Jerina DULE, Ramin EYYUBOV, Hatice GÖKALP

MAKSİLLER RETRÜZYONUN BÜYÜME DÖNEMİNDE ALT-RAMEC VE MANDİBULAR MİNİ VİDA İŞBİRLİĞİ İLE TEDAVİSİ: Bir Olgu Sunumu

İskeletsel Sınıf III malokluzyonlar %40 oranında maksiller gerilik ile birlikte olup erken büyüme döneminde ortopedik, geç büyüme döneminde ise ortognatik cerrahi ile tedavi edilir. Bu vaka raporunda amaç maksiller retrüzyonla birlikte iskeletsel ve dişsel Sınıf III maloklüzyonu olan 13,3 yaşında bir erkek bireyde Mc Namara tipi maksiller ekspansiyon apereyi/Alt-RAMEC protokolü ile mandibular kanin bölgeye bilateral olarak yerleştirilen mini vidalardan ortopedik şiddette Sınıf III intermaksiller elastiklerin birlikte uygulanmasının kraniyo-fasiyal yapıdaki etkilerini sunmaktır. Ortopedik tedavi, sabit ortodontik tedavi ve 1 yıllık retansiyon etkileri değerlendirilmiştir. Sonuç olarak adolesan dönemde bu yöntemin etkili bir maksiller anterior hareket oluşturduğu saptanmıştır.

Anahtar Kelimeler:

Geçici ankraj sistemi, Mini vida, Maksiller gerilik, Sınıf III malokluzyon

Maxillary Retrusion Therapy Combined with Alt-RAMEC and Mandibular Mini Screw in Growth Period: A Case Report

Skeletal Class III malocclusions are associated with maxillary retrusion of 40% and are treated by orthopedic treatment in early growth period and orthognathic surgery in late growth period. The aim of this case report is to present results that 13,3 –year-old boy having skeletal and dental Class III malocclusion associated with maxillary retrusion, treated with combination Mc Namara type maxillary expander/Alt-RAMEC protocol and orthopedically forced Class III intermaxillary elastics from mandibular mini screws placed canine regions on the craniofacial structures. It was evaluated respectively effects of orthopedic treatment, fixed orthodontic treatment and retention period of 1 year. Conclusively, it has been determined that this method causes effectively anterior movement of the maxilla in adolescent period.

Keywords:

Temporary anchorage system, Mini Screw, Maxillary deficiency, Class III malocclusion,

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