Treatment of Skeletal Class III Malocclusion with Face Mask: A Case Report

Yıl 2022, Cilt: 8 Sayı: 2, 59 - 65, 21.11.2022

İrem Yolcu , Büşra Demir Çiçek , Orhan Çiçek

Öz

One of the most important anomalies seen in the maxillofacial region is Class III malocclusions. The use of a face mask with rapid maxillary expansion in growing children is widely used in the treatment of skeletal Class III malocclusions of retrogantic maxilla origin. In this case report; treatment of skeletal class III malocclusion with a face mask is presented. A male patient with a chronological age of 11 years and 5 months was admitted to the orthodontic clinic with the complaint of prominent lower jaw and crowded upper teeth. As a result of radiographic examination, it was determined that the patient had a skeletal Class III malocclusion originating from the retrogantic maxilla and was in the prepeak period. A face mask with hyrax was used in the patient. After obtaining a positive overjet with an acceptable profile,the fixed orthodontic treatment was started. A satisfactory facial profile was obtained with Class I canine relationship, ideal overjet and overbite relationship, with fixed orthodontic treatment including the extraction of the right upper permanent first molar and left upper first premolars.

Anahtar Kelimeler

Class III malocclusion, Orthopedic treatment, Face mask, Fixed orthodontic treatment

İskeletsel Sınıf III Maloklüzyonun Yüz Maskesi ve Asimetrik Diş Çekimi ile Tedavisi: Vaka Raporu

Öz

Maksillofasiyal bölgede görülen en önemli anomalilerden biri Sınıf III maloklüzyonlardır. Büyüme dönemindeki çocuklarda hızlı maksiller genişletme ile yüz maskesinin kullanımı, retrogantik üst çene kaynaklı iskeletsel Sınıf III maloklüzyonların tedavisinde yaygın olarak kullanılmaktadır. Bu vaka raporunda; iskeletsel sınıf III maloklüzyonun yüz maskesi ile tedavisi sunulmaktadır. Kronolojik yaşı 11 yıl 5 ay olan erkek hasta, alt çenesinin önde olması ve üst dişlerindeki çapraşıklık şikayetiyle ortodonti kliniğine başvurdu. Radyografik inceleme sonucu, hastanın retrogantik üst çene kaynaklı iskeletsel Sınıf III maloklüzyona sahip olduğu ve prepeak döneminde olduğu tespit edildi. Hastada hyrax ile birlikte yüz maskesi kullanıldı. Kabul edilebilir profil ile birlikte pozitif overjet elde edildikten sonra hastanın sabit ortodontik tedavisine geçildi. Sağ üst daimi birinci büyük azı ile sol üst birinci küçük azı dişlerinin çekimini içeren sabit ortodontik tedavi ile Sınıf I kanin ilişki, ideal overjet ve overbite ilişkisi ile tatmin edici bir yüz profili elde edildi.

Anahtar Kelimeler

Sınıf III maloklüzyon, Ortopedik tedavi, Yüz maskesi, Sabit ortodontik tedavi

Kaynakça

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