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Genç Erişkin Bir Hastada İskeletsel Sınıf III Maloklüzyonun Hızlı Üst Çene Genişletme ve Kapaklı Braket Sistemi ile Ortodontik Tedavisi – Bir Olgu Sunumu

Year 2021, Volume: 3 Issue: 1, 33 - 39, 30.04.2021

Abstract

BBu olgu sunumunun amacı, büyüme ve gelişimi henüz tamamlanmış, iskeletsel ve dental sınıf III maloklüzyona sahip genç yetişkin bir hastanın kamuflaj tedavisinin sonuçlarını sunmaktır. 13 yaşındaki kadın hasta üst köpek dişlerinin malpozisyonu şikayetiyle kliniğimize başvurmuştur. Klinik incelemede hastada, sirkümmaksiller çapraz kapanış, çift taraflı sınıf III molar ve kanin ilişki ile artmış overbite tespit edilirken, sefalometrik incelemede kafa kaidesine göre geride bir maksilla, azalmış maksillo-mandibular fark (ANB: -2,8), retrokline alt keserler ve retrüze üst dudak saptanmıştır. Hasta ve ailesi ortodontik yüz maskesi veya ortognatik cerrahi seçeneklerini kabul etmedikleri için çekimsiz kamuflaj tedavisinde karar kılınmıştır. Hastanın maksillasının genişletilerek posterior çapraz kapanışının düzeltilmesi için öncelikle hızlı üst çene genişletme (HÜG) protokolü uygulanmıştır. Genişletme cihazının uzaklaştırılması sonrası düşük torklu kapaklı braket sistemi ile sabit ortodontik tedaviye başlanmıştır. Bu tedaviyle de anterior çapraz kapanış düzeltilmiş ve üst ve alt çenedeki dişler seviyelenmiş ve hizalanmıştır. Tedaviyle alt keser açıları ideal sınırlarda tutularak, üst keser dişlerin yeterli protrüzyonu ve mandibulanın saat yönündeki rotasyonuyla sınıf I dental ve iskeletsel ilişki elde edilmiş ve üst dudakta protrüzyon gözlenmiştir. HÜG ve düşük torklu kapaklı braket sistemiyle sınıf III maloklüzyona sahip vakada iskeletsel, dental ve yumuşak dokuda belirgin iyileşmeler elde edilmiştir.

Supporting Institution

Olgu sunumunu destekleyen herhangi bir kurum bulunmamaktadır.

Project Number

Olgu sunumumuzun herhangi bir proje numarası bulunmamaktadır.

References

  • 1. Janson G, Souza JEPD, Barros SEC, Andrade Junior P, Nakamura AY. Orthodontic treatment alternative to a Class III subdivision malocclusion. J Appl Oral Sci. 2009;17:354-363.
  • 2. Çelikoğlu M, Kiki A, Oktay H. İskeletsel Sınıf III Malokluzonun Erken Dönem Tedavisi (Vaka Raporu). J Fac Dent Ataturk Uni. 2009;2009:192-197.
  • 3. Williams S, Aarhus CA. The morphology of the potential Class III skeletal pattern in the growing child. Am J Orthod. 1986;89:302-311.
  • 4. Ellis E, McNamara JA. Components of adult Class III malocclusion. Am J Oral Maxillofac Surg. 1984;42(5):295-305.
  • 5. Halıcıoğlu K, Yavuz İ. Literatür derlemesi: üst çene genişletmesinde apareyler ve felsefeler. J Fac Dent Ataturk Uni 2011:32-39.
  • 6. Yavuz İ, Halicioglu K, Ceylan İ, Dagsuyu IM, Erdem A. The effects of face mask therapy with and without rapid maxillary expansion in adolescent patients. Aust Orthod J. 2012;28:63.
  • 7. Vaughn GA, Mason B, Moon H-B, Turley PK. The effects of maxillary protraction therapy with or without rapid palatal expansion: a prospective, randomized clinical trial. Am J Orthod Dentofacial Orthop. 2005;128:299-309.
  • 8. Ngan P, Yiu C, Hu A, Hägg U, Wei SH, Gunel E. Cephalometric and occlusal changes following maxillary expansion and protraction. Eur J Orthod. 1998;20:237-254.
  • 9. Calil RC, Ramirez CMM, Otazu A, et al. Maxillary dental and skeletal effects after treatment with self-ligating appliance and miniscrew-assisted rapid maxillary expansion. Am J Orthod Dentofacial Orthop. 2020.
  • 10. Brunetto DP, Sant’Anna EF, Machado AW, Moon W. Non-surgical treatment of transverse deficiency in adults using Microimplant-assisted Rapid Palatal Expansion (MARPE). Dental Press J Orthod. 2017;22(1):110-125.
  • 11. Troy BA, Shanker S, Fields HW, Vig K, Johnston W. Comparison of incisor inclination in patients with Class III malocclusion treated with orthognathic surgery or orthodontic camouflage. Am J Orthod Dentofacial Orthop. 2009;135:146. e141-146. e149.
  • 12. Schoenwetter R. Nonsurgical class iii orthodontic treatment. Angle Orthod. 1977;47:147-155.
  • 13. Lin J, Gu Y. Preliminary investigation of nonsurgical treatment of severe skeletal Class III malocclusion in the permanent dentition. Angle Orthod. 2003;73:401-410.
  • 14. Burns NR, Musich DR, Martin C, Razmus T, Gunel E, Ngan P. Class III camouflage treatment: what are the limits? Am J Orthod Dentofacial Orthop. 2010;137:9. e1-9. e13.
  • 15. Rabie A-BM, Wong RW, Min G. Treatment in borderline Class III malocclusion: orthodontic camouflage (extraction) versus orthognathic surgery. Open Dent J. 2008;2:38.
  • 16. Kerr W, Miller S, Dawber J. Class III malocclusion: surgery or orthodontics? Br J Orthod. 1992;19:21-24.
  • 17. Hamamcı N, Başaran G, Şahin S. Nonsurgical correction of an adult skeletal class III and open-bite malocclusion. Angle Orthod. 2006;76:527-532.
  • 18. Basciftci F, Karaman A. Effects of a modified acrylic bonded rapid maxillary expansion appliance and vertical chin cap on dentofacial structures. Angle Orthod. 2002;72:61-71.
  • 19. Sari Z, Uysal T, Usumez S, Basciftci FA. Rapid maxillary expansion. Is it better in the mixed or in the permanent dentition? Angle Orthod. 2003;73:654-661.
  • 20. Doruk C, Bicakci AA, Basciftci FA, Agar U, Babacan H. A comparison of the effects of rapid maxillary expansion and fan-type rapid maxillary expansion on dentofacial structures. Angle Orthod. 2004;74:184-194.
  • 21. Gökçelik A, Polat Ö. Ortodontik braket teknolojisindeki son yenilik: Selfligating braketler. Turk J Orthod. 2007;20:71-81.
  • 22. Tagawa D. The Damon system vs. conventional appliances: a comparative study. Clin Impressions. 2006;15(1):4-9.
  • 23. Yi-li Y, Guo-hua T, Fang-fang G, Lin-ling C, Yu-fen Q. A comparison of rapid palatal expansion and Damon appliance on non-extraction correction of dental crowding. Shanghai Kou Qiang Yi Xue. 2008;17.
  • 24. Ellis III E, McNamara Jr JA. Components of adult Class III open-bite malocclusion. Am J Orthod. 1984;86:277-290.
  • 25. Akbulut AS, Kim KA. Farklı iskeletsel maloklüzyon tiplerinde derin Spee eğrisinin dentoiskeletsel karakteristiği. Acta Odontol Turc 2019;36(3):73-80
  • 26. Çoban G, Öztürk T, Türker G. Ortodontik tedavilerde kullanılan farklı kesici diş intrüzyon mekaniklerinin değerlendirilmesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi.13(3):318-330.
  • 27. Yavan MA, Kaya S, Kervancioglu P, Kocahan S. Evaluation of effects of a modified asymmetric rapid maxillary expansion appliance on the upper airway volume by cone beam computed tomography. J Dent Sci. 2020;16(1):58-64.
  • 28. Ramoglu SI, Sari Z. Maxillary expansion in the mixed dentition: rapid or semi-rapid? Eur J Orthod. 2010;32(1):11-18.
  • 29. Chung C-H, Font B. Skeletal and dental changes in the sagittal, vertical, and transverse dimensions after rapid palatal expansion. Am J Orthod Dentofacial Orthop. 2004;126(5):569-575.

Orthodontic Treatment of A Skeletal Class III Malocclusion in A Young Adult Patient With Rapid Maxillary Expansion and Self-Ligating Bracket System - A Case Report

Year 2021, Volume: 3 Issue: 1, 33 - 39, 30.04.2021

Abstract

The aim of this case report was to present the results of a camouflage treatment in a young adult patient with skeletal and dental Class III malocclusion. A 13-year old female patient referred to our clinic with with a chief complaint of upper canine malposition. In clinical examination, increased overbite with circummaxillary cross-bite, bilateral class III molar and canine relationships were detected. Cephalometric examination revealed a retruded maxillary complex, decreased maxillo-mandibular difference (ANB: -2.8), retroclined lower incisors, and retruded upper lip. Since the patient and her family did not accept orthodontic face mask or orthognathic surgery options, the final decision was camouflage treatment without extraction. In order to correct the posterior cross-bite, the rapid maxillary expansion (RME) protocol was applied. After the expansion device was removed, fixed orthodontic treatment was started with a low-torque self-ligating bracket system. With this treatment, the anterior cross bite was corrected, and the upper and lower teeth were leveled and aligned. Class I dental and skeletal relationships were achieved through adequate protrusion of the upper incisors and clockwise rotation of the mandible while keeping the lower incisor angles within ideal limits, and protrusion was observed in the upper lip. Significant improvements were achieved in skeletal, dental and soft tissues of the case with class III malocclusion with the RME and low torque self-ligating bracket system.

Project Number

Olgu sunumumuzun herhangi bir proje numarası bulunmamaktadır.

References

  • 1. Janson G, Souza JEPD, Barros SEC, Andrade Junior P, Nakamura AY. Orthodontic treatment alternative to a Class III subdivision malocclusion. J Appl Oral Sci. 2009;17:354-363.
  • 2. Çelikoğlu M, Kiki A, Oktay H. İskeletsel Sınıf III Malokluzonun Erken Dönem Tedavisi (Vaka Raporu). J Fac Dent Ataturk Uni. 2009;2009:192-197.
  • 3. Williams S, Aarhus CA. The morphology of the potential Class III skeletal pattern in the growing child. Am J Orthod. 1986;89:302-311.
  • 4. Ellis E, McNamara JA. Components of adult Class III malocclusion. Am J Oral Maxillofac Surg. 1984;42(5):295-305.
  • 5. Halıcıoğlu K, Yavuz İ. Literatür derlemesi: üst çene genişletmesinde apareyler ve felsefeler. J Fac Dent Ataturk Uni 2011:32-39.
  • 6. Yavuz İ, Halicioglu K, Ceylan İ, Dagsuyu IM, Erdem A. The effects of face mask therapy with and without rapid maxillary expansion in adolescent patients. Aust Orthod J. 2012;28:63.
  • 7. Vaughn GA, Mason B, Moon H-B, Turley PK. The effects of maxillary protraction therapy with or without rapid palatal expansion: a prospective, randomized clinical trial. Am J Orthod Dentofacial Orthop. 2005;128:299-309.
  • 8. Ngan P, Yiu C, Hu A, Hägg U, Wei SH, Gunel E. Cephalometric and occlusal changes following maxillary expansion and protraction. Eur J Orthod. 1998;20:237-254.
  • 9. Calil RC, Ramirez CMM, Otazu A, et al. Maxillary dental and skeletal effects after treatment with self-ligating appliance and miniscrew-assisted rapid maxillary expansion. Am J Orthod Dentofacial Orthop. 2020.
  • 10. Brunetto DP, Sant’Anna EF, Machado AW, Moon W. Non-surgical treatment of transverse deficiency in adults using Microimplant-assisted Rapid Palatal Expansion (MARPE). Dental Press J Orthod. 2017;22(1):110-125.
  • 11. Troy BA, Shanker S, Fields HW, Vig K, Johnston W. Comparison of incisor inclination in patients with Class III malocclusion treated with orthognathic surgery or orthodontic camouflage. Am J Orthod Dentofacial Orthop. 2009;135:146. e141-146. e149.
  • 12. Schoenwetter R. Nonsurgical class iii orthodontic treatment. Angle Orthod. 1977;47:147-155.
  • 13. Lin J, Gu Y. Preliminary investigation of nonsurgical treatment of severe skeletal Class III malocclusion in the permanent dentition. Angle Orthod. 2003;73:401-410.
  • 14. Burns NR, Musich DR, Martin C, Razmus T, Gunel E, Ngan P. Class III camouflage treatment: what are the limits? Am J Orthod Dentofacial Orthop. 2010;137:9. e1-9. e13.
  • 15. Rabie A-BM, Wong RW, Min G. Treatment in borderline Class III malocclusion: orthodontic camouflage (extraction) versus orthognathic surgery. Open Dent J. 2008;2:38.
  • 16. Kerr W, Miller S, Dawber J. Class III malocclusion: surgery or orthodontics? Br J Orthod. 1992;19:21-24.
  • 17. Hamamcı N, Başaran G, Şahin S. Nonsurgical correction of an adult skeletal class III and open-bite malocclusion. Angle Orthod. 2006;76:527-532.
  • 18. Basciftci F, Karaman A. Effects of a modified acrylic bonded rapid maxillary expansion appliance and vertical chin cap on dentofacial structures. Angle Orthod. 2002;72:61-71.
  • 19. Sari Z, Uysal T, Usumez S, Basciftci FA. Rapid maxillary expansion. Is it better in the mixed or in the permanent dentition? Angle Orthod. 2003;73:654-661.
  • 20. Doruk C, Bicakci AA, Basciftci FA, Agar U, Babacan H. A comparison of the effects of rapid maxillary expansion and fan-type rapid maxillary expansion on dentofacial structures. Angle Orthod. 2004;74:184-194.
  • 21. Gökçelik A, Polat Ö. Ortodontik braket teknolojisindeki son yenilik: Selfligating braketler. Turk J Orthod. 2007;20:71-81.
  • 22. Tagawa D. The Damon system vs. conventional appliances: a comparative study. Clin Impressions. 2006;15(1):4-9.
  • 23. Yi-li Y, Guo-hua T, Fang-fang G, Lin-ling C, Yu-fen Q. A comparison of rapid palatal expansion and Damon appliance on non-extraction correction of dental crowding. Shanghai Kou Qiang Yi Xue. 2008;17.
  • 24. Ellis III E, McNamara Jr JA. Components of adult Class III open-bite malocclusion. Am J Orthod. 1984;86:277-290.
  • 25. Akbulut AS, Kim KA. Farklı iskeletsel maloklüzyon tiplerinde derin Spee eğrisinin dentoiskeletsel karakteristiği. Acta Odontol Turc 2019;36(3):73-80
  • 26. Çoban G, Öztürk T, Türker G. Ortodontik tedavilerde kullanılan farklı kesici diş intrüzyon mekaniklerinin değerlendirilmesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi.13(3):318-330.
  • 27. Yavan MA, Kaya S, Kervancioglu P, Kocahan S. Evaluation of effects of a modified asymmetric rapid maxillary expansion appliance on the upper airway volume by cone beam computed tomography. J Dent Sci. 2020;16(1):58-64.
  • 28. Ramoglu SI, Sari Z. Maxillary expansion in the mixed dentition: rapid or semi-rapid? Eur J Orthod. 2010;32(1):11-18.
  • 29. Chung C-H, Font B. Skeletal and dental changes in the sagittal, vertical, and transverse dimensions after rapid palatal expansion. Am J Orthod Dentofacial Orthop. 2004;126(5):569-575.
There are 29 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section CASE REPORT
Authors

Mehmet Ali Yavan 0000-0002-2162-060X

Beytullah Gülsoy 0000-0002-5534-9811

Nihal Hamamcı 0000-0002-2997-1754

Project Number Olgu sunumumuzun herhangi bir proje numarası bulunmamaktadır.
Publication Date April 30, 2021
Submission Date November 16, 2020
Acceptance Date February 16, 2021
Published in Issue Year 2021 Volume: 3 Issue: 1

Cite

Vancouver Yavan MA, Gülsoy B, Hamamcı N. Genç Erişkin Bir Hastada İskeletsel Sınıf III Maloklüzyonun Hızlı Üst Çene Genişletme ve Kapaklı Braket Sistemi ile Ortodontik Tedavisi – Bir Olgu Sunumu. NEU Dent J. 2021;3(1):33-9.