Dergiler / Dicle Dental Journal / 2026 / Volume: 27 Issue: 2

Correction of facial asymmetry and functional shift using posterior bite block and fixed orthodontic treatment: a case report

İlayda Kırdemir(TRAKYA ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ)0009-0005-3065-3031
Pamir Meriç(TRAKYA ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ)0000-0002-4655-5664
Sayfa
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Yayın Tarihi
2026-08-31
DOI
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Yapay Zeka Hızlı Bakış & Çıkarımlar

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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The posterior bite block presents a good alternative for patients at risk of developing openbite during crossbite correction.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Functional shifts are significant due to the risk of becoming permanent and causing skeletal problems if not treated at an early age.
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Temel Bulgular & Veri:Functional shift was diagnosed clinically by guiding the mandible into centric relation, revealing a transverse discrepancy and crossbite in teeth 22,23 and 24.
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Sonuç & Katkı:The posterior bite block presents a good alternative for patients at risk of developing openbite during crossbite correction.
🔬Tür:Case Report
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Posterior bite block · functional shift · facial asymmetry

Abstract

Functional shifts are significant due to the risk of becoming permanent and causing skeletal problems if not treated at an early age. Functional shift was diagnosed clinically by guiding the mandible into centric relation, revealing a transverse discrepancy and crossbite in teeth 22,23 and 24. This case report describes the correction of functional shift and associated issues, including deviation of the lower midline, crossbite in teeth 22, 23, and 24, and facial asymmetry, through the use of a posterior bite block and fixed orthodontic treatment. Facial asymmetry was assessed through clinical examination and standardized frontal photographic analysis. A posterior bite block was selected to eliminate occlusal interference, allow mandibular repositioning, and control vertical dimension during crossbite correction. In a 15-year-8-month-old female patient, the crossbite was corrected within 3 months with the use of a posterior bite block and upper arch bracketing. Subsequently, to achieve an ideal occlusion, lower arch bracketing and intermaxillary elastics were applied. After 13 months of treatment, the patient achieved a functional occlusion, with significant improvement in facial asymmetry. The posterior bite block presents a good alternative for patients at risk of developing openbite during crossbite correction.

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Bu Makaleye Atıf Yap

Kırdemir, İ., Meriç, P. (2026). Correction of facial asymmetry and functional shift using posterior bite block and fixed orthodontic treatment: a case report. Dicle Dental Journal, Volume: 27 Issue: 2. https://ajindex.com/articles/1643246

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