One-Step Surgical Correction of Transverse and Anteroposterior Maxillary Deficiencies Using Wire Fixation. A New Approach and Long-Term Stability

Pereira, Max Domingues; Farfel, Vivian; Prado, Gabriela Pereira Ribeiro; Ferreira, Lydia Masako

doi:10.1016/j.joms.2017.03.022

Cited by 3 publications

(7 citation statements)

References 5 publications

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“…This procedure is a method for correcting transverse deficiencies capable of introducing dental modifications, which are millimetric and inferior to those needed to cause any impact on the soft tissue despite being statistically significant. Moreover, soft tissue changes related to maxillary surgeries may be affected more by the position of the incision and the methods used during suturing than by the hard tissue changes itself 3,17 . Further studies are required to evaluate the long-term effects on the soft tissues of the face and their correlation with changes in skeletal and dental tissues after the proposed surgical technique.…”

Section: Discussionmentioning

confidence: 99%

“…The arches were not overexpanded. The expansion was determined through a transverse maxillomandibular width differential index 17 . Following screw fixation, the device was maintained for 4 months using a stainless steel wire and subsequently removed.…”

Section: Methodsmentioning

confidence: 99%

“…The same surgeon operated on all patients using the same surgical technique, a subtotal LeFort I. 17 With the patient in a horizontal supine position, we induced general anesthesia by orotracheal intubation and performed antisepsis of the surgical site. We performed a horizontal mucosal incision (5 mm above the gingival mucus junction, at the bottom of the upper buccal vestibule, extending from the region of the molar teeth on the left side to the molars on the right zone) and carried out a bilateral dissection of the anterior maxillary wall and nasal floor.…”

Section: Surgical Proceduresmentioning

confidence: 99%

“…The expansion was determined through a transverse maxillomandibular width differential index. 17 Following screw fixation, the device was maintained for 4 months using a stainless steel wire and subsequently removed. After the appliance removal, no fixed orthodontic device was used for at least 6 months.…”

Section: Postoperative Expansion Protocol and Retentionmentioning

confidence: 99%

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Evaluation of Sagittal and Vertical Changes in Maxillary Dental, Skeletal, and Soft Tissue Following Surgically Assisted Rapid Maxillary Expansion: A Retrospective Longitudinal Study

Farfel

Morea

Ferreira

et al. 2021

Journal of Craniofacial Surgery

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Objective: To evaluate whether the maxillary complex would be sagittally, vertically, or mutually displaced after the transverse maxillary correction by surgically assisted rapid maxillary expansion and how the facial profile would be affected. Materials and Methods: The sample comprised 28 adult patients (mean age 25.8 [age range 19-39 years]; 50% women) with transverse maxillary deficiency greater than 7 mm who underwent the surgical rapid maxillary expansion. Cephalometric analysis (n ¼ 112), intra-and extra-oral registries, and radiographic records were taken before treatment (T1), right after the end of the expansion (T2), 4 months after the expansion (T3), and 10 months after the end of the expansion (T4). Dental and skeletal cephalometric measurements were evaluated at each time-point, whereas soft tissue cephalometric analyses were determined at 2 time points (T1 and T4). Results: The results indicated that no sagittal, vertical, skeletal, or soft tissue variation was found after the surgical expansion. However, statistically significant dental changes (P < 0.05) were observed in dental angles (1.NA/1.SN/1.PoOR/1.PP) throughout the different time-points. The authors found statistically relevant posterior inclination of the incisors from T2 to T3 based on multiple comparisons. Conclusions: Surgically assisted rapid maxillary expansion does not promote anterior and vertical displacement of the maxilla. Notwithstanding, the surgical intervention causes upper incisor palatal inclination.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Surgical Proceduresmentioning

confidence: 99%

Section: Postoperative Expansion Protocol and Retentionmentioning

confidence: 99%

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Evaluation of Sagittal and Vertical Changes in Maxillary Dental, Skeletal, and Soft Tissue Following Surgically Assisted Rapid Maxillary Expansion: A Retrospective Longitudinal Study

Farfel

Morea

Ferreira

et al. 2021

Journal of Craniofacial Surgery

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“…SF is one of the options and there are other new approaches were creating. For example, the new approach to correct the anteroposterior and transverse maxillary deficiencies in only one-step surgical intervention [ 12 ]. We propose that for these cases, the careful selected case and more evidence are required.…”

Section: Discussionmentioning

confidence: 99%

Combined orthodontic and orthognathic treatment with 3D-printing technique offers a precise outcome: A case report of two years followup

Wang

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Precision Medicine and evidence-based clinical treatment approach are proposed worldwide in medical science nowadays. Orthodontic first approach (OFA) and Computer-aided surgical simulation (CASS) combined 3D-printing technique offered more chances for the doctors to obey the principle of Precision Medicine in the orthodontic and orthognathic approach. Case presentation We reported a 20-year-old patient, with skeletal Class III relationship and asymmetric mandible, was treated by OFA. And with the CASS combined 3D-Printing Technique, the presurgery simulation and 3D-printed surgery guiding splint and stable splint offered the Combined Orthodontic and Orthognathic Treatment (COOT) a powerful and accurate guiding. The results exhibited that the patient had a perfect maxilla and mandible relationship and significant improvement in profile. Clinical discussion There is still a debate between “surgery first” (SF) and conventional OFA. In this study, we analyzed the trend of different approaches in the COOT, which was a team work and required mainly the collaboration of orthodontist and Orthognathic surgeon. This study showed the precision of the CASS could offer for the OFA to evoke people immersing in saving time in COOT. Conclusion All of these indicated that CASS was a powerful and precise method for COOT, which could offer the patient an esthetic and stable result.

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Evaluation of long-term hard tissue relapse following surgical–orthodontic treatment in skeletal class II patients: A systematic review and meta-analysis

Gaitan-Romero

Shujaat

et al. 2021

International Journal of Oral and Maxillofacial Surgery

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One-Step Surgical Correction of Transverse and Anteroposterior Maxillary Deficiencies Using Wire Fixation. A New Approach and Long-Term Stability

Cited by 3 publications

References 5 publications

Evaluation of Sagittal and Vertical Changes in Maxillary Dental, Skeletal, and Soft Tissue Following Surgically Assisted Rapid Maxillary Expansion: A Retrospective Longitudinal Study

Evaluation of Sagittal and Vertical Changes in Maxillary Dental, Skeletal, and Soft Tissue Following Surgically Assisted Rapid Maxillary Expansion: A Retrospective Longitudinal Study

Combined orthodontic and orthognathic treatment with 3D-printing technique offers a precise outcome: A case report of two years followup

Evaluation of long-term hard tissue relapse following surgical–orthodontic treatment in skeletal class II patients: A systematic review and meta-analysis

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