.: OLGU SUNUMU
Non-Surgical Treatment of a Class III Malocclusion Using Buccal Shelf Miniscrews
Bukkal Shelf Vida Yardımıyla Sınıf III Maloklüzyonun Cerrahi Olmayan Tedavisi
Turkiye Klinikleri J Dental Sci. 2023;29(2):380-4
doi: 10.5336/dentalsci.2022-94622
Makale Dili: EN
Tam Metin
Ücretsiz Erişim
ABSTRACT
Class III malocclusions can be treated with orthopedic, camouflage, or orthognathic surgical methods, depending on the severity of the problem. This case report describes the non-surgical correction of a Class III problem using a buccal shelf miniscrew. In a 15-year-old female patient, bilateral 2x12 mm stainless steel screws were inserted into the mandible to distalize the lower teeth. A power chain from miniscrews was applied to the lower teeth, and the anterior crossbite was corrected 3 months later. In addition, improvement was observed in the soft tissue profile of the patient. After 13 months of treatment, the patient achieved an aesthetic and functional occlusion. The buccal shelf miniscrew-supported mandibular arch distalization treatment applied in ''borderline'' Class III malocclusion cases offers a successful alternative because it eliminates the side effects seen in other camouflage treatment options.
Keywords: Class III malocclusion; orthodontic anchorage procedures; orthodontics; bone screw
Class III malocclusions can be treated with orthopedic, camouflage, or orthognathic surgical methods, depending on the severity of the problem. This case report describes the non-surgical correction of a Class III problem using a buccal shelf miniscrew. In a 15-year-old female patient, bilateral 2x12 mm stainless steel screws were inserted into the mandible to distalize the lower teeth. A power chain from miniscrews was applied to the lower teeth, and the anterior crossbite was corrected 3 months later. In addition, improvement was observed in the soft tissue profile of the patient. After 13 months of treatment, the patient achieved an aesthetic and functional occlusion. The buccal shelf miniscrew-supported mandibular arch distalization treatment applied in ''borderline'' Class III malocclusion cases offers a successful alternative because it eliminates the side effects seen in other camouflage treatment options.
Keywords: Class III malocclusion; orthodontic anchorage procedures; orthodontics; bone screw
ÖZET
Sınıf III maloklüzyonlar, problemin şiddetine göre ortopedik, kamuflaj veya ortognatik cerrahi yöntemlerle tedavi edilebilir. Bu vaka raporu, bukkal shelf minivida uygulaması ile Sınıf III problemin düzeltimini anlatmaktadır. On beş yaşındaki kadın hastada, alt dişlerin distalizasyonunu sağlamak için alt çenede iki taraflı 2x12 mm paslanmaz çelik vidalar yerleştirildi. Minividalardan alt dişlere powerchain uygulandı ve 3 ay sonra anterior çapraz kapanış düzeltildi. Ayrıca hastanın yumuşak doku profilinde iyileşme izlendi. On üç aylık tedavi sonunda hasta estetik ve fonksiyonel bir oklüzyona kavuştu. ''Borderline'' Sınıf III maloklüzyon olgularında uygulanan bukkal shelf minivida destekli mandibular ark distalizasyon tedavisi, diğer kamuflaj tedavi seçeneklerinde görülen yan etkileri ortadan kaldırdığı için başarılı bir alternatif sunmaktadır.
Anahtar Kelimeler: Sınıf III maloklüzyon; ortodontik ankraj prosedürleri; ortodonti; kemik vidaları
Sınıf III maloklüzyonlar, problemin şiddetine göre ortopedik, kamuflaj veya ortognatik cerrahi yöntemlerle tedavi edilebilir. Bu vaka raporu, bukkal shelf minivida uygulaması ile Sınıf III problemin düzeltimini anlatmaktadır. On beş yaşındaki kadın hastada, alt dişlerin distalizasyonunu sağlamak için alt çenede iki taraflı 2x12 mm paslanmaz çelik vidalar yerleştirildi. Minividalardan alt dişlere powerchain uygulandı ve 3 ay sonra anterior çapraz kapanış düzeltildi. Ayrıca hastanın yumuşak doku profilinde iyileşme izlendi. On üç aylık tedavi sonunda hasta estetik ve fonksiyonel bir oklüzyona kavuştu. ''Borderline'' Sınıf III maloklüzyon olgularında uygulanan bukkal shelf minivida destekli mandibular ark distalizasyon tedavisi, diğer kamuflaj tedavi seçeneklerinde görülen yan etkileri ortadan kaldırdığı için başarılı bir alternatif sunmaktadır.
Anahtar Kelimeler: Sınıf III maloklüzyon; ortodontik ankraj prosedürleri; ortodonti; kemik vidaları
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