estetik kaygılarına ise sadece ortodonti ve cerrahi iş birliği ile çözüm getirilebilmektedir. Bu olgu sunumunda; arzu edilmeyen estetik görüntü, ileri derecede fonksiyon kaybı, çok sayıda diş eksikliği ile birlikte derin kapanışa sahip, üst sınırda Sınıf II,1 malokluzyonlu erişkin bireye ait ortodontik tedavi sonuçları değerlendirilecektir

Keywords

Erişkin, Sınıf II, 1, Derin kapanış, Maksiller kesici intrüzyonu, Mini implant, Üst sınır ortodontik tedavi

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