Sınıf III Malokluzyon ve Şiddetli Fasiyal Asimetriye Sahip Hastanın Ortognatik Cerrahi ile Tedavisi: Olgu Sunumu
Abstract
Amaç: Bu olgu raporunun amacı Sınıf III malokluzyona
ve şiddetli asimetriye sahip bir hastanın ortognatik tedavisini sunmaktır.
Birey ve Yöntem: 18 yaşında erkek hastanın esas şikayeti
yüzündeki asimetrik görüntüdür. Klinik olarak maksiller retruzyonu, çene
ucunda sola deviasyonu ve Sınıf III molar kanin ilişkisi
bulunmaktadır. Sefalometrik değerlendirmeye göre maksiller retruzyonu ve
hafif
mandibular protruzyonu bulunmaktadır. Alt
keserler dikleşmiştir, üst keserler labiale eğimlidir. Posteroanterior
sefalometrik analizde sola doğru 2 mm maksiller, 5 mm mandibular orta hat
kayması mevcuttur. Çene ucu 13° sola kaymıştır. 7 ay süreyle uygulanan
sabit ortodontik tedavi
sonrası bimaksiller osteotomi ile cerrahi
düzeltim sağlanmıştır.
Bulgular: 17 aylık tedavinin sonunda normal overbite, overjet
ve Sınıf I okluzyon sağlanmıştır. Maksiller retruzyon, mandibular
protruzyon ve asimetri düzeltilmiştir.
Sonuç: Kombine ortodontik ve ortognatik tedavi ile Sınıf I
okluzyon elde edilmiş; kayıp estetik ve fonksiyon sağlanmıştır.
References
- 1. Bishara SE, Burkey PS, Kharouf JG. Dental and facial asymmetries: a review. Angle Orthod. 1994;64(2):89-98.
- 2. Koehler N, Rhodes G, Simmons LW. Are human female preferences for symmetrical male faces enhanced when conception is likely? Anim Behav. 2002;64:233-8.
- 3. Rhodes G, Yoshikawa S, Clark A, Lee K, McKay R, Akamatsu S. Attractiveness of facial averageness and symmetry in non-western cultures: in search of biologically based standards of beauty. Perception. 2001;30(5):611-25.
- 4. Reyneke JP, Tsakiris P, Kienle F. A simple classification for surgical treatment planning of maxillomandibular asymmetry. Br J Oral Maxillofac Surg. 1997;35(5):349-51.
- 5. Cheong YW, Lo LJ. Facial asymmetry: etiology, evaluation, and management. Chang Gung Med J. 2011;34(4):341-51.
- 6. Hardy DK, Cubas YP, MF. O. Prevalence of Angle Class III malocclusion: a systematic review and meta-analysis. Open J Epidemiol. 2012;2:75-82.
- 7. Maheswari S, Verma SK, Gaur A, S. D. Diagnosis and management of facial asymmetries. J Orthod Res. 2015;3(2):81-7.
- 8. Wen L, Yan W, Yue Z, Bo D, Xiao Y, Chun-Ling W. Study of Condylar Asymmetry in Angle Class III Malocclusion With Mandibular Deviation. J Craniofac Surg. 2015;26(3):e264-8.
- 9. Mehrotra D, Dhasmana S, Kamboj M, Gambhir G. Condylar hyperplasia and facial asymmetry: report of five cases. J Maxillofac Oral Surg. 2011;10(1):50-6.
- 10. Weaver N, Glover K, Major P, Varnhagen C, Grace M. Age limitation on provision of orthopedic therapy and orthognathic surgery. Am J Orthod Dentofacial Orthop. 1998;113(2):156-64.
- 11. Sun B, Tang J, Xiao P, Ding Y. Presurgical orthodontic decompensation alters alveolar bone condition around mandibular incisors in adults with skeletal Class III malocclusion. Int J Clin Exp Med. 2015;8(8):12866-73.
- 12. 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 Dentofacial Orthop 2009;135(2):146 e1-9.
- 13. Johnston C, Burden D, Kennedy D, Harradine N, Stevenson M. Class III surgical orthodontic treatment: a cephalometric study. Am J Orthod Dentofacial Orthop 2006;130:300-9.
- 14. Capelozza Filho L, Martins A, Mazzotini R, da Silva OG. Effects of dental decompensation on the surgical treatment of mandibular prognathism. Int J Adult Orthod Orthognath Surg 1996;11:165-80.
- 15. Wermker K, Kleinheinz J, Jung S, Dirksen D. Soft tissue response and facial symmetry after orthognathic surgery. J Craniomaxillofac Surg. 2014;42(6):e339-45.
- 16. Magro-Filho O, Goiato MC, Oliveira DT, Martins LP, Salazar M, Medeiros RA, et al. Evaluation of Patients' Satisfaction after Class III Orthognathic Surgery. J Clin Diagn Res. 2015;9(10):ZC23-7.
- 17. Asada K, Motoyoshi M, Tamura T, Nakajima A, Mayahara K, Shimizu N. Satisfaction with orthognathic surgery of skeletal Class III patients. Am J Orthod Dentofacial Orthop. 2015;148(5):827-37.
- 18. Pacheco-Pereira C, Abreu LG, Dick BD, De Luca Canto G, Paiva SM, Flores-Mir C. Patient satisfaction after orthodontic treatment combined with orthognathic surgery: A systematic review. Angle Orthod 2016;86(3):495-508.
- 19. Lazaridou-Terzoudi T, Kiyak HA, Moore R, Athanasiou AE, Melsen B. Long-term assessment of psychologic outcomes of orthognathic surgery. J Oral Maxillofac Surg 2003;61(5):545-52.
ORTHOGNATHIC TREATMENT OF A PATIENT WITH CLASS III MALOCCLUSION AND SEVERE FACIAL ASYMMETRY: REPORT OF A CASE
Abstract
Aim: The aim of this case report was to present the orthognathic
treatment of a patient with Class III malocclusion and severe asymmetry.
Subject
and Method: The chief complaint
of the 18-year old male was asymmetry. Clinically, he had maxillary
retrognathism and severe facial asymmetry with the chin deviated to the left
side. He also had a Class III molar and canine relationship. Cephalometric
evaluation showed that the patient had maxillary retrusion and slight
mandibular protrusion. The mandibular incisors were lingually and the maxillary
incisors were labially inclined. Posteroanterior cephalometric analysis showed
2 mm maxillary and 5 mm mandibular midline deviation to the left
side. The chin was deviated to the left side about 13°. After correction of the
arch forms by fixed orthodontic treatment over seven months, surgical
correction with bimaxillary osteotomy was undertaken.
Results: A Class I occlusion with normal overbite and overjet was
achieved in 17 months. The maxillary retrusion, mandibular protrusion and
asymmetry were corrected.
Conclusion: Combined orthodontic and orthognathic treatment resulted in a
Class I occlusion and esthetically pleasing results.
References
- 1. Bishara SE, Burkey PS, Kharouf JG. Dental and facial asymmetries: a review. Angle Orthod. 1994;64(2):89-98.
- 2. Koehler N, Rhodes G, Simmons LW. Are human female preferences for symmetrical male faces enhanced when conception is likely? Anim Behav. 2002;64:233-8.
- 3. Rhodes G, Yoshikawa S, Clark A, Lee K, McKay R, Akamatsu S. Attractiveness of facial averageness and symmetry in non-western cultures: in search of biologically based standards of beauty. Perception. 2001;30(5):611-25.
- 4. Reyneke JP, Tsakiris P, Kienle F. A simple classification for surgical treatment planning of maxillomandibular asymmetry. Br J Oral Maxillofac Surg. 1997;35(5):349-51.
- 5. Cheong YW, Lo LJ. Facial asymmetry: etiology, evaluation, and management. Chang Gung Med J. 2011;34(4):341-51.
- 6. Hardy DK, Cubas YP, MF. O. Prevalence of Angle Class III malocclusion: a systematic review and meta-analysis. Open J Epidemiol. 2012;2:75-82.
- 7. Maheswari S, Verma SK, Gaur A, S. D. Diagnosis and management of facial asymmetries. J Orthod Res. 2015;3(2):81-7.
- 8. Wen L, Yan W, Yue Z, Bo D, Xiao Y, Chun-Ling W. Study of Condylar Asymmetry in Angle Class III Malocclusion With Mandibular Deviation. J Craniofac Surg. 2015;26(3):e264-8.
- 9. Mehrotra D, Dhasmana S, Kamboj M, Gambhir G. Condylar hyperplasia and facial asymmetry: report of five cases. J Maxillofac Oral Surg. 2011;10(1):50-6.
- 10. Weaver N, Glover K, Major P, Varnhagen C, Grace M. Age limitation on provision of orthopedic therapy and orthognathic surgery. Am J Orthod Dentofacial Orthop. 1998;113(2):156-64.
- 11. Sun B, Tang J, Xiao P, Ding Y. Presurgical orthodontic decompensation alters alveolar bone condition around mandibular incisors in adults with skeletal Class III malocclusion. Int J Clin Exp Med. 2015;8(8):12866-73.
- 12. 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 Dentofacial Orthop 2009;135(2):146 e1-9.
- 13. Johnston C, Burden D, Kennedy D, Harradine N, Stevenson M. Class III surgical orthodontic treatment: a cephalometric study. Am J Orthod Dentofacial Orthop 2006;130:300-9.
- 14. Capelozza Filho L, Martins A, Mazzotini R, da Silva OG. Effects of dental decompensation on the surgical treatment of mandibular prognathism. Int J Adult Orthod Orthognath Surg 1996;11:165-80.
- 15. Wermker K, Kleinheinz J, Jung S, Dirksen D. Soft tissue response and facial symmetry after orthognathic surgery. J Craniomaxillofac Surg. 2014;42(6):e339-45.
- 16. Magro-Filho O, Goiato MC, Oliveira DT, Martins LP, Salazar M, Medeiros RA, et al. Evaluation of Patients' Satisfaction after Class III Orthognathic Surgery. J Clin Diagn Res. 2015;9(10):ZC23-7.
- 17. Asada K, Motoyoshi M, Tamura T, Nakajima A, Mayahara K, Shimizu N. Satisfaction with orthognathic surgery of skeletal Class III patients. Am J Orthod Dentofacial Orthop. 2015;148(5):827-37.
- 18. Pacheco-Pereira C, Abreu LG, Dick BD, De Luca Canto G, Paiva SM, Flores-Mir C. Patient satisfaction after orthodontic treatment combined with orthognathic surgery: A systematic review. Angle Orthod 2016;86(3):495-508.
- 19. Lazaridou-Terzoudi T, Kiyak HA, Moore R, Athanasiou AE, Melsen B. Long-term assessment of psychologic outcomes of orthognathic surgery. J Oral Maxillofac Surg 2003;61(5):545-52.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | December 22, 2017 |
| Submission Date | July 28, 2016 |
| Published in Issue | Year 2017 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
CDJ accepts articles in English. Submitting a paper to CDJ is free of charges. In addition, CDJ has not have article processing charges.
Frequency: Four times a year (March, June, September, and December)
IMPORTANT NOTICE
All users of Cumhuriyet Dental Journal should visit to their user's home page through the "https://dergipark.org.tr/tr/user" " or "https://dergipark.org.tr/en/user" links to update their incomplete information shown in blue or yellow warnings and update their e-mail addresses and information to the DergiPark system. Otherwise, the e-mails from the journal will not be seen or fall into the SPAM folder. Please fill in all missing part in the relevant field.
Please visit journal's AUTHOR GUIDELINE to see revised policy and submission rules to be held since 2020.