Zaur NOVRUZOV, Cengiz GADİMLİ, Erhan ÖZDİLER, Ali İhya KARAMAN

Sınıf II, bölüm 1 maloklüzyonlarında kullanılan ikiz blok ve monoblok fonksiyonel tedavi aygıtlarının SNA, SNB ve ANB açıları üzerindeki etkilerinin karşılaştırılması

Sınıf II maloklüzyonlar toplumda en sık rastlanılan ve bu yüzden de ortodontistlerin en çok tedavi ettikleri maloklüzyon tipidir. Estetiğin, fonasyonun ve fonksiyonun kaybına neden olan bu düzensizliğin düzeltilmesinde ortodonti büyük rol oynamaktadır. II sınıf anomalilerin tedavisinde fonksiyonel aygıtlar geniş kullanılmaktadırlar. Bu aygıtlar, mandibulanın fonksiyon ve pozisyonunu değiştirerek belli bir kas grubunun kuvvetini dentisyon aracılığıyla bazal kemik kaidesine yönlendiren aygıtlardır. Makalede sınıf II, bölüm 1 maloklüzyonların tedavisinde kullanılan 2 farklı aktivatörün maksilla ve mandibulanın sagittal gelişimi üzerindeki etkileri kıyaslanmıştır. Araştırma 1. grup ikiz blok aygıtıyla tedavi edilmiş ve yaş ortalamaları 13 olan 21 hastadan 11 kız, 10 erkek , 2. grup monoblok aygıtıyla tedavi edilmiş ve yaş ortalamaları 12 olan 17 hastadan 10 kız, 7 erkek , 3. grup monoblokHeadgear kombinasyonuyla tedavi edilmiş ve yaş ortalamaları 12 olan 16 hastadan 9 kız, 7 erkek , 4. grup ise tedavi edilmemiş ve yaş ortalamaları 12 olan 19 hastadan 11 kız, 8 erkek oluşan gruplar üzerinde yürütülmüştür. Gruplar içinde tedavi/kontrol başında ve sonundaki değerlerinin benzer olup olmadığının test edilmesi amacıyla başlangıç sonuç sefalometrik değerler arasında Varyans analizi ve Duncan testi uygulanmıştır. Sonuç olarak aktivator dizaynının maksillar gelişimin inhibisyonuna etki yapabildiği, fakat mandibular gelişimin provokasyonu aktivator dizaynından değil, aktivasyon miktarından ve aygıtın günlük kullanımından esinlendiği belirlenmiştir

Anahtar Kelimeler:

SNA açısı, SNB açısı, ANB açısı aktivator

Comparison of the Effect on SNA, SNB and ANB Angles Regardıng Twın Block and Monoblock Actıvators Used in Class II, Dıvısıon 1 Anomalıes

Class II malocclusions are the most frequently encountered, therefore the most widely treated anomaly by orthodontists. In the treatment of this disorder where aesthetics, phonation and function are lost, orthodontics play a major role. Functional devices are widely utilized in the treatment of Class II anomalies. These devices are the ones which direct the force of a special muscle group with the aid of the dentition to the basal bone system by changing the function and position of the mandibula. In this study, the effect of two different activators used in the treatment of Class II Division 1 anomalies on the sagittal development of maxilla and mandibula were compared. The study was carried out on; group 1 consisting of 21 patients 11 girls, 10 boys with an average of 13 treated with twin block, group 2 consisting of 17 patients 10 girls, 7 boys with an average age of 12 treated with monoblock, group 3 consisting of 16 patients 9 girls, 7 boys with an average age of 12 treated with monoblockHeadgear combination, group 4 consisting of 19 nontreated patients 11 girls, 8 boys with an average age of 12. In order to test the similarity of the values at the treatment/control beginning and end within the groups, Variance analysis and Duncan test were applied to the initial and final cephalometric values. As a result it was seen that the design of the activator can have an effect on the inhibition of the maxillary development. However, the provocation of the mandibulary development is not inspired by the activator design but by the amount of the activation and the daily use of the device.

Keywords:

SNA angle ANB angle, SNB angle, activator,

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