Multidisciplinarno lečenje kompleksne skeletne malokluzije III klase

  • Tatjana Čutović VMA
  • Julija Radojičić University of Niš, Faculty of Medicine, Niš, Serbia
  • Srboljub Stošić University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
  • Irena Mladenović University of East Sarajevo, Faculty of Medicine, Foča, Bosnia and Herzegovina
  • Ružica Kozomara University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
DOI: https://doi.org/10.2298/VSP161227044C
Ključne reči: malokluzija, klase III;, zagrižaj, otvoreni;, hirurgija, ortognatska, procedure;, ortodoncija, korektivna;, lečenje, ishod.

Sažetak


Uvod. Skeletne ortodontske anomalije, pogotovu one sa naglašenom vertikalnom komponentom, uvek predstavljaju izazov za interdisciplinarni pristup u planiranju njihovog lečenja. Cilj ovog rada je da se prikaže pacijentkinja sa teškom skeletnom anomalijom u sva tri pravca (vertikalnom, sagitalnom i transverzalnom). Prikaz slučaja. Pacijentkinja stara 24 godine sa malokluzijom III klase, otvorenim zagrižajem i laterognatijom, lečena je najpre ortodontskim fiksnim aparatima, pri čemu je izvršena dekompenzacija dentoalveolarnih struktura, čime su one postale usagla­še­ne sa svojim koštanim bazama. Tako je omogućena adekvat­na i dovoljna repozicija vilica. Hirurška korekcija je podrazumevala bimaksilarnu osteotomiju, jer su kod ove pacijentkinje postojali naglašeni vertikalni kefalometrijski parametri, te je bila neophodna intruzija posteriorne maksile, kao i repozicija mandibule. Time je sprečen recidiv i dobijen dugo­godišnji stabilni rezultat. U retencionom periodu pacijentkinja je nosila bimaksilarne mobilne retencione aparate. Zak­ljučak. Kombinovanim ortodontsko-hirurškim lečenjem obezbeđena je okluzija I klase sa estetski i funkcionalno zadovoljavajućim rezultatima predviđenim planom lečenja.

Reference

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Objavljeno
2021/01/08
Broj časopisa
Vol. 75 Br. 11 (2018): Vojnosanit pregl
Rubrika
Prikaz bolesnika