Büyüme Gelişim Döneminde Maksiller Yetmezliğe Bağlı Sınıf III Bireyde Mini-Plak Ankrajlı Yüz Maskesi Uygulaması

Yıl 2021, Cilt: 2 Sayı: 1, 70 - 77, 01.06.2021

Murat Tunca , Yeşim Kaya , Levent Ciğerim , Yasemin Tunca

Öz

Genellikle maksiller yetmezlikle
karakterize olan iskeletsel sınıf III anomaliler
sosyal ve çevresel faktörlerin etkisiyle bireyler
ve evebeynleri tarafından özellikle büyüme
gelişim döneminde farkedilmektedir.
Günümüzde iskelestel sınıf III anomalilerin
tedavisinde sıklıkla yüz maskesi
kullanılmaktadır. Konvansiyonel yüz maskesi
uygulaması, ankraj ünitesi ile bireyin vertikal
yönde büyümesinde istenmeyen değişimlere
neden olabilmektedir. Bu noktada istenmeyen
dentoalveolar etkileri en aza indirmek
amacıyla maksilla protraksiyonu, yüz
maskesinin iskeletsel ankraj üniteleri ile
birlikte kullanımıyla elde edilebilmektedir. Bu
olgu sunumunun amacı büyüme gelişim
döneminde olan maksiller yetmezliğe bağlı
sınıf III anomaliye sahip bireyin mini-plak
ankrajlı yüz maskesi uygulaması ile iskeletsel,
dentoalveolar ve yumuşak dokudaki
değişimlerinin sunulmasıdır.

Anahtar Kelimeler

İskeletsel sınıf III, maksiller yetmezlik, iskeletsel ankraj

Application of Mini-Plate Anchored Face Mask in Class III Individual Due to Maxillary Deficiency During the Period of Growth and Development

Öz

Individuals and parents are
noticed by skeletal class III anomalies, which
are typically characterized by maxillary
insufficiency, especially during the growth and
development due to the influence of social and
environmental factors. Today, in the treatment
of skeletal class III anomalies, face masks are
frequently used. Conventional application of
the face mask may cause undesirable changes
in the growth of the individual with the
anchorage unit in the vertical direction. At this
point, it is possible to achieve maxilla
protraction by using the face mask together
with skeletal anchorage units to minimize
undesired dentoalveolar effects. The aim of
this case report is to present, by applying a
face mask with mini-plate anchorage, the
skeletal, dentoalveolar and soft tissue changes
of an individual with class III anomaly due to
maxillary insufficiency in the growth and
development period.

Anahtar Kelimeler

Skeletal class III, maxillary deficiency, skeletal anchorag

Kaynakça

• 1. Williams S, Andreasen CE. The Morphology of Potential Class III Skeletal Pattern in Growing Child. Am J Orthod Dentofacial Orthop. 1986; 89: 302-11.
• 2. Ellis E, McNamara JA Jr. Components of Adult Class III Malocclusion. J Oral Maxillofac Surg. 1984;42(5):295-305.
• 3. Joshi N, Hamdan AM, Fakhouri WD. Skeletal Malocclusion: a Developmental Disorder with a Life-long Morbidity. J Clin Med Res. 2014;6(6):399-408.
• 4. Bernabé E, Sheiham A, de Oliveira CM. Condition-specific Impacts on Quality of Life Attributed to Malocclusion by Adolescents with Normal Occlusion and Class I, II and III Malocclusion. Angle Orthod. 2008;78(6):977- 82.
• 5. Kaya D, Kocadereli I, Kan B, Tasar F. Effects of Facemask Treatment Anchored with Miniplates After Alternate Rapid Maxillary Expansions and Constrictions; a pilot study. Angle Ortho. 2011;81: 639-46.
• 6. Şar Ç, Arman-Özçırpıcı A, Uçkan S, Yazıcı AC. Comparative Evaluation of Maxillary Protraction with or without Skeletal Anchorage. Am J Orthod Dentofacial Orthop. 2011;139: 636-49.
• 7. Vaughn GA, Mason B, Moon HB, Turley PK. The Effects of Maxillary Protraction Therapy with or without Rapid Palatal Expansion: a prospective, randomized clinical trial. Am J Orthod Dentofacial Orthop. 2005;128(3):299-309.
• 8. Kilicoglu, H. and Kirlic, Y. Profile Changes in Patients with Class III Malocclusions After Delaire Mask Therapy. American Journal of Orthodontics and Dentofacial Orthopedics. 1998; 113(4): 453-462.
• 9. Ngan, P. Early Timely Treatment of Class III Malocclusion. Seminars in Orthodontics. 2005;11(3):140–145.
• 10. Zhou YH, Ding P, Lin Y, Qiu LX. Facemask Therapy with Miniplate Implant Anchorage in a Patient with Maxillary Hypoplasia. Chin Med J. 2007;120(15):1372- 5.
• 11. Delaire J. Maxillary Development Revisited: Relevance to the Orthopaedic Treatment of Class III malocclusions. Eur J Orthod. 1997;19 (3):289- 311.
• 12. Hegmann M, Rüther AK. The Grummons Face Mask as an Early Treatment Modality within a Class III Therapy Concept. J Orofac Orthop. 2003;64(6):450-6.
• 13. Nanda R. Biomechanical and Clinical Considerations of a Modified Protraction Headgear. Am J Orthod. 1980;78(2): 125-139.