Single Lower Incisor Extraction for Dental Camouflage

Bu vaka raporunda iskeletsel Sınıf II maloklüzyonu ve alt diş kavsinde çapraşıklığı olan bir hastada, dental oklüzyonun mandibuler keser dişi çekimi yapılarak tedavi edilme süreci anlatılmaktadır. Alt küçük azı dişlerinin çapraşıklığından şikayetçi olan 18 yaşındaki erkek hasta artmış üst dudak ve azalmış alt dudak projeksiyonu ile birlikte konveks bir profile sahipti. Üst dişsel orta hat, yüz orta hattı üzerinde, alt dişsel orta hat ise yüz orta hattının 3 mm sağında konumlanmıştı. Ağız içi muayenesinde sol tarafta dişsel Sınıf I kanin ve Sınıf II molar ilişkisi olduğu, sağ tarafta ise Sınıf II kanin ve molar ilişkisinin mevcut olduğu tespit edildi. Hastada mandibuler retrognatiye bağlı isketsel Sınıf II ilişki, normal dikey boyut, normal üst ve prokline alt dişlerin bulunduğu belirlendi. Tedavi planı alt sağ lateral keser diş çekiminden oluşan kamuflaj tedavisi olarak belirlenmiştir. 20 aylık aktif tedavi sonunda koordine dental arklarla beraber dişsel Sınıf I kanin ve molar ilişkisi elde edildi, çapraşıklık giderildi. Dikkatle planlanan olgularda mandibuler keser diş çekimi minimal ortodontik müdahale ile fonksiyonel ve estetik sonuçlar sağlayan etkin bir tedavi seçeneğidir

Dişsel Kamuflaj lı Mandibuler Keser Dişi Çekimi

This is a report of the camouflage treatment of a patient with skeletal Class II malocclusion and lower crowding for whom one mandibular incisor extraction was selected as the treatment of choice to improve the dental occlusion. The chief complaint of the 18-year-old male patient was crooked lower premolars. He had a convex profile with protrusive upper and retrusive lower lips. The upper dental midline was coincident with the facial midline, and lower dental midline was 3 mm to the right. The patient had Class I molar and Class II canine relationships on the left and Class II molar and canine relationships on the right. He had a Class II skeletal relationship because of mandibular retrognathy with normal upper and proclined lower incisors. The treatment plan included the extraction of the lower right lateral incisor for camouflage treatment. Class I molar and canine relationships as well as aligned and coordinated dental arches were achieved at the end of 20 months of active fixed treatment. Lower dental crowding was resolved. If carefully planned, mandibular incisor extraction can be an effective treatment option for camouflage treatment that produces functional and esthetic results with minimal orthodontic involvement

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