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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

Kaynakça

  • Arun T, Erverdi N. An alternative method to correct Class III maloclusion: Early treatment. Turk Ortod Derg. 1997;10(3):279–84.
  • Benyahia H, Azaroual MF, Garcia C, Hamou E, Abouqal R, Zaoui F. Treatment of skeletal Class III malocclusions: Orthognathic surgery or orthodontic camouflage? How to decide. Int Orthod. 2011;9(2):196–209.
  • Sayın M, Türkkahraman H. Malocclusion and crowding in an orthodontically referred Turkish population. Angle Orthod. 2004;74(5):635-39.
  • Troy BA, Shanker S, Fields HW, Vig K, Johnston W. Comparison of incisor inclination in patients with Class III malocclusion treated with orthognathic surgery or orthodontic camouflage. Am J Orthod Dentofac Orthop. 2009;135(2):146-e1.
  • Le Gall M, Philip C, Salvadori A. Early treatment of Class III malocclusion. L’Orthodontie Fr. 2011;82(3):241–52.
  • Bui C, King T, Proffit W, Frazier-Bowers S. Phenotypic characterization of Class III patients: a necessary background for genetic analysis. Angle Orthod. 2006;76(4):564-69.
  • AlEmran SE, Fatani E, Hassanain JE. Craniofacial variability in parents of children with cleft lip and cleft palate. J Clin Pediatr Dent. 1999;23(4):337–41.
  • El-Gheriani AA, Maher BS, El-Gheriani AS, Sciote JJ, Abu-Shahba FA, Al-Azemi R, Marazita ML. Segregation analysis of mandibular prognathism in Libya. J Dent Res. 2003;82(7):523–7.
  • Chang HP, Tseng YC, Chang HF. Treatment of mandibular prognathism. J Formos Med Assoc. 2006;105(10):781–90.
  • Delaire J. Maxillary development revisited: Relevance to the orthopaedic treatment of Class III malocclusions. Eur J Orthod. 1997;19(3):289–311.
  • Thilander B. Chin-cap treatment for angle Class III malocclusion. In: Report of the congress. Eur Orthod Soc. 1965;41:311-27.
  • Petit H. Introduction to the biomechanical study of the facial mask and its accessories. L’Orthodontie Fr. 1983;54(2):353-65.
  • McNamara Jr JA. An orthopedic approach to the treatment of Class III malocclusion in young patients. J Clin Orthod. 1987;21(9):598–608.
  • Nanda R. Biomechanical and clinical considerations of a modified protraction headgear. Am J Orthod. 1980;78(2):125–39.
  • Fränkel R. Maxillary retrusion in Class 3 and treatment with the function corrector 3. In: Report of the congress. Eur Orthod Soc. 1970. p.249-59.
  • Turley PK. Orthopedic correction of Class III malocclusion with palatal expansion and custom protraction headgear. J Clin Orthod. 1988;22(5):314–25.
  • Ngan P, Wei SH, Hagg U, Yiu CK, Merwin D, Stickel B. Effect of protraction headgear on Class III malocclusion. Quintessence Int. 1992;23(3):197–207.
  • Baccetti T, McGill JS, Franchi L, McNamara Jr JA, Tollaro I. Skeletal effects of early treatment of Class III malocclusion with maxillary expansion and face-mask therapy. Am J Orthod Dentofac Orthop. 1998;113(3):333–43.
  • Kapust AJ, Sinclair PM, Turley PK. Cephalometric effects of face mask/expansion therapy in Class III children: a comparison of three age groups. Am J Orthod Dentofac Orthop. 1998;113(2):204–12.
  • Melsen B, Melsen F. The postnatal development of the palatomaxillary region studied on human autopsy material. Am J Orthod. 1982;82(4):329–42.
  • Fogle L, Law SS, Mosling M, Kinser D. Nonsurgical treatment of a Class III malocclusion with maxillary skeletal retrusion using rapid maxillary expansion and reverse pull headgear. Am J Orthod Dentofac Orthop. 1998;114(1):60–5.
  • Alcan T, Keles A, Erverdi N. The effects of a modified protraction headgear on maxilla. Am J Orthod Dentofac Orthop. 2000;117(1):27–38.
  • Mew J. Rapid maxillary expansion. Angle Orthod. 1997;67(6):404.
  • Kim JH, Viana MA, Graber TM, Omerza FF, BeGole EA. The effectiveness of protraction face mask therapy: a meta-analysis. Am J Orthod Dentofac Orthop. 1999;115(6):675–85.
  • Ngan P, Yiu C, Hu A, Hägg U, Wei SH, Gunel E. Cephalometric and occlusal changes following maxillary expansion and protraction. Eur J Orthod. 1998;20(3):237–54.
  • Ngan PW, Hagg U, Yiu C, Wei SH. Treatment response and long-term dentofacial adaptations to maxillary expansion and protraction. Semin Orthod. 1997;3(4):255–64.
  • Hägg U, Tse A, Bendeus M, Rabie ABM. Long‐term follow‐up of early treatment with reverse headgear. Eur J Orthod. 2003;25(1):95–102.
  • Sarver DM, Johnston MW. Skeletal changes in vertical and anterior displacement of the maxilla with bonded rapid palatal expansion appliances. Am J Orthod Dentofac Orthop. 1989;95(6):462–6.
  • Kılıçoğlu H, Kırlıç Y. Profile changes in patients with Class III malocclusions after Delaire mask therapy. Am J Orthod Dentofac Orthop. 1998;113(4):453–62.
  • Angle E. Treatment of malocclusion of the teeth and fractures of the maxilla: Angle’s system. Philadelphia (PA): S.S. White Dental Mfg. Co. 1900. p.6.
  • Travess H, Roberts-Harry D, Sandy J. Orthodontics. Part 8: Extractions in orthodontics. Br Dent J. 2004;196(4):195–203.
  • Jacobs C, Jacobs-Müller C, Luley C, Erbe C, Wehrbein H. Orthodontic space closure after first molar extraction without skeletal anchorage. J Orofac Orthop der Kieferorthopädie. 2011;72(1):51–60.
  • Bayram M, Özer M, Arıcı S. Effects of first molar extraction on third molar angulation and eruption space. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2009;107(2):e14–20.
  • Guyer EC, Ellis III EE, McNamara Jr JA, Behrents RG. Components of Class III malocclusion in juveniles and adolescents. Angle Orthod. 1986;56(1):7–30.
  • Williams S, Aarhus CA. The morphology of the potential Class III skeletal pattern in the growing child. Am J Orthod. 1986;89(4):302–11.
  • Bradbury AJ. The influence of orthodontic extractions on thecaries indices in schoolchildren in the United Kingdom. Comm Dent Heal. 1985;2:75–82.
  • Telli AE, Aytan S. Changes in the dental arch due to obligatory early exraction of first permanent molars. Turk Ortod Derg. 1989;2:138-43.
  • Güngörmüş M, Tozoğlu S. Çekilen dişlerdeki mevcut patolojik durumların istatistiksel olarak değerlendirilmesi. Türkiye Klin Derg. 2001;3:86–90.
  • Albadri S, Zaitoun H, Mcdonnell ST, Davidson LE. Extraction of first permanent molar teeth: Results from three dental hospitals. Brit Dent J. 2007;203:1–5.
  • Gianelly AA, Smith JB, Bednar JR, Dietz VS. Asymmetric space closure. Am J Orthod. 1986;90(4):335-41.
  • Fiorentino G, Melsen B. Case report: Asymmetric mandibular space closure. J Clin Orthod. 1996;30(9):519-23.
  • Chung KR, Choo H, Lee JH, Kim SH. Atypical orthodontic extraction pattern managed by differential en-masse retraction against a temporary skeletal anchorage device in the treatment of bimaxillary protrusion. Am J Orthod. 2011;140:423–32.
  • Melgaço CA, Araújo MTDS. Asymmetric extractions in orthodontics. Dental Press J. Orthod. 2012;17(2):151-6.

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

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

İrem Yolcu Büşra Demir Çiçek Orhan Çiçek

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

  • Arun T, Erverdi N. An alternative method to correct Class III maloclusion: Early treatment. Turk Ortod Derg. 1997;10(3):279–84.
  • Benyahia H, Azaroual MF, Garcia C, Hamou E, Abouqal R, Zaoui F. Treatment of skeletal Class III malocclusions: Orthognathic surgery or orthodontic camouflage? How to decide. Int Orthod. 2011;9(2):196–209.
  • Sayın M, Türkkahraman H. Malocclusion and crowding in an orthodontically referred Turkish population. Angle Orthod. 2004;74(5):635-39.
  • Troy BA, Shanker S, Fields HW, Vig K, Johnston W. Comparison of incisor inclination in patients with Class III malocclusion treated with orthognathic surgery or orthodontic camouflage. Am J Orthod Dentofac Orthop. 2009;135(2):146-e1.
  • Le Gall M, Philip C, Salvadori A. Early treatment of Class III malocclusion. L’Orthodontie Fr. 2011;82(3):241–52.
  • Bui C, King T, Proffit W, Frazier-Bowers S. Phenotypic characterization of Class III patients: a necessary background for genetic analysis. Angle Orthod. 2006;76(4):564-69.
  • AlEmran SE, Fatani E, Hassanain JE. Craniofacial variability in parents of children with cleft lip and cleft palate. J Clin Pediatr Dent. 1999;23(4):337–41.
  • El-Gheriani AA, Maher BS, El-Gheriani AS, Sciote JJ, Abu-Shahba FA, Al-Azemi R, Marazita ML. Segregation analysis of mandibular prognathism in Libya. J Dent Res. 2003;82(7):523–7.
  • Chang HP, Tseng YC, Chang HF. Treatment of mandibular prognathism. J Formos Med Assoc. 2006;105(10):781–90.
  • Delaire J. Maxillary development revisited: Relevance to the orthopaedic treatment of Class III malocclusions. Eur J Orthod. 1997;19(3):289–311.
  • Thilander B. Chin-cap treatment for angle Class III malocclusion. In: Report of the congress. Eur Orthod Soc. 1965;41:311-27.
  • Petit H. Introduction to the biomechanical study of the facial mask and its accessories. L’Orthodontie Fr. 1983;54(2):353-65.
  • McNamara Jr JA. An orthopedic approach to the treatment of Class III malocclusion in young patients. J Clin Orthod. 1987;21(9):598–608.
  • Nanda R. Biomechanical and clinical considerations of a modified protraction headgear. Am J Orthod. 1980;78(2):125–39.
  • Fränkel R. Maxillary retrusion in Class 3 and treatment with the function corrector 3. In: Report of the congress. Eur Orthod Soc. 1970. p.249-59.
  • Turley PK. Orthopedic correction of Class III malocclusion with palatal expansion and custom protraction headgear. J Clin Orthod. 1988;22(5):314–25.
  • Ngan P, Wei SH, Hagg U, Yiu CK, Merwin D, Stickel B. Effect of protraction headgear on Class III malocclusion. Quintessence Int. 1992;23(3):197–207.
  • Baccetti T, McGill JS, Franchi L, McNamara Jr JA, Tollaro I. Skeletal effects of early treatment of Class III malocclusion with maxillary expansion and face-mask therapy. Am J Orthod Dentofac Orthop. 1998;113(3):333–43.
  • Kapust AJ, Sinclair PM, Turley PK. Cephalometric effects of face mask/expansion therapy in Class III children: a comparison of three age groups. Am J Orthod Dentofac Orthop. 1998;113(2):204–12.
  • Melsen B, Melsen F. The postnatal development of the palatomaxillary region studied on human autopsy material. Am J Orthod. 1982;82(4):329–42.
  • Fogle L, Law SS, Mosling M, Kinser D. Nonsurgical treatment of a Class III malocclusion with maxillary skeletal retrusion using rapid maxillary expansion and reverse pull headgear. Am J Orthod Dentofac Orthop. 1998;114(1):60–5.
  • Alcan T, Keles A, Erverdi N. The effects of a modified protraction headgear on maxilla. Am J Orthod Dentofac Orthop. 2000;117(1):27–38.
  • Mew J. Rapid maxillary expansion. Angle Orthod. 1997;67(6):404.
  • Kim JH, Viana MA, Graber TM, Omerza FF, BeGole EA. The effectiveness of protraction face mask therapy: a meta-analysis. Am J Orthod Dentofac Orthop. 1999;115(6):675–85.
  • Ngan P, Yiu C, Hu A, Hägg U, Wei SH, Gunel E. Cephalometric and occlusal changes following maxillary expansion and protraction. Eur J Orthod. 1998;20(3):237–54.
  • Ngan PW, Hagg U, Yiu C, Wei SH. Treatment response and long-term dentofacial adaptations to maxillary expansion and protraction. Semin Orthod. 1997;3(4):255–64.
  • Hägg U, Tse A, Bendeus M, Rabie ABM. Long‐term follow‐up of early treatment with reverse headgear. Eur J Orthod. 2003;25(1):95–102.
  • Sarver DM, Johnston MW. Skeletal changes in vertical and anterior displacement of the maxilla with bonded rapid palatal expansion appliances. Am J Orthod Dentofac Orthop. 1989;95(6):462–6.
  • Kılıçoğlu H, Kırlıç Y. Profile changes in patients with Class III malocclusions after Delaire mask therapy. Am J Orthod Dentofac Orthop. 1998;113(4):453–62.
  • Angle E. Treatment of malocclusion of the teeth and fractures of the maxilla: Angle’s system. Philadelphia (PA): S.S. White Dental Mfg. Co. 1900. p.6.
  • Travess H, Roberts-Harry D, Sandy J. Orthodontics. Part 8: Extractions in orthodontics. Br Dent J. 2004;196(4):195–203.
  • Jacobs C, Jacobs-Müller C, Luley C, Erbe C, Wehrbein H. Orthodontic space closure after first molar extraction without skeletal anchorage. J Orofac Orthop der Kieferorthopädie. 2011;72(1):51–60.
  • Bayram M, Özer M, Arıcı S. Effects of first molar extraction on third molar angulation and eruption space. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2009;107(2):e14–20.
  • Guyer EC, Ellis III EE, McNamara Jr JA, Behrents RG. Components of Class III malocclusion in juveniles and adolescents. Angle Orthod. 1986;56(1):7–30.
  • Williams S, Aarhus CA. The morphology of the potential Class III skeletal pattern in the growing child. Am J Orthod. 1986;89(4):302–11.
  • Bradbury AJ. The influence of orthodontic extractions on thecaries indices in schoolchildren in the United Kingdom. Comm Dent Heal. 1985;2:75–82.
  • Telli AE, Aytan S. Changes in the dental arch due to obligatory early exraction of first permanent molars. Turk Ortod Derg. 1989;2:138-43.
  • Güngörmüş M, Tozoğlu S. Çekilen dişlerdeki mevcut patolojik durumların istatistiksel olarak değerlendirilmesi. Türkiye Klin Derg. 2001;3:86–90.
  • Albadri S, Zaitoun H, Mcdonnell ST, Davidson LE. Extraction of first permanent molar teeth: Results from three dental hospitals. Brit Dent J. 2007;203:1–5.
  • Gianelly AA, Smith JB, Bednar JR, Dietz VS. Asymmetric space closure. Am J Orthod. 1986;90(4):335-41.
  • Fiorentino G, Melsen B. Case report: Asymmetric mandibular space closure. J Clin Orthod. 1996;30(9):519-23.
  • Chung KR, Choo H, Lee JH, Kim SH. Atypical orthodontic extraction pattern managed by differential en-masse retraction against a temporary skeletal anchorage device in the treatment of bimaxillary protrusion. Am J Orthod. 2011;140:423–32.
  • Melgaço CA, Araújo MTDS. Asymmetric extractions in orthodontics. Dental Press J. Orthod. 2012;17(2):151-6.
Toplam 43 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Diş Hekimliği
Bölüm Olgu Sunumu
Yazarlar

İrem Yolcu 0000-0002-0464-7931

Büşra Demir Çiçek 0000-0003-1774-4391

Orhan Çiçek 0000-0002-8172-6043

Yayımlanma Tarihi 21 Kasım 2022
Kabul Tarihi 2 Eylül 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 8 Sayı: 2

Kaynak Göster

APA Yolcu, İ., Demir Çiçek, B., & Çiçek, O. (2022). İskeletsel Sınıf III Maloklüzyonun Yüz Maskesi ve Asimetrik Diş Çekimi ile Tedavisi: Vaka Raporu. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), 8(2), 59-65.
AMA Yolcu İ, Demir Çiçek B, Çiçek O. İskeletsel Sınıf III Maloklüzyonun Yüz Maskesi ve Asimetrik Diş Çekimi ile Tedavisi: Vaka Raporu. J Int Dent Sci. Kasım 2022;8(2):59-65.
Chicago Yolcu, İrem, Büşra Demir Çiçek, ve Orhan Çiçek. “İskeletsel Sınıf III Maloklüzyonun Yüz Maskesi Ve Asimetrik Diş Çekimi Ile Tedavisi: Vaka Raporu”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 8, sy. 2 (Kasım 2022): 59-65.
EndNote Yolcu İ, Demir Çiçek B, Çiçek O (01 Kasım 2022) İskeletsel Sınıf III Maloklüzyonun Yüz Maskesi ve Asimetrik Diş Çekimi ile Tedavisi: Vaka Raporu. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 8 2 59–65.
IEEE İ. Yolcu, B. Demir Çiçek, ve O. Çiçek, “İskeletsel Sınıf III Maloklüzyonun Yüz Maskesi ve Asimetrik Diş Çekimi ile Tedavisi: Vaka Raporu”, J Int Dent Sci, c. 8, sy. 2, ss. 59–65, 2022.
ISNAD Yolcu, İrem vd. “İskeletsel Sınıf III Maloklüzyonun Yüz Maskesi Ve Asimetrik Diş Çekimi Ile Tedavisi: Vaka Raporu”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 8/2 (Kasım 2022), 59-65.
JAMA Yolcu İ, Demir Çiçek B, Çiçek O. İskeletsel Sınıf III Maloklüzyonun Yüz Maskesi ve Asimetrik Diş Çekimi ile Tedavisi: Vaka Raporu. J Int Dent Sci. 2022;8:59–65.
MLA Yolcu, İrem vd. “İskeletsel Sınıf III Maloklüzyonun Yüz Maskesi Ve Asimetrik Diş Çekimi Ile Tedavisi: Vaka Raporu”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), c. 8, sy. 2, 2022, ss. 59-65.
Vancouver Yolcu İ, Demir Çiçek B, Çiçek O. İskeletsel Sınıf III Maloklüzyonun Yüz Maskesi ve Asimetrik Diş Çekimi ile Tedavisi: Vaka Raporu. J Int Dent Sci. 2022;8(2):59-65.
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