ORTHODONTIC TREATMENT OF A PATIENT WITH TRANSVERSE MAXILLARY CONSTRICTION AND SEVERAL IMPACTED TEETH

ABSTRACT Multiple impacted permanent teeth are uncommon and rarely reported in the literature. Impacted tooth or teeth cause esthetics and functional problems. Forced-eruption of impacted tooth into the proper position in the arch may provide better functional outcomes, and it also provide esthetic smile for the patient. This case reports the treatment of an adult patient with constricted maxillary arches, multiple impacted teeth and a supernumerary tooth. Forced-eruption of the impacted tooth by light forces generated by intermaxillary elastics, rapid maxillary expansion, and finally fixed appliance treatment was done. Because of the long-lasting orthodontic treatment period, the patient preferred to complete the treatment without detailed occlusion and proper inter-occlusal relationship were achieved. The treatment results showed that maxillary constriction eliminated, eight impacted teeth positioned into proper alignment, and acceptable esthetic and functional results were obtained. Keywords: Impacted tooth, rapid maxillary expansion, orthodontic treatment UST CENE DARLIĞI VE COK SAYIDA GOMUK DIŞLERI OLAN BIR HASTANIN ORTODONTIK TEDAVISI OZ Cok sayida disin gomuk kalmasi nadiren meydana gelir ve literaturde de nadiren rapor edilmistir. Gomuk olan disler, estetik ve fonksiyonel problemlere sebep olur. Gomuk olan dislerin, ark uzerinde dogru pozisyona kuvvet uygulanarak surdurulmesi hastada daha iyi bir fonksiyon sagladigi gibi, ayni zamanda hastada estetik bir gulumseme saglayabilir. Bu vaka raporunda, ust cene darligi, cok sayida gomuk disleri ve supernumerer bir disi olan hastanin ortodontik tedavisi sunulmustur. Hastaya ceneler arasi elastiklerle hafif kuvvet uygulanarak gomuk dislerin surdurulmesi, hizli ust cene genisletmesi ve son olarak sabit ortodontik tedavi uygulanmistir. Ortodontik tedavinin uzun donem devem eden sebebiyle, hasta detayli bir okluzyon ve uygun inter-okluzal iliski saglanmadan tedavisinin tamamlanmasini tercih etmistir. Tedavi sonuclari, ust cene darliginin giderildigini, 8 adet gomuk disin surduruldugunu ve seviyelendigini ve kabul edilebilir estetik ve fonksiyonel sonuclarin elde edildigini gostermistir. Anahtar kelimeler: Gomuk dis, hizli ust cene genisletmesi, ortodontik tedavi