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İskeletsel Sınıf III malokluzyonlar %40 oranında maksiller gerilik ile birlikte olup erken büyüme döneminde ortopedik, geç büyüme döneminde ise ortognatik cerrahi ile tedavi edilir. Bu vaka raporunda amaç maksiller retrüzyonla birlikte iskeletsel ve dişsel Sınıf III maloklüzyonu olan 13,3 yaşında bir erkek bireyde Mc Namara tipi maksiller ekspansiyon apereyi/Alt-RAMEC protokolü ile mandibular kanin bölgeye bilateral olarak yerleştirilen mini vidalardan ortopedik şiddette Sınıf III intermaksiller elastiklerin birlikte uygulanmasının kraniyo-fasiyal yapıdaki etkilerini sunmaktır. Ortopedik tedavi, sabit ortodontik tedavi ve 1 yıllık retansiyon etkileri değerlendirilmiştir. Sonuç olarak adolesan dönemde bu yöntemin etkili bir maksiller anterior hareket oluşturduğu saptanmıştır.
Skeletal Class III malocclusions are associated with maxillary retrusion of 40% and are treated by orthopedic treatment in early growth period and orthognathic surgery in late growth period. The aim of this case report is to present results that 13,3 -year-old boy having skeletal and dental Class III malocclusion associated with maxillary retrusion, treated with combination Mc Namara type maxillary expander/Alt-RAMEC protocol and orthopedically forced Class III intermaxillary elastics from mandibular mini screws placed canine regions on the craniofacial structures. It was evaluated respectively effects of ortopedic treatment, fixed orthodontic treatment and retention period of 1 year. Conclusively, it has been determined that this method causes effectively the previous movement of the maxilla in the adolescent period.
Skeletal Class III malocclusions are associated with maxillary retrusion of 40% and are treated by orthopedic treatment in early growth period and orthognathic surgery in late growth period. The aim of this case report is to present results that 13,3 –year-old boy having skeletal and dental Class III malocclusion associated with maxillary retrusion, treated with combination Mc Namara type maxillary expander/Alt-RAMEC protocol and orthopedically forced Class III intermaxillary elastics from mandibular mini screws placed canine regions on the craniofacial structures. It was evaluated respectively effects of orthopedic treatment, fixed orthodontic treatment and retention period of 1 year. Conclusively, it has been determined that this method causes effectively anterior movement of the maxilla in adolescent period.
Field : Sağlık Bilimleri
Journal Type : Ulusal
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