Bone-borne surgically assisted rapid maxillary expansion: A retrospective three-dimensional evaluation of the asymmetry in expansion

Huizinga, Martin P.; Meulstee, Jene W.; Dijkstra, Pieter U.; Schepers, Rutger H.; Jansma, J.

doi:10.1016/j.jcms.2018.05.021

Cited by 16 publications

(35 citation statements)

References 25 publications

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“…1,2 Thus, patients may present with dental crowding, mandibular discrepancies, tooth mobility, multiple dental losses, gingival recessions, respiratory difficulties, repetitive sinusitis, and mouth breathers. In this sense, the techniques of surgically assisted rapid maxillary expansion (SARME) 3 and non-surgically assisted rapid maxillary expansion (NSARME) 2 are used in order to correct maxillary development through palatal disjunction. Rapid maxillary expansion (RME) is an efficient technique in the attempt to compensate for the deficient maxillomandibular relationships being initially described by angell 1 (1860) and Haas (1961).…”

Section: Introductionmentioning

confidence: 99%

“…1 Several maxillary osteotomies were developed to expand the maxilla laterally, along with rapidly expanding orthodontic procedures. 3,8 More recently, it has been shown that only osteotomies in maxillary abutments are sufficient to achieve expansion. 3 These osteotomies may or may not be complemented by a buccal osteotomy between the roots of the central incisors.…”

Section: Introductionmentioning

confidence: 99%

“…3,8 More recently, it has been shown that only osteotomies in maxillary abutments are sufficient to achieve expansion. 3 These osteotomies may or may not be complemented by a buccal osteotomy between the roots of the central incisors. 8 The rapid expansion of the surgically assisted maxilla is an effective procedure but restricts to patients who present only maxillary transverse problems.…”

Section: Introductionmentioning

confidence: 99%

“…8 The rapid expansion of the surgically assisted maxilla is an effective procedure but restricts to patients who present only maxillary transverse problems. 3 In cases of deficiencies in other plans, the surgically assisted expansion can be performed as a first surgical time, not excluding the correction of the other plans in a subsequent surgery. 8 Currently, when transverse maxillary deficiency is associated with others, the patient may undergo a single surgical procedure, in which this atresia is corrected with multi-segmentated maxillary osteotomy.…”

Section: Introductionmentioning

confidence: 99%

“…8 Currently, when transverse maxillary deficiency is associated with others, the patient may undergo a single surgical procedure, in which this atresia is corrected with multi-segmentated maxillary osteotomy. 3,8 The rapid expansion of the surgically assisted maxilla is an effective and safe procedure for the correction of transverse deficiency in adult patients. 1,3 Among its advantages, we can mention the speed to obtain the expansion, the safety for corrections of up to 14mm and the possibility of using local anesthesia, which reduces the cost of the procedure.…”

Section: Introductionmentioning

confidence: 99%

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Systematic review of major considerations of rapid maxillary expansion

Guerra¹,

Filho²,

Buchala³

2018

JDHODT

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Introduction: In the context of rapid maxillary expansion, transverse deficiencies are the main predictors of dentofacial deformities with high prevalence in dental practice. In this sense, the techniques of surgically assisted rapid maxillary expansion (SARME) and non-surgically assisted rapid maxillary expansion (NSARME) are used in order to correct maxillary development through palatal disjunction. Objective: to analyze the main considerations of rapid maxillary expansion, showing its main indications, contraindications, types of expanders, as well as the main dental and skeletal changes produced by them. Methods: We searched the databases EBSCO, SCIELO, PubMed / MEDLINE and Academic Google in the period 2003 to 2018. The main descriptors (Mesh Terms) were Rapid expansion of the maxilla, Rapid assisted surgery of the maxilla, Rapid non-surgical maxillary expansion, Circuit breakers and Clinical studies. Main Finding: The use of the Hyrax expander has become a poorly indicated procedure since the vast majority of patients with maxillary atresia also have other vertical and / or sagittal discrepancies in the bony bases of the face. In this context, however, the rapid expansion of the surgically assisted maxilla presents as a safe and easy procedure to be performed in the office, and is also a low-cost and acceptable procedure for patients. Conclusion: Based on the literary findings, there is still no consensus on which is the best jaw breaker, and it is necessary to increase the number of clinical and randomized studies, with eligibility criteria that can in fact homogenize the participants. In addition, the literature has clearly shown that it is imperative that dental surgeons have the knowledge and clinical experience to be able to indicate the best procedure for each patient, that is, the rapid expansion of the non-surgical or surgical maxilla.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Systematic review of major considerations of rapid maxillary expansion

Guerra¹,

Filho²,

Buchala³

2018

JDHODT

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Evaluation of symmetry behavior of surgically assisted rapid maxillary expansion with simulation-driven targeted bone weakening

et al. 2021

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Objectives Surgically assisted rapid maxillary expansion (SARME) is a treatment modality to overcome maxillary constrictions. During the procedure of transverse expansion, unwanted asymmetries can occur. This retrospective study investigates the transverse expansion behavior of the maxilla utilizing a simulation-driven SARME with targeted bone weakening. Materials and methods Cone beam computer tomographies of 21 patients before (T1) and 4 months after treatment (T2) with simulation-driven SARME combined with a transpalatal distractor (TPD) and targeted bone weakening were superimposed. The movements of the left, right, and frontal segments were evaluated at the modified WALA ridge, mid root level, and at the root tip of all upper teeth. Linear and angular measurements were performed to detect dentoalveolar changes. Results Dentoalveolar changes were unavoidable, and buccal tipping of the premolars (6.1° ± 5.0°) was significant (p < 0.05). Transverse expansion in premolar region was higher (6.13 ± 4.63mm) than that in the molar region (4.20 ± 4.64mm). Expansion of left and right segments did not differ significantly (p > 0.05). Conclusion Simulation-driven SARME with targeted bone weakening is effective to achieve symmetrical expansion in the transverse plane. Clinical relevance Simulation-driven targeted bone weakening is a novel method for SARME to achieve symmetric expansion. Dental side effects cannot be prohibited.

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