Akademik Veri Yönetim Sistemi
FDI World Dental Congress 2024, İstanbul, Türkiye, 12 - 15 Eylül 2024, ss.1, (Özet Bildiri)
Orthodontic-Surgically Assisted Rapid Maxillary Expansion in Skeletal Class II Patient
Introduction: Surgically Assisted Rapid Maxillary
Expansion (SARME) is a reliable
procedure for the orthodontic treatment of adult patients when it is necessary
to expand the maxilla. The aim of this case report is to present the
orthodontic and orthognathic surgery treatment approaches of an adult patient
with skeletal Class II malocclusion.
Case: A 20-year-old female patient applied
to our clinic with chief complaint of increased overjet and severe crowding in the
lower jaw. In clinical examination Angle class II molar and canine
relationships, increased overjet, severe crowding in the lower dental arch, and
total circular crossbite were present. In radiological examination, skeletal
class II relationship due to mandibular retrognathia, hyperdivergent growth
pattern, narrow and hypoplastic maxilla were observed. Buccal corridors were
present in smiling. The upper and lower lips were both retrusive.
Discussion: Before orthodontic treatment,
surgically assisted rapid maxillary expansion (SARME) was performed. After
adequate expansion was achieved, four premolar teeth were extracted to
eliminate the severe crowding in the lower jaw and to correct the increased
overjet. Mini screw assisted distalization was performed in the upper arch.
Maximum anchorage was used in the upper dental arch and moderate anchorage was
used in the lower dental arch. At the end of the treatment, Angle class I molar
and canine relationship, ideal overjet and overbite were achieved.
Conclusion: The treatment was successfully completed
with the multidisciplinary approach of orthodontics and plastic surgery. A
satisfactory, stable, and functional results can be achieved in adult patients
with multidisciplinary treatment methods.
Keywords: Class
II Malocclusion, Surgically Assisted Rapid Palatal Expansion