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ERİŞKİN BİR HASTADA ÜST KANİN VE BİRİNCİ PREMOLAR TRANSPOZİSYONUNUN DÜZELTİLMESİ

CORRECTION OF UPPER CANINE AND FIRST PREMOLAR TRANSPOSITION IN AN ADULT PATIENT

Journal Name:

  • Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Tooth transposition is an anomaly involving the positional interchange of two adjacent teeth and its incidence has been reported as about 0.4%. The teeth transposition of which is most frequently seen are the upper canine teeth. In this case report, the orthodontic treatment of a female patient having unilateral complete maxillary canine and first premolar transposition and severe crowding in the upper and lower arches was presented. It is not advised to attempt to correct transposed teeth in the permanent dentition because of the potential risk of damaging the teeth or supporting structures. Therefore, alignment of the involved teeth in their transposed position seems to be the best alternative. However, a recent trend in the management of MxC.P1 is orthodontic movement of the teeth into their normal anatomical position. Therefore, this orthodontic treatment alternative was decided, and four premolar teeth were extracted before treatment. All teeth except the second and third molar teeth were banded and bonded with 0.018x0.025" straight wire brackets,. Tooth transposition was corrected after 18 months and fixed appliances were removed 48 months after the initial treatment. Angle Class I Molar and Canine relationship, ideal overjet and overbite and correction of transposition were achieved.
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Abstract (Original Language): 
Transpozisyon iki komşu dişin pozisyon olarak yer değiştirmesini içeren bir anomalidir ve görülme sıklığı yaklaşık olarak % 0.4 olarak rapor edilmiştir. En sık transpozisyonu gözlenen dişler ise üst daimi kanin dişlerdir. Bu olgu sunumunda, alt ve üst çene arklarında şiddetli çapraşıklık ile birlikte kanin ve birinci premolar transpozisyonuna sahip 16 yaşındaki bir bayan hastanın ortodontik tedavisi sunulmaktadır. Destek dokular veya dişlerin zarar görme riski olduğundan, daimi dentisyondaki transpoze dişlerin düzeltilmesi önerilmemektedir. Bundan dolayı dişlerin transpoze olduğu pozisyonlarda seviyelenerek düzeltilmesi iyi bir seçenek olarak görülmektedir. Ancak, Mx.C.P1 tranpozisyon yönetimindeki en son akım (trend) dişlerin normal anatomik pozisyonlarına doğru ortodontik hareketleridir. Bu yüzden, bu ortodontik tedavi seçeneğine karar verildi ve tedavi öncesi dört premolar diş çekildi. Tüm birinci molar dişler bantlandı ve ikinci ve üçüncü molar dişler hariç tüm dişlere 0.018x0.025" straight wire braketler yerleştirildi. 18 ay sonra transpozisyon düzeltildi ve sabit apareyler tedavi başlangıcından 48 ay sonra çıkarıldı. Dişsel Sınıf I Kanin ve Molar ilişki, ideal bir overjet ve overbite sağlandı ve transpozisyon düzeltildi.
FULL TEXT (PDF): 
PDF icon arastirmax-eriskin-bir-hastada-ust-kanin-birinci-premolar-transpozisyonunun-duzeltilmesi.pdf
  • 1
43-47
  • Turkish

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