Rapid palatal disjunction: a solution beyond dentomaxillofacial orthopedics

Abstract

Introduction: One of the most impressive orthopedic procedures is the transverse separation of the maxilla, through the rapid palatal disjunction (RMD). Effective alternative routinely used in the correction of transverse skeletal deficiency in the upper jaw, but it has been showing results that exceed the framework of Orthopedics and Orthodontics. This has recently motivated interesting renovations for the development of Orthodontics, so our Objective is to determine how rapid palatal disjunction constitutes a solution beyond dentomacilofacial Orthopedics. Material and methods: A search was carried out in 8 electronic databases of the systems (MEDLINE, PubMed, Hinari Cochrane, PubMed, SciELO, Scopus and Google Scholar). The articles reviewed were 59 articles, of which 25 were selected for the investigation. Most relevant results. These studies reflect that it constitutes an effective therapeutic procedure, which facilitates the rapid increase in arch length to alleviate posterior inverted occlusions, without adverse effects on the facial profile and, therefore, the correction of disharmonies in the transverse plane is achieved. .The secondary effects that provide the general well-being of the patient are also described. Thus showing the need to be analyzed from a more comprehensive approach. Conclusions: The ERM is a solution that goes beyond maxillary, dental, deeper cranial structure changes, soft tissues, airways, and cervical posture, but also improves the patient's quality of life (compared to sleep apnea, snoring, auditory function, nocturnal enuresis, atypical absences, tiredness, posture, behavior and even intelligence quotient ( IQ)).