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Derin Kapanışlı Hastalarda Anterior Dişlerin İntrüzyonu İçin Kullanılan Yöntemler
Methods for Intrusion of Anterior Teeth in Patients with Deep Bite
Turkiye Klinikleri J Dental Sci. 2020;26(1):94-103
doi: 10.5336/dentalsci.2018-60270
Makale Dili: TR
Tam Metin
ÖZET
Derin kapanış, ortodonti hastalarında oldukça yaygın görülen bir problemdir. Bu problem, arka dişlerin normalden az sürmesi, üst ve/veya alt çene kesici dişlerinin normalden fazla sürmesi veya bunların birleşimi sonucu meydana gelebilir. Alt çenenin ve temporomandibuler eklem fonksiyonlarının düzeltilmesi, alt çene büyüme atılımının gerçekleşebilmesi, ilgili dişlerde periodontal doku hasarının önlenmesi veya periodontal doku kaybı olan dişlerin tedavisinin sağlanması ve estetik amaçlarla derin kapanışın düzeltilmesi gerekir. Bu amaçla çoğunlukla yüzün dik yön boyutlarının normal veya artmış olduğu, artmış kesici diş görünümüne ve derin bir Spee eğrisine sahip olan hastalarda kesici dişlerin intrüzyonu hedeflenir. Bu çalışmanın amacı, derin kapanışa sahip hastalarda, anterior dişlerin intrüzyonu amacıyla kullanılan mekaniklerin, literatürdeki çalışmalar rehberliğinde sunmaktır.
Anahtar Kelimeler: Örtülü kapanış; kesici diş intrüzyonu
Derin kapanış, ortodonti hastalarında oldukça yaygın görülen bir problemdir. Bu problem, arka dişlerin normalden az sürmesi, üst ve/veya alt çene kesici dişlerinin normalden fazla sürmesi veya bunların birleşimi sonucu meydana gelebilir. Alt çenenin ve temporomandibuler eklem fonksiyonlarının düzeltilmesi, alt çene büyüme atılımının gerçekleşebilmesi, ilgili dişlerde periodontal doku hasarının önlenmesi veya periodontal doku kaybı olan dişlerin tedavisinin sağlanması ve estetik amaçlarla derin kapanışın düzeltilmesi gerekir. Bu amaçla çoğunlukla yüzün dik yön boyutlarının normal veya artmış olduğu, artmış kesici diş görünümüne ve derin bir Spee eğrisine sahip olan hastalarda kesici dişlerin intrüzyonu hedeflenir. Bu çalışmanın amacı, derin kapanışa sahip hastalarda, anterior dişlerin intrüzyonu amacıyla kullanılan mekaniklerin, literatürdeki çalışmalar rehberliğinde sunmaktır.
Anahtar Kelimeler: Örtülü kapanış; kesici diş intrüzyonu
ABSTRACT
Deep bite is a common problem in orthodontic patients. This problem is originated from less eruption of the posterior teeth, the overeruption of the upper and/or lower incisors, or their combination. Correction of deep bite should be achieved for improvement in functions of mandible and temporomandibular joint, stimulation of mandibular growth, prevention of periodontal tissue damage in related teeth or treatment of these teeth and aesthetic reasons. For this purpose, the intrusion of incisor teeth is mainly aimed in cases of an increased appearance of incisors and a deep Spee curve accompanied by increased or normal vertical dimension of the face. The purpose of this review is to present the mechanics used for intrusion of the anterior teeth in patients with deep bite with the guidance of studies in the literature.
Keywords: Deepbite; incisor intrusion
Deep bite is a common problem in orthodontic patients. This problem is originated from less eruption of the posterior teeth, the overeruption of the upper and/or lower incisors, or their combination. Correction of deep bite should be achieved for improvement in functions of mandible and temporomandibular joint, stimulation of mandibular growth, prevention of periodontal tissue damage in related teeth or treatment of these teeth and aesthetic reasons. For this purpose, the intrusion of incisor teeth is mainly aimed in cases of an increased appearance of incisors and a deep Spee curve accompanied by increased or normal vertical dimension of the face. The purpose of this review is to present the mechanics used for intrusion of the anterior teeth in patients with deep bite with the guidance of studies in the literature.
Keywords: Deepbite; incisor intrusion
REFERANSLAR:
- Nanda R, Andrew K. Management of deep overbite malocclusion. In: Nanda R, ed. Biomechanics and Esthetic Strategies in Clinical Orthodontics. St. Louis, MO: Elsevier Saunders; 2005. p.131-56. [Crossref]
- Ceylan I, Eröz UB. The effects of overbite on the maxillary and mandibular morphology. Angle Orthod 2001;71(2):110-5.
- Ülgen M. Normal Oklüzyon. Ortodonti: Anomaliler, Sefalometri, Etiloji, Büyüme ve Gelişim, Tanı. 5. Baskı. Diyarbakır, Dicle Üniversitesi Diş Hekimliği Fakültesi Yayınları Yayın No:3; 2015. p.14-5.
- Burstone CJ, Van Steenbergen E, Hanley K. Deep Overbite Correction. In: Modern Edgewise Mechanics Segmented Arch Technique Connecticut. 1st ed. Farmington, USA: Ormco Corporotion; 1995. p.33-51.
- Howes AE. Altering the overbite: a model study of two adult cases. Am J Orthod Oral Surg 1942;28(3):173-8. [Crossref]
- Steadman SR. Overbites. Angle Orthod 1940;(10):148-54.
- Engel G, Cornforth G, Damerell J, Gondon J, Levy P, McAlpine J, et al. Treatment of deep-bite cases. Am J Orthod 1980;77(1):1-13. [Crossref]
- Nielsen IL. Vertical malocclusions: etiology, development, diagnosis and some aspects of treatment. Angle Orthod 1991;61(4):247-60.
- Ülgen M. Fonksiyonel Anomaliler ve Tedavisi. Ortodonti Tedavi Prensipleri. 8. Baskı. Diyarbakır, Dicle Üniversitesi Diş Hekimliği Fakültesi Yayınları Yayın No:2; 2015. p.130-59.
- Hotz R. Orthodontics in Daily Practice: Possibilities and Limitations in the Area of Children's Dentistry. 1st ed. Bern: Hans Huber; 1974. p.15-122.
- Bondemark L. Sagittal, vertical and transversal discrepancies between the jaws. In: Thilander B, Bjerklin K, Bondemark L, eds. Essential Orthodontics. 1st ed. Hoboken, NJ: John st Wiley & Sons; 2017. p.118-9.
- Ülgen M. Dişsel Anomaliler (malposition, malocclusion). Ortodonti: Anomaliler, Sefalometri, Etiloji, Büyüme ve Gelişim, Tanı. 5. Baskı. Diyarbakır, Dicle Üniversitesi Diş Hekimliği Fakültesi Yayınları Yayın No:3; 2015. p.23-41.
- Fleming HB. An investigation of the vertical overbite during the eruption of the permanent dentition. Angle Orthod 1961;31(1):53-62.
- Sinclair PM, Little RM. Maturation of untreated normal occlusions. Am J Orthod 1983;83(2): 114-23. [Crossref]
- Proffit WR. The Etiology of Orthodontic Problems. In: Proffit WR, Fields HW, Sarver DM, eds. Contemporary Orthodontics. 5th ed. St. Louis, USA: Elsevier Health Sciences; 2013. p.114-45.
- Dermaut LR, Vanden Bulcke MM. Evaluation of intrusive mechanics of the type "segmented arch" on a macerated human skull using the laser reflection technique and holographic interferometry. Am J Orthod 1986;89(3):251-63. [Crossref]
- Tosun Y. Ankraj Kontrolü ve Seviyeleme. Sabit Ortodontik Apareylerin Biyomekanik Prensipleri. 1. Baskı. İzmir: Ege Üniversitesi Basımevi; 1999. p.159-220.
- Schudy FF. The control of vertical overbite in clinical orthodontics. Angle Orthod 1968;38(1): 19-39.
- Graber LW, Vanarsdall RL, Vig KW, Huang GJ. Part Two Diagnosis and Treatment Planning. In: Orthodontics-E-Book: Current Principles and Techniques. 6th ed. St. Louis, Missouri: Elsevier Health Sciences; 2016. p.208-394.
- Gianelly AA, Petras JC, Boffa J. Condylar position and Class II deep-bite, no-overjet malocclusions. Am J Orthod Dentofacial Orthop 1989;96(5):428-32. [Crossref]
- Sarver DM, Ackerman MB. Dynamic smile visualization and quantification: Part 2. Smile analysis and treatment strategies. Am J Orthod Dentofacial Orthop 2003;124(2):116-27. [Crossref]
- Nanda R. The differential diagnosis and treatment of excessive overbite. Dent Clin North Am 1981;25(1):69-84.
- Bishara SE, Richards B, Magness MJ, Shanker SV, Vig KW. Section IV Treatment and Treatment Considerations. Textbook of Orthodontics. 3rd ed. Philadelphia: Saunders Book Company; 2001. p.238-442.
- Burstone CJ. Biomechanics of deep overbite correction. Semin Orthod 2001;7(1):26-33. [Crossref]
- Bhalajhi SI, Bhalajhi SI. Section 9 Corrective Orthodontics. Orthodontics: The Art and Science. 3rd ed. New Delhi, India. Arya (Medi) Publ; 2004. p.377-439.
- Melsen B, Agerbaek N, Markenstam G. Intrusion of incisors in adult patients with marginal bone loss. Am J Orthod Dentofacial Orthop 1989;96(3):232-41. [Crossref]
- Weiland FJ, Bantleon HP, Droschl H. Evaluation of continuous arch and segmented arch leveling techniques in adult patients--a clinical study. Am J Orthod Dentofacial Orthop 1996;110(6):647-52. [Crossref]
- Angle EH. Edgewise Arch Orthodontic Appliances for Treating Malocclusion. Philadelphia, USA. SS White Dental Mfg Co; 1929. p.10-90.
- Dave ML, Sinclair PM. A comparison of the Ricketts and Tweed-type arch leveling techniques. Am J Orthod Dentofacial Orthop 1989;95(1):72-8. [Crossref]
- Bench RW, Gugino CF, Hilgers JJ. Bioprogressive therapy. Part 6. J Clin Orthod 1978;12(2):123-39.
- Begg PR, Kesling PC. The Use of Differential and Optimum Orthodontic Forces. Begg Orthodontic Theory and Technique. 3rd ed. Philadelphia: WB Saunders Company; 1977. p.142-58.
- Ricketts RM. Bioprogressive therapy as an answer to orthodontic needs. Part II. Am J Orthod 1976;70(4):359-97. [Crossref]
- Janzen EK. A balanced smile--a most important treatment objective. Am J Orthod 1977;72(4):359-72. [Crossref]
- Burstone CR. Deep overbite correction by intrusion. Am J Orthod 1977;72(1):1-22. [Crossref]
- Deguchi T, Murakami T, Kuroda S, Yabuuchi T, Kamioka H, Takano-Yamamoto T. Comparison of the intrusion effects on the maxillary incisors between implant anchorage and J-hook headgear. Am J Orthod Dentofacial Orthop 2008;133(5):654-60. [Crossref] [PubMed]
- Shroff B, Lindauer SJ, Burstone CJ, Leiss JB. Segmented approach to simultaneous intrusion and space closure: biomechanics of the three-piece base arch appliance. Am J Orthod Dentofacial Orthop 1995;107(2):136-43. [Crossref]
- Al-Buraiki H, Sadowsky C, Schneider B. The effectiveness and long-term stability of overbite correction with incisor intrusion mechanics. Am J Orthod Dentofacial Orthop 2005;127 (1):47-55. [Crossref] [PubMed]
- Ricketts RM. Bioprogressive therapy as an answer to orthodontic needs. Part I. Am J Orthod 1976;70(3):241-68. [Crossref]
- McNamara JA, Brudon WL. Chapter 11 Utility Arches. Orthodontics and Dentofacial Orthopedics. 2nd ed. Ann Arbor, Michigan: Needham Press Inc; 2002. p.187-99.
- Nanda R, Marzban R, Kuhlberg A. The Connecticut intrusion arch. J Clin Orthod 1998;32(12):708-15.
- Burstone CJ. Variable-modulus orthodontics. Am J Orthod 1981;80(1):1-16. [Crossref]
- van Steenbergen E, Burstone CJ, Prahl-Andersen B, Aartman IH. The influence of force magnitude on intrusion of the maxillary segment. Angle Orthod 2005;75(5):723-9.
- Quirós A. [Arco de intrusión para técnica de arco de canto. Presentación de un nuevo dise-o]. Acta Odontol Venez 1998;36(3):41-6.
- Rodriguez E, Casasa R, Natera A, Gaitan F, Garda V, Coutifio C et al. Deepbite. In: Yanez EER, ed. 1001 Tips' for Orthodontics and its Secrets. 1st ed. USA: Amolca; 2008. p.123-47.
- Shellhart WC, Moawad M, Lake P. Case report: implants as anchorage for molar uprighting and intrusion. Angle Orthod 1996;66(3): 169-72.
- Nanda RS, Tosun Y. Correction of Vertical Discrepancies. Biomechanics in Orthodontics: Principles and Practice. 1st ed. Chicago: Quintessence Publishing Company; 2010. p.154-193.
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