Background. Inheritance is most casual etiological factor of Class II division 2 malocclusion. This kind of malocclusion is very difficult for treatment specially in older patients. Case report. In the female patient, 20 years old, at the beginning of the treatment at the School of Dentistry in Belgrade, lateral cephalogram showed skeletal and dentoalveolar Class II division 2 malocclusion. She was in the Herbst treatment for 8 months and 12 months more with a fixed multibracket appliance. The measurements were performed on lateral cephalograms before and after the treatment: ii, is, mi, ms, Pg and ss. The distance from these points to occlusal perpendicular line (Olp) were measured and compared from cephalogram before to cephalogram after the treatment. Temporomandibular joint (TMJ) tomograms were compared from before and after the treatment by superimposition. Correction was found in molar and incisor relation, overjet and overbite. There were found sagital skeletal changes and soft ...tissue profile improvement. Conclusion. Herbst appliance is effective in the treatment of Class II malocclusions, even in adult patients. Dental and skeletal changes as a result of Herbst treatment could be good choice instead of camouflage orthodontics or surgical decision.
Uvod. Malokluzije klase II odeljenja 2 uglavnom su nasledne etiologije. Pripadaju komplikovanijim slučajevima za ortodontsku terapiju, naročito kod starijih bolesnika. Prikaz bolesnika. Kod bolesnice stare 20 godina, na početku terapije koja je sprovedena na Stomatološkom fakultetu u Beogradu, na profilnom telerendgen snimku dijagnostikovana je skeletna i dentoalveolarna nepravilnost klase II odeljenja 2. Terapija Herbst-aparatom trajala je 8 meseci i još 12 meseci fiksnim aparatom. Na profilnom telerendgen snimku pre i posle terapije merena su rastojanja između okluzalne perpendikularne linije OLP i: najmezijalnije tačke aproksimalne površine gornjeg prvog molara (ms), najmezijalnije tačke aproksimalne površine donjeg prvog molara (mi), incizalne ivice gornjeg sekutića (is), incizalne ivice donjeg sekutića (ii), najudaljenije tačke prednje strane maksile (ss) i najisturenije tačke profila brade (Pg). Upoređene su vrednosti sa snimaka pre i posle terapije. Profilni snimci temporomandib...ularnog zgloba (TMZ) pre i posle terapije superponirani su i potom analizirani. Primenom Herbst aparata korigovan je odnos molara i odnos inciziva, kao i incizalni stepenik i incizalni preklop. Uočene su sagitalne skeletne promene i poboljšanje izgleda mekotkivnog profila bolesnika. Zaključak. Herbst aparat je efikasan u terapiji malokluzije klase II, čak i kod starijih bolesnika. Dentalne i skeletne promene kao rezultat terapije Herbst aparatom mogu ukazati na dobar izbor umesto terapije ortodontskom kamuflažom ili ortognatskom hirurgijom.
Keywords:
malocclusion / functional / adult / treatment outcome / malokluzija II klase / ortodontski aparati, funkcionalni / odrasle osobe / lečenje, ishod / angle class II / orthodontic appliances
Source:
Vojnosanitetski pregled, 2009, 66, 10, 840-844
Publisher:
Vojnomedicinska akademija - Institut za naučne informacije, Beograd
TY - JOUR
AU - Nedeljković, Nenad
AU - Glišić, Branislav
AU - Marković, Evgenija
AU - Šćepan, Ivana
AU - Stamenković, Zorana
PY - 2009
UR - https://smile.stomf.bg.ac.rs/handle/123456789/1512
AB - Background. Inheritance is most casual etiological factor of Class II division 2 malocclusion. This kind of malocclusion is very difficult for treatment specially in older patients. Case report. In the female patient, 20 years old, at the beginning of the treatment at the School of Dentistry in Belgrade, lateral cephalogram showed skeletal and dentoalveolar Class II division 2 malocclusion. She was in the Herbst treatment for 8 months and 12 months more with a fixed multibracket appliance. The measurements were performed on lateral cephalograms before and after the treatment: ii, is, mi, ms, Pg and ss. The distance from these points to occlusal perpendicular line (Olp) were measured and compared from cephalogram before to cephalogram after the treatment. Temporomandibular joint (TMJ) tomograms were compared from before and after the treatment by superimposition. Correction was found in molar and incisor relation, overjet and overbite. There were found sagital skeletal changes and soft tissue profile improvement. Conclusion. Herbst appliance is effective in the treatment of Class II malocclusions, even in adult patients. Dental and skeletal changes as a result of Herbst treatment could be good choice instead of camouflage orthodontics or surgical decision.
AB - Uvod. Malokluzije klase II odeljenja 2 uglavnom su nasledne etiologije. Pripadaju komplikovanijim slučajevima za ortodontsku terapiju, naročito kod starijih bolesnika. Prikaz bolesnika. Kod bolesnice stare 20 godina, na početku terapije koja je sprovedena na Stomatološkom fakultetu u Beogradu, na profilnom telerendgen snimku dijagnostikovana je skeletna i dentoalveolarna nepravilnost klase II odeljenja 2. Terapija Herbst-aparatom trajala je 8 meseci i još 12 meseci fiksnim aparatom. Na profilnom telerendgen snimku pre i posle terapije merena su rastojanja između okluzalne perpendikularne linije OLP i: najmezijalnije tačke aproksimalne površine gornjeg prvog molara (ms), najmezijalnije tačke aproksimalne površine donjeg prvog molara (mi), incizalne ivice gornjeg sekutića (is), incizalne ivice donjeg sekutića (ii), najudaljenije tačke prednje strane maksile (ss) i najisturenije tačke profila brade (Pg). Upoređene su vrednosti sa snimaka pre i posle terapije. Profilni snimci temporomandibularnog zgloba (TMZ) pre i posle terapije superponirani su i potom analizirani. Primenom Herbst aparata korigovan je odnos molara i odnos inciziva, kao i incizalni stepenik i incizalni preklop. Uočene su sagitalne skeletne promene i poboljšanje izgleda mekotkivnog profila bolesnika. Zaključak. Herbst aparat je efikasan u terapiji malokluzije klase II, čak i kod starijih bolesnika. Dentalne i skeletne promene kao rezultat terapije Herbst aparatom mogu ukazati na dobar izbor umesto terapije ortodontskom kamuflažom ili ortognatskom hirurgijom.
PB - Vojnomedicinska akademija - Institut za naučne informacije, Beograd
T2 - Vojnosanitetski pregled
T1 - Orthodontic treatment of nongrowing patient with class II division 2 malocclusion by Herbst appliance
T1 - Ortodontska terapija kod bolesnice sa malokluzijom klase II odeljenja 2 i završenim rastom pomoću Herbst aparata
VL - 66
IS - 10
SP - 840
EP - 844
DO - 10.2298/VSP0910840N
ER -
@article{
author = "Nedeljković, Nenad and Glišić, Branislav and Marković, Evgenija and Šćepan, Ivana and Stamenković, Zorana",
year = "2009",
abstract = "Background. Inheritance is most casual etiological factor of Class II division 2 malocclusion. This kind of malocclusion is very difficult for treatment specially in older patients. Case report. In the female patient, 20 years old, at the beginning of the treatment at the School of Dentistry in Belgrade, lateral cephalogram showed skeletal and dentoalveolar Class II division 2 malocclusion. She was in the Herbst treatment for 8 months and 12 months more with a fixed multibracket appliance. The measurements were performed on lateral cephalograms before and after the treatment: ii, is, mi, ms, Pg and ss. The distance from these points to occlusal perpendicular line (Olp) were measured and compared from cephalogram before to cephalogram after the treatment. Temporomandibular joint (TMJ) tomograms were compared from before and after the treatment by superimposition. Correction was found in molar and incisor relation, overjet and overbite. There were found sagital skeletal changes and soft tissue profile improvement. Conclusion. Herbst appliance is effective in the treatment of Class II malocclusions, even in adult patients. Dental and skeletal changes as a result of Herbst treatment could be good choice instead of camouflage orthodontics or surgical decision., Uvod. Malokluzije klase II odeljenja 2 uglavnom su nasledne etiologije. Pripadaju komplikovanijim slučajevima za ortodontsku terapiju, naročito kod starijih bolesnika. Prikaz bolesnika. Kod bolesnice stare 20 godina, na početku terapije koja je sprovedena na Stomatološkom fakultetu u Beogradu, na profilnom telerendgen snimku dijagnostikovana je skeletna i dentoalveolarna nepravilnost klase II odeljenja 2. Terapija Herbst-aparatom trajala je 8 meseci i još 12 meseci fiksnim aparatom. Na profilnom telerendgen snimku pre i posle terapije merena su rastojanja između okluzalne perpendikularne linije OLP i: najmezijalnije tačke aproksimalne površine gornjeg prvog molara (ms), najmezijalnije tačke aproksimalne površine donjeg prvog molara (mi), incizalne ivice gornjeg sekutića (is), incizalne ivice donjeg sekutića (ii), najudaljenije tačke prednje strane maksile (ss) i najisturenije tačke profila brade (Pg). Upoređene su vrednosti sa snimaka pre i posle terapije. Profilni snimci temporomandibularnog zgloba (TMZ) pre i posle terapije superponirani su i potom analizirani. Primenom Herbst aparata korigovan je odnos molara i odnos inciziva, kao i incizalni stepenik i incizalni preklop. Uočene su sagitalne skeletne promene i poboljšanje izgleda mekotkivnog profila bolesnika. Zaključak. Herbst aparat je efikasan u terapiji malokluzije klase II, čak i kod starijih bolesnika. Dentalne i skeletne promene kao rezultat terapije Herbst aparatom mogu ukazati na dobar izbor umesto terapije ortodontskom kamuflažom ili ortognatskom hirurgijom.",
publisher = "Vojnomedicinska akademija - Institut za naučne informacije, Beograd",
journal = "Vojnosanitetski pregled",
title = "Orthodontic treatment of nongrowing patient with class II division 2 malocclusion by Herbst appliance, Ortodontska terapija kod bolesnice sa malokluzijom klase II odeljenja 2 i završenim rastom pomoću Herbst aparata",
volume = "66",
number = "10",
pages = "840-844",
doi = "10.2298/VSP0910840N"
}
Nedeljković, N., Glišić, B., Marković, E., Šćepan, I.,& Stamenković, Z.. (2009). Orthodontic treatment of nongrowing patient with class II division 2 malocclusion by Herbst appliance. in Vojnosanitetski pregled
Vojnomedicinska akademija - Institut za naučne informacije, Beograd., 66(10), 840-844.
https://doi.org/10.2298/VSP0910840N
Nedeljković N, Glišić B, Marković E, Šćepan I, Stamenković Z. Orthodontic treatment of nongrowing patient with class II division 2 malocclusion by Herbst appliance. in Vojnosanitetski pregled. 2009;66(10):840-844.
doi:10.2298/VSP0910840N .
Nedeljković, Nenad, Glišić, Branislav, Marković, Evgenija, Šćepan, Ivana, Stamenković, Zorana, "Orthodontic treatment of nongrowing patient with class II division 2 malocclusion by Herbst appliance" in Vojnosanitetski pregled, 66, no. 10 (2009):840-844,
https://doi.org/10.2298/VSP0910840N . .
