Evaluation of the palatal split pattern in surgically rapid maxillary expansion—comparison of two techniques

Moura, Lucas Borin; Spin‐Neto, Rubens; Sverzut, Cássio Edvard; Monnazzi, Marcelo Silva; Trivellato, Alexandre Elias; Gabrielli, Marisa Aparecida Cabrini; Pereira-Filho, Valfrido Antônio

doi:10.1007/s10006-016-0562-5

Cited by 13 publications

(6 citation statements)

References 22 publications

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“…Over time-and once the distraction has been completedresorption of the periodontal connective tissue and increased tooth mobility can occur, 3,[8][9][10] possibly due to the bone distraction protocol used, as the protocol determines the rate of the distraction. 3,10 Distraction protocols vary widely and include 0.75 mm/day or 3-time activation using a Hyrax device [11][12][13] , initial activation of 1 mm followed by 0.25 mm twice daily every two weeks 12,14 , and 0.8 mm divided over four activation steps/day 15 . However, no evidence is currently available regarding the effect of the expansion protocol used on bone formation between the incisors.…”

Section: Introductionmentioning

confidence: 99%

Bone formation after surgically assisted rapid maxillary expansion: comparison of 2 distraction osteogenesis protocols

Holzinger

Carvalho

Santos

et al. 2022

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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Section: Introductionmentioning

confidence: 99%

Bone formation after surgically assisted rapid maxillary expansion: comparison of 2 distraction osteogenesis protocols

Holzinger

Carvalho

Santos

et al. 2022

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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“…Surgically assisted rapid maxillary expansion (SARME) is a surgical technique widely used to correct transverse discrepancies of the jaws greater than 5 mm, in patients presenting transverse maxillary deficiency, posterior crossbite, anterior teeth crowding and wide buccal corridor [8]. The deficiency of the transverse maxillary dimension is caused by early completion of the palatal suture fusion, and it must be surgically treated if previous orthodontic therapy has been ineffective or not possible [8]. Most commonly reported complications and sequelae of SARME are postoperative pain, paresthesia, swelling, asymmetric expansion and tooth-related problems, such as loss of vitality, root resorption, mobility and bone loss between incisors [8].…”

Section: Introductionmentioning

confidence: 99%

“…The deficiency of the transverse maxillary dimension is caused by early completion of the palatal suture fusion, and it must be surgically treated if previous orthodontic therapy has been ineffective or not possible [8]. Most commonly reported complications and sequelae of SARME are postoperative pain, paresthesia, swelling, asymmetric expansion and tooth-related problems, such as loss of vitality, root resorption, mobility and bone loss between incisors [8].…”

Section: Introductionmentioning

confidence: 99%

Nasal Septal Deviation After Surgically Assisted Rapid Maxillary Expansion

Seidita

Carvalho

Santos

et al. 2021

J. Maxillofac. Oral Surg.

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Background and Aim Surgically assisted rapid maxillary expansion (SARME) is a surgical technique widely used to correct deficiency of the transverse maxillary dimension. Although some studies investigated the effect of SARME on nasal and facial alterations, there is no evidence that correlates nasal septal deviation (NSD) to SARME as a possible postoperative sequel. The aim of this study is to address and quantify possible variations in the position of the nasal bony septum after SARME and identify any NSD as a postoperative outcome of this surgical technique. Patients and Methods This is a retrospective study, conducted at the Department of Oral and Maxillofacial Surgery of the University Hospital of Araraquara (Unesp, faculty of dentistry), SP, Brazil. Twenty-nine patients who underwent SARME were studied; every patient was evaluated by cone-beam computerized tomography (CBCT) before (T0) and six months after surgery (T1), and we collected the variation of nasal septal position by measuring the distance between the bony septum and the nasal lateral wall. Our measurements were carried out at the level of the head, midpoint and tail of the inferior turbinate. Results A mean NSD ranging from 0.4 to 1.2 mm was measured, and it is more pronounced at the anterior part of the bony septum. Twenty-seven patients (93.1%) presented minor changes in bony septum position; in 2 cases (6.8%), a significant NSD was found (p < 0.05). Conclusion A variation of bony nasal septum position can be expected in any direction after SARME, and it is more pronounced at anterior portion.

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“…Minor complications do not cause sequellae and require simple outpatient treatment (3,(13)(14)(15)(16). In addition to surgical complications, some orthodontic complications such as asymmetric maxillary expansion or tooth extrusion are frequently identified (17)(18)(19).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Complications Associated with Surgically Assisted Rapid Maxillary Expansion in Cases with or Without Pterygomaxillary Disjunction

Gürsoytrak¹,

Ünüvar²,

Albayrak³

2021

meandros

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Objective: Surgically assisted rapid maxillary expansion (SARME) is a widely used treatment method for the correction of transversal deficiencies of the maxilla. The gold standard treatment method among various surgical techniques has not been established. This retrospective study aimed to determine complications in SARME cases with and without pterygomaxillary disjunction and evaluate the differences between intraoperative and post-operative complications between the two groups. Materials and Methods: We enrolled 38 patients (25 females and 13 males) who underwent SARME under general anaesthesia at Aydın Adnan Menderes University Faculty of Dentistry between January 2015 and January 2020 in this study. These patients were divided into the following two groups: Patients with pterygomaxillary disjunction group and patients without pterygomaxillary disjunction group. The intraoperative and post-operative complications were evaluated for both the groups. Results: Technically, the pterygoid junction was broken in 17 of the 38 patients included in this study with SARME; however, it was intact in 21 patients. Intraoperative haemorrhage was observed in two patients in the group with pterygomaxillary disjunction and in one patient in the group without pterygomaxillary disjunction. Electrocauterisation was performed to control bleeding in both the groups. In the group with pterygomaxillary disjunction, postoperative hematoma was observed following intraoperative haemorrhage in two patients, post-operative asymmetric expansion in two patients and post-operative unilateral transient paraesthesia in one patient. Conclusion:The most common complication was haemorrhage, which was more observed in the group with pterygomaxillary disjunction. However, asymmetric disjunction was also seen in the group with pterygomaxillary disjunction. Whereas, minor complications were observed in the group without pterygomaxillary disjunction. As a result, the surgical technique, where the pterygoid junction remained intact, has minimal risk for complications.

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Evaluation of the palatal split pattern in surgically rapid maxillary expansion—comparison of two techniques

Abstract: No difference was found in relation to the maxillary disjunction pattern irrespective of the treatment given to pterygoid plates.

Cited by 13 publications

References 22 publications

Bone formation after surgically assisted rapid maxillary expansion: comparison of 2 distraction osteogenesis protocols

Bone formation after surgically assisted rapid maxillary expansion: comparison of 2 distraction osteogenesis protocols

Nasal Septal Deviation After Surgically Assisted Rapid Maxillary Expansion

Evaluation of Complications Associated with Surgically Assisted Rapid Maxillary Expansion in Cases with or Without Pterygomaxillary Disjunction

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