Presentatıon of Interdıscıplınary Approach For Treatıng A Class II Patıent With Enamel Dysplasia: A Case Report

Year 2013, Volume: 40 Issue: 1 - Volume: 40 Issue: 1, 29 - 33, 01.02.2013

Semih Demircioğlu Gultepe Elif Zaimoğlu

Abstract

This case report describes the diagnosis and treatment of a young female patient with enamel dysplasia and class II malocclusion with impacted maxillary canines using a combined orthodonticprosthodontic approach. A 15-year-old girl with enamel dysplasia was referred to the Ankara University School of Dentistry Department Of Orthodontics clinic. She was concerned about the poor appearance of her teeth. The patient presented a major esthetic abnormality of the teeth and required orthodontic treatment prior to a prosthetic solution with full-coverage all-ceramic crowns in the maxilla. Initially, the class II malocclusion, impacted tooths were treated orthodontically. Favorable changes were noted in the occlusion and in the smile. Class I canine and molar relationships with ideal overjet and overbite were achieved. The maxillary canines were erupted successfully, with healthy gingival tissue. Later,all-ceramic crowns for maxillary anterior teeth were fabricated for final restorations. Esthetic expectations of the patient were successfully attained by placing allporcelain crowns from lateral to lateral in maxillary arch, 4 crowns total. At the end of treatment, function and esthetics were improved to a level acceptable to both the patient and the dental team

Keywords

Class II orthodontic treatment, enamel dysplasia

Anterior mine displazili palatinale gömülü maksiler kaninlere sahip klas II hastaya interdisipliner tedavi yaklaşımının sunulması: Vaka raporu

Abstract

Bu vaka raporu klas II malokluzyonlu, mine displazili ve gömülü maksiller kaninleri olan genç bayan hastanın kombine ortodontik ve prostodontik yaklaşımla teşhis ve tedavisini anlatmaktadır. 15 yaşında mine displazilerine sahip bayan hasta Ankara Üniversitesi Diş Hekimliği Fakültesi Ortodonti Kliniğine başvurdu. Hasta dişlerinin görünümünden şikayetçiydi. Hastanın dişlerinde majör estetik problem mevcuttu ve maksillasında tam seramik kronlarla birlikte ortodontik tedavi gerektirmekteydi. Đlk olarak klas II maloklüzyon ve gömülü dişler ortodontik olarak tedavi edildi. Oklüzyondaki ve gülüş estetiindeki deişiklikler not edildi. Klas I kanin ve molar ilişkisi ve ideal overjet overbite elde edildi. Maksiller kaninler sağlıklı gingival doku ile birlikte başarılı bir şekilde sürdürüldü. Daha sonra maksiller anterior dişlere tam seramik kronlar yapıldı. Üst çenede lateral dişler arasına yapılan toplamda 4 tam seramik kron ile hastanın estetik beklentileri sağlandı. Tedavi sonunda fonksiyon ve estetik hasta ve hekim için daha kabul edilebilir bir seviyeye taşınmış oldu.

Keywords

Klas II ortodontik tedavi, mine displazisi

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