Sınıf III Malokluzyon ve Şiddetli Fasiyal Asimetriye Sahip Hastanın Ortognatik Cerrahi ile Tedavisi: Olgu Sunumu

Yıl 2017, Cilt: 20 Sayı: 3, 191 - 197, 22.12.2017

Hande Coşkuner İlken Kocadereli Ersoy Konaş

https://doi.org/10.7126/cumudj.369140

Öz

Amaç: Bu olgu raporunun amacı Sınıf III malokluzyona
ve şiddetli asimetriye sahip bir hastanın ortognatik tedavisini sunmaktır.

Birey ve Yöntem: 18 yaşında erkek hastanın esas şikayeti
yüzündeki asimetrik görüntüdür. Klinik olarak maksiller retruzyonu, çene
ucunda sola deviasyonu ve Sınıf III molar kanin ilişkisi
bulunmaktadır. Sefalometrik değerlendirmeye göre maksiller retruzyonu ve
hafif 
mandibular protruzyonu bulunmaktadır. Alt
keserler dikleşmiştir, üst keserler labiale eğimlidir. Posteroanterior
sefalometrik analizde sola doğru 2 mm maksiller, 5 mm mandibular orta hat
kayması mevcuttur. Çene ucu 13° sola kaymıştır. 7 ay süreyle uygulanan
sabit ortodontik tedavi 
sonrası bimaksiller osteotomi ile cerrahi
düzeltim sağlanmıştır.
Bulgular: 17 aylık tedavinin sonunda normal overbite, overjet
ve Sınıf I okluzyon sağlanmıştır. Maksiller retruzyon, mandibular
protruzyon ve asimetri düzeltilmiştir.
Sonuç: Kombine ortodontik ve ortognatik tedavi ile Sınıf I
okluzyon elde edilmiş; kayıp estetik ve fonksiyon sağlanmıştır.

Anahtar Kelimeler

Fasiyal asimetri, ortognatik tedavi, Sınıf III malokluzyon

ORTHOGNATHIC TREATMENT OF A PATIENT WITH CLASS III MALOCCLUSION AND SEVERE FACIAL ASYMMETRY: REPORT OF A CASE

Öz

Aim: The aim of this case report was to present the orthognathic
treatment of a patient with Class III malocclusion and severe asymmetry.

Subject
and Method: The chief complaint
of the 18-year old male was asymmetry. Clinically, he had maxillary
retrognathism and severe facial asymmetry with the chin deviated to the left
side. He also had a Class III molar and canine relationship. Cephalometric
evaluation showed that the patient had maxillary retrusion and slight
mandibular protrusion. The mandibular incisors were lingually and the maxillary
incisors were labially inclined. Posteroanterior cephalometric analysis showed
2 mm maxillary and 5 mm mandibular midline deviation to the left
side. The chin was deviated to the left side about 13°. After correction of the
arch forms by fixed orthodontic treatment over seven months, surgical
correction with bimaxillary osteotomy was undertaken.

Results: A Class I occlusion with normal overbite and overjet was
achieved in 17 months. The maxillary retrusion, mandibular protrusion and
asymmetry were corrected.

Conclusion: Combined orthodontic and orthognathic treatment resulted in a
Class I occlusion and esthetically pleasing results.

Anahtar Kelimeler

Facial asymmetry, Orthognathic treatment, Class III malocclusion

Kaynakça

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