BİR ANTERİOR AÇIK KAPANIŞ VAKASININ PROTETİK REHABİLİTASYONU: OLGU SUNUMU

Yıl 2021, Cilt: 31 Sayı: 4, 627 - 631, 14.10.2021

Harun Reşit Bal Nuran Yanıkoğlu

https://doi.org/10.17567/ataunidfd.804144

Öz

Açık kapanış ile ilişkili fonksiyonel bozukluklar ve morfolojik düzensizliklerin tedavisi, büyüme ve gelişimin farklı evrelerinde farklı tedavi yöntemleriyle yapılmaktadır. Dişsel açık kapanış, ortodontik ve protetik uygulamalarla tedavi edilebilirken iskeletsel açık kapanış tedavilerinde ortognatik cerrahi yöntemler, ortodontik tedavi ve protetik uygulamaların tek veya birlikte uygulanması estetik ve fonksiyonel başarıyı arttıracaktır.
Bu çalışmanın amacı, anterior açık kapanış olgusunun bir vaka üzerinden tam seramik kuronlarla rehabilitasyonunu anlatmak ve tedavi sonucunu paylaşmaktır.
Anterior bölgede estetik başarı, klinik ve laboratuvar çalışmalarının yanı sıra doğru tanı ve tedavi planına da bağlıdır. Bu vakada dişsel anterior açık kapanışı olan 21 yaşındaki hastaya tüm tedavi seçenekleri anlatıldı, hastanın isteği üzerine uzun süreceğini düşünülen ortodontik tedavi yerine protetik tedavi planlaması yapıldı. Preparasyonu yapılan dişlerde dişeti retraksiyonu yapıldı ve ölçüsü alındı. Tam seramik (IPS Empress E-max) kuronlar ve monolitik zirkonya ( Katana HT Blok) kuronların tüm laboratuvar işlemleri tamamlandıktan sonra simantasyonları yapıldı. Tedavi sonrasında estetik ve fonksiyon açısından başarılı sonuçlar elde edildi ve hasta memnuniyeti sağlandı. 3, 6 ve 12 aylık klinik ve radyografik kontrol muayenelerinde yumuşak doku ve dişlerin sağlığının klinik olarak uygun olduğu saptandı.
Anahtar Kelimeler: Anterior Açık Kapanış, Protetik Restorasyon,
PROSTHETIC REHABILITATION IN A CASE WITH ANTERIOR OPEN-BITE: A CASE REPORT
ABSTRACT
Functional disorders associated with open-bite and treatment of morphological irregularities are performed at different stages of growth and development with different treatment methods. While dental open-bite can be treated with orthodontic and prosthetic treatments, orthognatic surgical methods, orthodontic treatment and single or combined application of prosthetic applications in skeletal open-bite treatments will increase aesthetic and functional success.
The aim of this study is to explain the rehabilitation of anterior open-bite with full ceramic crowns in a case and to share the treatment results.
Aesthetic success in the anterior region is dependent not only on clinical and laboratory work, but also on the correct diagnosis and treatment plan. In this case, prosthetic treatment stages of the 21-year-old case with dental anterior open-bite were explained through the case report. All treatment options were explained to the patient but prosthetic treatment planning was done instead of orthodontic treatment which he thought to be long. Gingival retraction was performed on the teeth that had been prepared and the measure was taken. Full ceramic (IPS Empress E-max) crowns and monolithic zirconia (Katana HT Block) crowns were cemented after all laboratory procedures were completed. Successful results in terms of aesthetic and function were obtained after the treatment and patient satisfaction was achieved. Clinical and radiographic control examinations of 3, 6 and 12 months have been found to be clinically appropriate for soft tissue and teeth health.
Keywords: Anterior open-bite, Prosthetic restoration, Full crown

Anahtar Kelimeler

Anterior Açık Kapanış, Protetik Restorasyon, Tam Kuron

Kaynakça

• 1. Yousefzadeh F, Shcherbatyy V, King GJ, Huang GJ, Liu Z. Cephalometric and electromyographic study of patients of East African ethnicity with and without anterior open-bite Am J Orthod Dentofacial Orthop 2010;137:236-46.
• 2. Huang GJ, Greenlee GM. Stability of Anterior Open-Bite Correction-An Assessment of the Evidence. Evidence-Based Orthodonticts, Blackwell Publishing; 2011 p:97-117. Ng CS, Wong WK, Hagg U. Orthodontic treatment of anterior open-bite. Int J Paediatr Dent. 2008;18:78-83.
• 3. Parlani S, Patel S. Esthetic correction in open-bite. Indian J Dent Res. 2011;22:580-2.
• 4. Seo YJ, Kim SJ, Munkhshur J, Chung KR, Ngan P, Kim SH. Treatment and retention of relapsed anterior open-bite with low tongue posture and tongue-tie: A 10-year follow-up. Korean J Orthod. 2014;44:203-16.
• 5. Gür E. Kesim B. Porselen laminate veneerler. CÜ Diş Hek Fak Derg 2004;7:72-79.
• 6. Şengün E, Çömlekoğlu M. E, Yılmaz G Lamina Venerlerin Final Rengine Etki Eden Faktörler J Dental Sci 2017;23:48-55.
• 7. Saadet A. Anterior Bölgede Sınıf III Maloklüzyonun Porselen Laminate Veneerlerle Tedavisi: Olgu Sunumu. KÜ Tıp Fak Derg 2011;13(1):39-41.
• 8. Sevük SÇ, Karataşlı B,Akata A,Çakır E. Turkiye Klinikleri J Dental Sci-Special Topics. 2011;2(1):41-7
• 9. Walls AWG., Steele JG. and Wassell RW.. Crowns and other extra-coronal restorations: Porcelain laminate veneers. British Dental Journal 2002; 193:73–82.
• 10. Zalkind M, Hochman N. Alternative method of conservative esthetic treatment for gingival recession. J Prosthet Dent. 1997;77:561-3.
• 11. D'Arcangelo C, De Angelis F, Vadini M, D'Amario M.Clinical evaluation on porcelain laminate veneers bonded with light-cured composite: results up to 7 years. Clin Oral Investig. 2012;16:1071-9.
• 12. Beier US, Kapferer I, Burtscher D, Dumfahrt H. Clinical performance of porcelain laminate veneers for up to 20 yearsInt J Prosthodont. 2012;25:79-85.
• 13. Bernardon JK, Ferrari P, Baratieri LN, Rauber GB Comparison of treatment time versus patient satisfaction in at-home and in-office tooth bleaching therapy. J Prosthet Dent. 2015; 114:826-30.
• 14. Koçak A, Sertgöz A Sabit Protetik Restorasyonların İn Vivo Çalışmalar ile Değerlendirilmesi. J Dent Fac Atatürk Uni Supplement. 2015; 151-156
• 15. Anusavice KJ. Standardizing failure, success, and survival decisions in clinical studies of ceramic and metal-ceramic fixed dental prostheses. Dent Mater 2012;28:102-11
• 16. Poggio CE, Dosoli R, Ercoli C. A retrospective analysis of 102 zirconia single crowns with knife-edge margins. J Prosthet Dent 2012;107:316-21.
• 17. Salido MP, Martinez-Rus F, del Rio F, Pradies G, Ozcan M, Suarez MJ. Prospective clinical study of zirconia-based posterior four-unit fixed dental prostheses: four-year follow-up. Int J Prosthodont 2012;25:403-9.
• 18. Beier US, Kapferer I, Burtscher D, Dumfahrt H. Clinical performance of porcelain laminate veneers for up to 20 years. Int J Prosthodont 2012;25:79-85.
• 19. Alani A, Maglad A, Nohl F. The prosthetic management of gingival aesthetics. Br Dent J. 2011;210:63-9.
• 20. Schätzle M, Land NP, Anerud A, Boysen H, Bürgin W, Löe H. The influence of margins of restorations of the periodontal tissues over 26 years. J Clin Periodontol 2001;28:57-64. 21. Kancyper SG, Koka S. The influence of intracrevicular crown margins on gingival health: Preliminary findings. J Prosthet Dent 2001;85:461-5.
• 22. Reitemeier B, Hänsel K, Walter MH, Kastner C, Toutenburg H. Effect of posterior crown margin placement on gingival health J Prosthet Dent 2002;87:167-72.
• 23. Bollen CML, Lambrechts P, Quirynen M. Comparison of surface roughness of hard materials to the threshold surface roughness for bacterial plaque retention: A review of the literature. Dent Mater 1997;13:258-69.
• 24. Pilo R, Cardash HS. In vivo retrospective study of cement thickness under crowns. J Prosthet Dent 1998;79:621-5.
• 25. Mitchell CA, Abbariki M, Orr JF. The influnce of luting cement on the probabilities of survival and modes of failure of cast full-coverage crowns. Dent Mater 2000;16:198-206.
• 26. Kern M, Wagner S. Bonding to zirconia ceramic: adhesion methods and their durability Dent Mater 1998;14:64-71.
• 27. Morgano SM., Brackett SE. Foundation restorations in fixed prosthodontics: current knowledge and future needs J Prosthet Dent 1999;82:643-57.
• 28. Proffit WR, Fields HWJr, Ackerman JL, Bailey LJ, Tulloch JFC. Contemporary Orthodontics. 3 rd ed. St. Louis: Mosby Inc.; 2000