KEMİK DESTEKLİ KELEŞ SLİDER APAREYİ İLE SINIF II DİVİZYON 2 MALOKLÜZYONUN TEDAVİSİ: VAKA RAPORU

Öz

Üst kesici dişlerin yetersiz görünümü, yüz estetiği üzerinde olumsuz bir etkiye sahip olabilir. Derin kapanışın düzeltilmesi, ortodontik tedavide genellikle zorlu bir süreçtir. Tedavi edilmeyen derin kapanışlar, maksiller anterior dişlerde çapraşıklıkların artmasına, bu dişlerin anterior hareketine, periodontal sorunlara ve temporomandibular eklem bozukluklarına yol açabilir; ayrıca mandibulanın lateral ve anterior hareketlerini sınırlayabilir. Bu çalışmanın amacı, yetişkin bir kadın hastada Sınıf II maloklüzyon ve derin kapanış tedavisini incelemektir. Sınıf II maloklüzyonun tedavisi ve dikey boyutu artırmak amacıyla molardistalizasyonu yapılmıştır. Seviyeleme aşamasından sonra, üst çenede artırılmış spee’liNiTi teller ve alt çenede reverseNiTi teller kullanılarak alt ve üst kesici dişlerin intrüzyonu ve molar dişlerin ekstrüzyonu sağlanmış, böylece derin kapanış başarılı bir şekilde tedavi edilmiştir. Hastanın final oklüzyonu, Sınıf I kapanışı olarak elde edilmiş ve overbite ile overjet ideal aralıklar içinde tamamlanmıştır. Hastanın gülüş estetiği, başlangıç durumuna kıyasla iyileştirilmiştir. Sonuç olarak, yetişkin hastalarda derin kapanışın tedavisinin, maksiller ve mandibular kesici dişlerin intrüzyonu ile etkili bir şekilde tamamlanabildiği görülmektedir.

Anahtar Kelimeler

• Sınıf II tedavisi
• derin kapanış
• distalizasyon

TREATMENT OF CLASS II DIVISION 2 MALOCCLUSION WITH A BONE-SUPPORTED KELES SLIDER APPLIANCE: A CASE REPORT

Öz

Inadequate maxillary incisor display can have a negative impact on faciala esthetics. Correcting a deep bite is typically a challenging step in orthodontic treatment. Untreated deep bites can lead to increased anterior tooth crowding, flaring of the maxillary teeth, periodontal issues, and temporo mandibular joint disorders; it may also limit lateral and anterior mandibular movements. This study aims to examine the treatment of Class II malocclusion and deep bite in a non-growing female patient. In order to correct the Class II malocclusion and to increase the vertical dimension, molardistalization was performed. Subsequently, the intrusion of the lower and upper incisors and the extrusion of the molar teeth were achieved using accentuated curve wires in the upper jaw and rever securve of speearch wires in the lower jaw, thus successfully treating the deep bite. The patient's final occlusion is a Class I closure, and the overbite and overjet have been completed with in the ideal ranges. The patient's smile's aesthetic has improved compared to the irinitial presentation. Therefore, the correction of bite through the intrusion of maxillary and mandibular incisors, along with the extrusion of the molar teeth, can be considere deffectively accep table in non-growing patients.

Anahtar Kelimeler

• Class II treatment
• deep bite
• distalization

Kaynakça

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