Özlem Nasibe ÖZKEPİR, Mehmet ASKAR, Ayşe Tuba ALTUĞ, Öncül Ayşegül TÜZÜNER

Erişkin bireylerde açık kapanış tedavisi

Bu vaka raporunda iskeletsel sñnñf II hiperdiverjan, diğsel sñnñf 1 açñk kapanñğa sahip eriğkin bireyin zigomatik mini plaklar kullanñlarak tedavisi sunulmaktadñr. Kronolojik yağñ 17 yñl 7 ay olan bayan hasta diğsel Sñnñf I molar iliğkiye sahip olup, iskeletsel olarak maksilla normal konumda SNA:83° , mandibula geride SNB:74° iken dikyön boyutlarñ artmñğtñr GoGnSN:43° . Hastaya ankraj amaçlñ zigoma plaßñ uygulanarak 4 premolar çekimli sabit tedavi uygulanmñğtñr. Zigoma plaklarñyla maksiller molar diğler gömülmüğ, kanin diğler distalize edilip keser diğlerde retraksiyon saßlanmñğtñr. Tedavi sonunda, hastada sñnñf 1 kanin ve molar iliğki, iyi bir interdijitasyon saßlanmñğ, uygun overjet ve overbite elde edilmiğ, çaprağñklñk problemi çözülmüğtür. Hastanñn yumuğak doku profili deßerlendirildißinde yetersiz dudak kapanñğñnñn giderildißi ve daha olumlu bir profile sahip oldußu görülmektedir Sunulan vakada zigoma plaßñ kullanñlarak uygulanan tedavi sonucunda hastaya olumlu bir estetik, fonksiyon ve oklüzyon kazandñrñlmñğtñr.

Anahtar Kelimeler:

ön açñk kapanñğ, eriğkin birey, zigoma ankrajñ, mini plak

Open Bite Treatment in Adults

This case report presents an adult skeletal Class II hyperdivergent and dental Class I open bite case treated by using zygomatic miniplates as anchorage units. 17-year 7-month old female patient presented with a dental Class I molar relationship along with skeletally normal positioned maxilla SNA:83° , retruded mandibula SNB:74° and increased vertical dimensions GoGnSN:43° . Zygomatic miniplates were used for anchorage and fixed orthodontic appliances were used after extraction of four premolars. Molar intrusion, canine distalization and retraction of incisors were achieved by the help of zygomatic anchorage system. At the end of the treatment Class I canine and molar relationship was achieved, a good interdigitation was established, adequate overjet and overbite were provided and crowding were resolved. While soft tissue profile was evaluated, it is seen that inadequate lip closure was eliminated and patient has favourable profile. In this case, patient gets access to a better esthetic, function and occlusion after the treatment with zygomatic miniplates

Keywords:

anterior open bite, adult, zygomatic anchorage, miniplate,

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