Post-adölesan kalıtımsal iskeletsel maksiler darlık sirküler openbite vakasında RME – mini vida uygulaması: Olgu sunumu
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Tarih
2018
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Maksiller darlık ve/veya openbite malokluzyonuna ortodonti kliniğinde oldukça sık rastlanılmaktadır. Bu anomalilerin etiyolojileri arasında genetik ya da ağız solunumu, bebeklik yutkunması, dil itimi gibi sonradan kazanılmış alışkanlıklar yer almaktadır. Günümüzde ankraj amacıyla mini vidalar hasta kooperasyonu gerektirmemesi ve kolay uygulanabilirliği sebebiyle tercih edilmektedir. Maksiller darlığı ve aynı zamanda, anterior bölgede 10 mm olduğu tespit edilmiş, sirküler openbite’ı bulunan 16 yaşındaki bayan hasta, NEÜ Diş Hekimliği Fakültesi Ortodonti Anabilim Dalı’na başvurmuştur. Hastanın radyografik değerlendirilmesi sonucu büyüme gelişimini tamamlamış olduğu tespit edilmiştir. Vakanın hızlı maksiller genişletme (RME) apareyi ve mini vida uygulaması ile tedavisi planlanmıştır. Sağ ve sol bukkal bölgeye birer adet mini vida yerleştirilmiştir. RME apareyine, ilave bukkal bükümler yapılarak, kapalı yaylar eklenmiştir. 5 hafta genişletme yapılan hastanın, sağ ve sol bukkal bölgesinde, kapalı yaylar 200 gr intruzyon kuvveti uygulayacak şekilde aktive edilerek, mini vidalara bağlanmıştır. Her ay kuvvet miktarı kontrol edilmiş, 8 ay sonra aparey terk edilmiştir. Uygulanan tedavi ile 10 mm openbite miktarının azalarak 1 mm olduğu, maksiller molarlarda intruzyon ve mandibulada counterclockwise rotasyon gözlenmiştir. Ortognatik tedaviyi reddeden vakalarda; hasta ve hekimi zorlamayan, uygulama kolaylığı olan, daha konservatif tedavi yöntemlerine şans verilerek tatmin edici sonuçlar elde edilebileceği gözlenmiştir.
Maxillary deficiency and/or openbite malocclusion are quite common in orthodontics clinics. The etiologies of these anomalies include genetic traits or later acquired features such as oral respiration, infant swallowing, and tongue repatriation. Nowadays, mini screws for anchorage are preferred because patient cooperation is not necessary and easy to apply. A 16-year-old female patient with circular openbite who was found to have a maxillary stenosis and at the same time an anterior region of 10 mm was referred to the NEU Dentistry Department's Orthodontics Department. After the radiographic evaluation of the patient, it has been found that she has completed her growth. Treatment of the case was planned with the use of Rapid Maxillary Expander (RME) appliance and mini screw application. One mini screw is inserted into each of the right and left buccal regions. Closed coil springs were added to the RME appliance with additional buccal bendings. Closed coil springs in the right and left buccal region of the patient, who had been exposed to expansion for 5 weeks, were activated so as to apply intrusive force of 200 gr and connected to the mini screws. The amount of force was checked every month and at the end of 8 months the appliance was abandoned. With the treatment, the amount of openbite decreased from 10 mm to 1 mm, intrusion in maxillary molars and counterclockwise rotation in the mandibula were observed. For the cases rejecting orthognatic treatment; it is observed that satisfactory results can be obtained by giving chance to more conservative treatment methods which are easy for patients and doctors.
Maxillary deficiency and/or openbite malocclusion are quite common in orthodontics clinics. The etiologies of these anomalies include genetic traits or later acquired features such as oral respiration, infant swallowing, and tongue repatriation. Nowadays, mini screws for anchorage are preferred because patient cooperation is not necessary and easy to apply. A 16-year-old female patient with circular openbite who was found to have a maxillary stenosis and at the same time an anterior region of 10 mm was referred to the NEU Dentistry Department's Orthodontics Department. After the radiographic evaluation of the patient, it has been found that she has completed her growth. Treatment of the case was planned with the use of Rapid Maxillary Expander (RME) appliance and mini screw application. One mini screw is inserted into each of the right and left buccal regions. Closed coil springs were added to the RME appliance with additional buccal bendings. Closed coil springs in the right and left buccal region of the patient, who had been exposed to expansion for 5 weeks, were activated so as to apply intrusive force of 200 gr and connected to the mini screws. The amount of force was checked every month and at the end of 8 months the appliance was abandoned. With the treatment, the amount of openbite decreased from 10 mm to 1 mm, intrusion in maxillary molars and counterclockwise rotation in the mandibula were observed. For the cases rejecting orthognatic treatment; it is observed that satisfactory results can be obtained by giving chance to more conservative treatment methods which are easy for patients and doctors.
Açıklama
Anahtar Kelimeler
Diş Hekimliği, İntruzyon, Kemik vidaları, Maksiller genişletme, Mini vidalar, Openbite, Ortodontik tedavi, Intrusion, Bone screws, Maxillary expansion, Mini screws, Openbite, Orthodontic treatment
Kaynak
Selcuk Dental Journal
WoS Q Değeri
Scopus Q Değeri
Cilt
5
Sayı
2
Künye
Kök, H. (2018). Post-adölesan kalıtımsal iskeletsel maksiler darlık sirküler openbite vakasında RME – mini vida uygulaması: Olgu sunumu. Selcuk Dental Journal, 5, 2, 164-170.
