Mandibular Midline Distraction: A Case Report

Yıl 2018, Sayı: 1, 35 - 41, 01.01.2018

Hüseyin Ozan Şahin Tamer Türk

Öz

Mandibular midline distraction is a treatment alternative of cases which have anterior crowding with mandibular transversal deficiencies While traditional approaches such as extractions, stripping, dental tipping or mandibular arch expansion can resolve the deficiency, treatment of transverse discrepancies with mandibular expansion or incisor protrusion has been shown to be unpredictable and could result in relapse and undesirable side-effects in the long term. This case report describes treatment with fixed mechanics after mandibular midline distraction and RME in A 14-year-old female patient with V-shaped mandibular arch and upper and lower anterior crowding. After the treatment, satisfying esthetic appearance and functionally sound occlusion was obtained

Anahtar Kelimeler

Mandibular, Distraction, Orthodontics.

Alt Çene Orta Hat Distraksiyonu: Olgu Sunumu

Öz

Alt çenenin orta hat distraksiyonu, dar apikal kaideye sahip alt çenenin transversal yöndeki yetersizliği ile birlikte ön dişlerde çapraşıklığın mevcut olduğu olgularda uygulanabilecek bir yaklaşımdır. Diş çekimi, stripping, tipping veya alt çene ark genişletmesi tedavi seçeneği olarak düşünülebilirken, bu tedavilerin uzun dönem sonuçlarının öngörülemeyeceği ve nüks ile karşılaşılabileceği bildirilmiştir. Bu olgu sunumunda; üst ve alt ön dişlerinde çapraşıklık şikâyeti olan ve V şekline sahip alt arka sahip 14 yaşındaki kadın hastanın hızlı üst çene genişletmesi ve alt çene orta hat distraksiyonu sonrası sabit mekaniklerle tedavisi sunulmaktadır.Tedavinin tamamlanmasının ardından memnun edici bir estetik görünüş ve fonksiyonel anlamda sağlıklı bir kapanış elde edildi

Anahtar Kelimeler

Alt çene, Distraksiyon, Ortodonti

Kaynakça

• 1. Del Santo, M., et al., Long-term skeletal and dental effects of mandibular symphyseal distraction osteogenesis. American Journal of Orthodontics and Dentofacial Orthopedics, 2000. 118(5): p. 485-493.
• 2. Proffit, W.R., H.W. Fields Jr, and D.M. Sarver, Contemporary orthodontics. 2014: Elsevier Health Sciences.
• 3. Graber, L.W., et al., Orthodontics-E-Book: Current Principles and Techniques. 2016: Elsevier Health Sciences.
• 4. Guerrero, C., et al., Mandibular widening by intraoral distraction osteogenesis. British Journal of Oral and Maxillofacial Surgery, 1997. 35(6): p. 383-392.
• 5. Furthauer, U. and H. Droschl, Fracture of the palatal suture as an interceptive measure. Österreichische Zeitschrift für Stomatologie, 1981. 78(5): p. 165.
• 6. Gonzalez, M., et al., Positional changes and stability of bone segments during simultaneousbilateral mandibular lengthening and widening by distraction. British Journal of Oral and Maxillofacial Surgery, 2001. 39(3): p. 169-178.
• 7. Conley, R. and H. Legan, Mandibular symphyseal distraction osteogenesis: diagnosis and treatment planning considerations. The Angle Orthodontist, 2003. 73(1): p. 3-11.
• 8. Little, R.M., Stability and relapse of dental arch alignment. British Journal of Orthodontics, 1990. 17(3): p. 235-241.
• 9. Herberger, R., Stability of Mandibular Intercuspid Width After Long Periods of Rentention. The Angle orthodontist, 1981. 51(1): p. 78-83.
• 10. Cobb 3rd, N., et al., Efficiency of multi-strand steel, superelastic Ni-Ti and ion-implanted Ni-Ti archwires for initial alignment. Clinical orthodontics and research, 1998. 1(1): p. 12-19.
• 11. Contasti, G., Mandibular widening by distraction osteogenesis. J. Clin. Orthod., 2001. 35: p. 165-173.
• 12. İşeri, H. and S. Malkoç, Long-term skeletal effects of mandibular symphyseal distraction osteogenesis. An implant study. The European Journal of Orthodontics, 2005. 27(5): p. 512-517.
• 13. Uckan, S., et al., Mandibular midline distraction using a simple device. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2005. 100(5): p. e85-e91.
• 14. Kewitt, G.F. and J.E. Van Sickels, Long-term effect of mandibular midline distraction osteogenesis on the status of the temporomandibular joint, teeth, periodontal structures, and neurosensory function. Journal of oral and maxillofacial surgery, 1999. 57(12): p. 1419-1425.
• 15. Bell, W., et al., Distraction osteogenesis to widen the mandible. British journal of oral and Maxillofacial Surgery, 1997. 35(1): p. 11-19.
• 16. Weil, T.S., J.E. Van Sickels, and C.J. Payne, Distraction osteogenesis for correction of transverse mandibular deficiency: a preliminary report. Journal of oral and maxillofacial surgery, 1997. 55(9): p. 953-960.
• 17. Little, R.M., R.A. Riedel, and J. Artun, An evaluation of changes in mandibular anterior alignment from 10 to 20 years postretention. American Journal of Orthodontics and Dentofacial Orthopedics, 1988. 93(5): p. 423-428.
• 18. Hollis, B.J., et al., An experimental study of mandibular arch widening in the dog using distraction osteogenesis. Journal of oral and maxillofacial surgery, 1998. 56(3): p. 330-338.
• 19. Wertz, R. and M. Dreskin, Midpalatal suture opening: a normative study. American journal of orthodontics, 1977. 71(4): p. 367-381.
• 20. Handelman, C.S., et al., Nonsurgical rapid maxillary expansion in adults: report on 47 cases using the Haas expander. The Angle Orthodontist, 2000. 70(2): p. 129-144.
• 21. Ghafari, J.G., GUEST EDITORIAL Emerging paradigms in orthodontics—An essay. American journal of orthodontics and dentofacial orthopedics, 1997. 111(5): p. 573-580.
• 22. Frush, J.P. and R.D. Fisher, The dynesthetic interpretation of the dentogenic concept. The Journal of Prosthetic Dentistry, 1958. 8(4): p. 558-581.
• 23. Moore, T., et al., Buccal corridors and smile esthetics. American Journal of Orthodontics and Dentofacial Orthopedics, 2005. 127(2): p. 208-213.