MAKSİLLER RETROGNATİ KAYNAKLI FONKSİYONEL SINIF III MALOKLUZYONUN ÇİFT MENTEŞELİ MAKSİLLER GENİŞLETME APAREYİ VE ARDIŞIK HIZLI MAKSİLLER GENİŞLETME-DARALTMA PROTOKOLÜ UYGULANMASI İLE TEDAVİSİ VAKA RAPORU

Maksiller genişletmenin Angell tarafından ortodonti literatürüne kazandırılmasından bugüne kadar, çok çeşitli maksiller genişletme aygıtı ile farklı genişletme protokolleri uygulanmıştır. Bu vaka raporunda maksiller kaynaklı Sınıf III malokluzyonun çift menteşeli maksiller genişletme apareyi kullanarak Ardışık Hızlı Maksiller Genişletme ve Daraltma AHMG-D protokolü ile tedavisinin klinik sonuçları sunulmuştur. Bilateral olarak üst premolar ve molar dişlere çift menteşeli genişletme plağı simante edilmiş ve vida, birinci hafta sabah-akşam 2 tur açılarak toplamda maksilla günde 1 mm genişletilmiş; 2. hafta sabah-akşam 2 tur kapatılarak toplamda maksilla günde 1 mm daraltılmıştır. Bu uygulamaya birbirini takip eden 9 hafta boyunca devam edilmiştir. Dokuzuncu hafta sonunda pozitif overjet elde edilmiş ve başlangıçtaki materyal alındıktan sonra T2 sabit tedaviye başlanmıştır.

Anahtar Kelimeler:

Alt-RAMEC, AHMG-D, Çift menteşeli maksiller genişletme plağı, Sınıf III maloklüzyon.

Treatment of Functional Class III Malocclusion Associated with Retrognathic Maxilla by Double Hinged Maxillary Expansion Device and Sequential Rapid Maxillary Expansion-Constriction Protocol - Case Report

In this case report, the clinical results of treatment with the consecutive Rapid Maxillary Expansions and Constrictions SRME-C protocol were presented using the double-hinged extension device of Class III malocclusion maxillary retrusion from the maxilla. A double-hinged expansion screw was bonded bilateral upper first premolar and first molar teeth and the screw was opened two times in the morning and evening on the first week, extending 1 mm per day in total; In the 2nd week morning and evening 2 times were closed and maxilla was narrowed 1 mm per day in total. This manner was continued for 9 consecutive weeks. Positive overjet was obtained at the end of nineth week and fixed treatment was started after initial material was taken T2 as before.

Keywords:

Alt-RAMEC, SRME-C, double hinged expansion screw, Class III malocclusion,

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Bjork A, Skieller V. Growth of the maxil- la in three dimensions as revealed radiog- raphically by the implant method. Br J Orthod. 1977;4:53-64
Cozzani G. (1981). Extraoral traction and class III treatment. Am J Orthod, 80(6):63850.
Guyer EC, Ellis EE, 3rd, McNamara JA, Jr. Behrents RG. Components of class III malocclusion in juveniles and adolescents. Angle Orthod 1986;56:7-30.
Haas AJ. (1965). The treatment of maxil- lary deficiency by opening the midpalatal suture. Angle Orthod, 35:200-17
Haas AJ. (1980). Long-term posttreatment evaluation of rapid palatal expansion. Angle Orthod, 50(3):189-217.
Kama JD, Ozer T, Baran S. (2006). Ort- hodontic and orthopaedic changes asso- ciated with treatment in subjects with Class III malocclusions. Eur J Orthod, 28(5):496-502
Liou EJ. (2005). Toothborne orthopedic maxillary protraction in Class III patients. J.Clin. Orthod, 39(2):68-75.
Liou EJ, Tsai WC. (2005). A new proto- col for maxillary protraction in cleft pati- ents: repetitive weekly protocol of alter- nate rapid maxillary expansions and constrictions. Cleft Palate Craniofac J, 42(2):121-7.
Liou EJ. (2005). Effective maxillary ort- hopedic protraction for growing Class III patients:a clinical application simulates distraction osteogenesis. Prog Orthod, 6(2):154-71.
Mandall N, DiBiase A, Littlewood S, Nu- te S, Stivaros N, McDowall R, Shargill I. (2010). Is early Class III protraction fa- cemask treatment effective? A multicent- re, randomized, controlled trial: 15-month follow-up. J Orthod, 37(3):149-61.
McNamara JA Jr. (1987). An orthopedic approach to the treatment of Class III malocclusion in young patients. J Clin Orthod, 21(9):598-608
Moyers RE.Handbook of orthodontics.4th ED.Chicago: Year book medical Publis- hers;1988.p.410-5.
Nakasima,A.,Ichinose M.,Nakata S., Ge- netic and enviromental factors in the de- velopment of so-called class III pseudo and mesiocclusions. Am J Orthodontics denfac orthopedics 90:106-116, 1986.
Rakosi T. Treatment of class 3 malocclu- sions In: Graber TM, Rakosi T, Petrovic AG. Dentofacial orthopedics and functio- nal appliances. Second Ed- Mosby Year Book Inc. St. Louis, pp. 461-480, 1997.
Şen Yılmaz Berza, Küçükkkeleş Nazan (2015). Skeletal, soft tissue, and airway changes following the alternate maxillary expansions and constructions protocol. Angle Orthodontist, 85(1):117-126
Timms DJ. (1981). Rapid maxillary expansion. Quintessence Co, Chicago. pp. 28-46,1986.