ASİMETRİK HIZLI ÜST ÇENE GENİŞLETME VE SABİT ORTODONTİK APAREYLERLE İSKELETSEL TEKTARAFLI ÇAPRAZ KAPANIŞIN TEDAVİSİ: OLGU SUNUMU

Yıl 2019, Cilt: 5 Sayı: 2, 69 - 73, 01.10.2019

Burak Kale

Öz

Bu vaka raporunun amacı; iskeletsel Sınıf I ve dişsel
sol Angle Sınıf I posterior çapraz kapanışı olan kadın
hastanın tek taraflı üst çene genişletme aparey ile
sabit ortodontik tedavisini içeren olguyu sunmaktır.
Kliniğimize 13 yıl 9 aylık kadın hasta sağ üst köpek
dişinin üstte olması şikâyetiyle başvurdu. Yapılan
klinik ve radyografik değerlendirmede iskeletsel
Sınıf I, dişsel sol Angle Sınıf I ve posterior çapraz
kapanış bulundu. Tedaviye asimetik hızlı üst çene
genişletme apareyi ile başlandı. 6 ay sonra maksilla
ve mandibula arasında transversal ilişki sağlandı.
Üst çene genişletme tedavisinden sonra alt ve
üst dişlere 0.022 slot MBT straightwire braketler
uygulandı. Sonuç olarak iskeletsel Sınıf I ve dişsel
sol Angle Sınıf I posterior çapraz kapanış olan
vaka 15 aylık tedavi sonucunda dişsel Angle Sınıf I
ilişkilerle birlikte normal overbite ve overjete sahip
iyi bir okluzyon sağlanmıştır.

Anahtar Kelimeler

Tek Taraflı Çapraz Kapanış, Üst Çene Genişletme, Sabit Ortodontik Tedavi

TREATMENT OF SKELETAL UNILATERAL CROSSBITE WITH ASYMMETRİC RAPİD MAXİLLARY EXPANSION AND FIXED ORTHODONTIC APPLIANCES: A CASE REPORT

Öz

The aim of this case report is to present a female patient with skeletal Class I, dental left Angle Class I relationship with skeletal unilateral posterior crossbite was treated by using asymmetric rapid maxillary expansion appliance and fixed orthodontic treatment. A 13-year, 9-month female came to our clinic with the complaint of infraposition of upper right canine. In clinical and radiographic evaluation, skeletal class I and dental left Angle class I relationship with skeletal unilateral posterior crossbite were found. Treatment was started with asymmetric rapid maxillary expansion appliance. After 6 months, the transversal relationship correction between maxillara and mandibula were achieved. 0.022 slot MBT straightwire brackets were applied to the upper and lower teeth after maxillary expansion treatment. Finally, in the case of skeletal Class I, dental left Angle Class I relationship with skeletal unilateral posterior crossbite was treated in 15 months with a good occlusion, normal overbite-overjet and achieved dental Angle Class I relationships.

Anahtar Kelimeler

Unilateral Cross-Bite, Maxillary Expansion, Fixed Otrhodontic Appliances

Kaynakça

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