SERTAÇ AKSAKALLI, Celal IRGIN, Zekeriya TOSUN, Özgür İNAN

The interdisciplinary treatment of anterior openbite

İskeletsel ön açık kapanışlar genellikle maksilla ve mandibulanın posterior dentoalveoler segmentinde aşırı büyüme ile karakterize maloklüzyonlardır. İskeletsel açık kapanış tedavileri için pasif ısırma bloğu, oksipital headgear, sabit mekanikler ve vertikal elastikler gibi metotlar kullanılmaktadır. Bu vaka raporunda ; polidiastema ve ön açık kapanışın disiplinler arası tedavisinin sunulması amaçlanmıştır. Yetişkin bayan hasta iskeletsel ve dental sınıf II ilişkilere, 7.8 mm lik açık kapanışa ve artmış ön yüz yüksekliğe sahipti. Planımız: 1-Maksillayı gömmek, mandibulada rotasyon ve ilerletme yapmak 2-Ön dişlerin pozisyonunu düzeltmek 3-Dudak kapanışı ve yüz profilini iyileştirmek 4-İdeal oklüzyonu sağlamak 5- Dental ve gülme estetiğini iyileştirmekti. Ortodontik tedavi sonrası protetik ve periodontal tedaviler uygulandı. Hasta memnuniyeti ile beraber daha iyi bir estetik, iyileştirilmiş gülme ve fonksiyon elde edildi.

Ön açık kapanışın disiplinler arası tedavisi

Skeletal anterior openbites are complicated malocclusions characterized usually by overgrowth of the maxillary-mandibular posterior dentoalveolar heights. Several methods were introduced to treat skeletal openbites such as passive bite blocks, high pull headgears, fixed mechanics and vertical elastics. In this case report, the purpose was to present the interdisciplinary treatment of the skeletal anterior openbite malocclusion and polydiastema. The adult female patient had skeletal (ANB=6°) and dental Class II relationship and 7, 8 mm anterior openbite with increased lower facial height. Our objectives were to: 1- impact maxilla, advance-rotate mandible 2-correct the positions of the anterior teeth 3-enhance facial profile and lip closure 4-establish ideal occlusion 5-improve smile and dental esthetics. Ideal overjet and overbite values were obtained. The prosthodontic and periodontal treatments were performed after orthodontic treatment. Better esthetics, improved smile and function were also obtained with the patient’s satisfaction.

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Selçuk Üniversitesi Diş Hekimliği Fakültesi Dergisi-Cover

ISSN: 1300-5170
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1991
Yayıncı: İsmail Marakoğlu

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