Ortodontska terapija izraženog unilateralno otvorenog i ukrštenog zagrižaja, pomoću palatinalnog aparata sa monolateralnim šrafom (Veltri)
Sažetak
Uvod. Aparat po Veltriju predstavlja vrstu palatinalne konstrukcije, koja se kod nas retko koristi. Aparat je nastao kao logična posledica evolucije aparata za rapidnu ekspanziju palatuma. Indikovan je, pre svega, za distalizaciju gornjih molara. Međutim, njegove dobre osobine, omogućavaju njegovu upotrebu i u terapiji drugih ortodontskih problema.
Prikaz slučaja. Cilj prikaza je terapija četrnaestogodišnjeg dečaka sa asimetrijom gornjeg zubnog luka i unilateralno otvorenim i ukrštenim zagrižajem, korišćenjem aparata po Veltriju. Plan terapije je predviđao, primarno, korekciju asimetrije gornjeg zubnog luka aparatom po Veltriju. Zatim, sledi ekstrakcija donjih prvih premolara i primena donjeg i gornjeg fiksnog aparata za nivelaciju donjeg i gornjeg zubnog niza, normalizaciju incizalne stepenice i dubine preklopa. Trajanje celokupne terapije je dve godine.
Zaključak. Prikazana kombinovana kamuflažna terapija postigla je zadovoljavajući rezultat uprkos lošoj prognozi zbog hiperdivergentnog rasta.
Reference
References
Camporesi M, Franchi L, Baccetti T. Evaluation of me-chanical performances for the rapid expansion screws. Bollettino di Informazioni Ortodontiche Leone 2011; 86: 4–8. (Italian)
Veltri N. Veltri 360-degree maxillary expansion. Possible applications and solutions for the correction of maxillary anomalies with fixed appliances incorporating specially de-signed screws. Ortho News 2000; 1(21): 9–11.
Veltri N, Baldini A, Santoro F. The treatment of Class II with slow palatal expansion and bilateral sagittal movement. Bollet-tino di Informazioni Ortodontiche Leone 2001; 66: 23–7. (Italian)
Lanteri C, Lanteri V, Beretta M, Gianolio A. Clinical procedure with Leaf Expander®: A case report. Bollettino di Informazioni Ortodontiche Leone 2016; 97: 25–8. (Italian)
Veltri N, Veltri A. Maxillary expansion to 360 degrees: Today better than yesterday. / Espansione mascellare a 360 gradi: oggi meglio di ieri. Bollettino di Informazioni Ortodontiche Leone 2013; 92: 47–60. (Italian)
Baccetti T, Lorenzo F. A new appliance for molar distalization. Ortho News 2001; 1(22): 2–6.
Veltri N, Mola C, Turco A, Veltri A. Veltri biomechanics for distalization unilateral upper molar. Bollettino di Informazioni Ortodontiche Leone 2003; 71: 52–5. (Italian)
Veltri N, Baldini A. Revision of the Class III therapy at the end of growth according to the biomechanics “Veltri”. Bollettino di Informazioni Ortodontiche Leone 2002; 68: 5–9. (Italian)
Perović T, Pešić Z, Aleksić I, Radojičić J, Blažej Z. Orthodontic-surgical treatment of class III malocclusion (hypoplasio maxil-lae). A case report. Facta Universitatis, Series: Medicine and Biology 2015; 17(2): 67–72.
Satish HA, Daokar S, Gulati M. Different non-surgical treat-ment modalities for class III malocclusion. IOSR-JDMS 2013; 9(6): 48–52.
Mittal SK, Sharma R, Singla A, Grover V. Orthodontic-surgical correction of class III malocclusion with bilateral maxillary impacted canines. J Innov Dent 2011; 1(2): 12.
Brunetto AR. Orthodontic retreatment of a Class III patient with significant midline asymmetry and bilateral posterior crossbite. Dental Press J Orthod 2015; 20(1): 118–26.
Bergamo AZ, Andruccioli MC, Romano FL, Ferreira JT, Matsumoto MA. Orthodontic-surgical treatment of Class III malocclusion with mandibular asymmetry. Braz Dent J 2011; 22(2): 151–6.
Dalla Corte CC, Silveira BL, Marquezan M. Influence of oc-clusal plane inclination and mandibular deviation on esthetics. Dental Press J Orthod 2015; 20(5): 50–7.
Glišić B, Šćepan I, Nikolić Z, Đorđević D. Changes in position and relationship between jaws in children treated with Delair’s mask. Stom Glas S 2004; 51: 177–82. (Serbian)
Melgaço CA, Columbano NJ, Jurach EM, Nojima MC, Sant'Anna EF, Nojima LI. Rapid maxillary expansion effects: an alternative assessment method by means of cone-beam tomography. Dental Press J Orthod 2014; 19(5): 88–96.