Stability of orthopedic and surgically assisted rapid palatal expansion over time

Berger, Jeffrey L.; Pangrazio-Kulbersh, Valmy; Borgula, Thomas; Kaczynski, Richard

doi:10.1016/s0889-5406(98)70195-7

Cited by 110 publications

(126 citation statements)

References 13 publications

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“…SARPE is a simple, effective and stable procedure for correcting severe maxillary transverse deficiencies. 22,23 It not only increases the intermolar distance and palatal width but, in certain cases, can improve nasal respiration. 6-9 Therefore, we decided to expand the maxilla with SARPE to increase the nasal airflow and recommended that he undergo nasal breathing exercises.…”

Section: Discussionmentioning

confidence: 99%

Treatment of skeletal Class II adult patient with vertical and transverse problems caused by nasal airway obstruction using microimplant anchorage

et al. 2009

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This case report describes the treatment of an adult patient with a Class I canine and molar relationship but a convex profile with a retrognathic mandible and marked lip protrusion, as well as an excessive lower anterior facial height and reduced transverse width on both arches due to a nasal airway obstruction. The constricted arches were expanded by surgically-assisted rapid palatal expansion and the application of a Schwarz appliance to the maxilla and mandible. Acceptable facial balance was obtained using contemporary directional force technology with microimplant anchorage (MIA), which provided horizontal and vertical anchorage in the maxillary and mandibular posterior teeth, as well as intrusion and torque control in the maxillary anterior teeth, resulting in a favorable counterclockwise mandibular response. The total treatment period was 29 months and the results were acceptable for 13 months after debonding.

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Section: Discussionmentioning

confidence: 99%

Treatment of skeletal Class II adult patient with vertical and transverse problems caused by nasal airway obstruction using microimplant anchorage

et al. 2009

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“…The rapid expansion concept directed at obtaining a skeletal widening of the maxilla was reviewed by Goddard in 1890 and then by Landsberger in 1910. The technique seems to have disappeared in the 1950s but subsequently a series of studies began to emphasize the skeletal movements involved rather than the dental ones [6].…”

Section: Literature Reviewmentioning

confidence: 99%

Relevant Aspects in Surgical Expansion Osteotomies Used in the Management of Maxillary Atresia for Efficiency and Stability

Oliveira¹,

Mendonça²,

Oliveira³

et al. 2017

Int Arch Oral Maxillofac Surg

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by uni or bilateral posterior cross-biting, parafunctional buccal habits, alterations in swallowing, respiratory dysfunctions or hereditary or congenital problems then we can detect alterations in those relations. It has been estimated that maxillary transverse deficiency affects 15% of adolescents and as much as 30% of the adult population [2].Clinical and radiographic examinations and the study of models help in the diagnosis of maxillary transverse deficiency [3]. Clinical indicators for the presence of transverse deficiency are: paranasal sinus hypoplasia, shortening of the nasal base, deepening of the nasogenial groove and zygomatic hypoplasia. Cross-biting, dental crowding, mal-positioning of the teeth in the palatine region, narrowing of the superior arch and high narrow palatine can also be part of this condition leading to negative space in the buccal passage and alterations in the soft tissues. In radiographic terms, superimposing frontal cephalometric radiographs taken over a period of time allows for comparisons of linear measurements [4,5].Transverse maxillary Atresia is associated to functional and aesthetic harm involving unilateral or bilateral cross-biting, vestibular or palatine inclination of the posterior teeth, ogival palate, narrow maxillary arch, evidence of negative space in the buccal corridor and alterations to the soft tissues among which we can mention narrow alar base, and flattening of the paranasal region [4,5]. The causes of those discrepancies include, hereditary causes, traumatic damage, whether iatro- AbstractTo obtain a functional and stable occlusion, it is important to have an adequate transverse maxillary dimension. It is estimated that 8 to 18% of patients seeking an orthodontic assessment present alterations to that dimension associated to multiple etiological factors. Orthopaedic palatal expansion is a successful treatment before palatal suture closure, which occurs around 14 to 15 years of age in males and 15 to 16 in females. However, once bone maturity has occurred, such procedures have poor results. The preferable indication is surgically assisted rapid maxillary expansion which is also recommended in cases of severe maxillary atresia accompanied by tilting, or when there is real unilateral, maxillary deficiency or horizontal bone loss, etc. We discuss this technique, when it is indicated, its efficacy, stability, possible complications according to the indication, and factors that contribute to its success.

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“…3 It not only increases intermolar distance and palatal width but also, in certain cases, can improve nasal respiration. [4][5][6][7][8] The tooth-borne expanders for maxillary expansion have some undesirable side effects such as tooth tipping, dental relapse, cortical fenestrations, loss of anchorage, and seg mental maxillary tipping. In comparison, when using tooth tissue expanders most of the maxillary expansion is ortho pedic and at a more mechanically desired level with dental side effects.…”

Section: 5005/jp-journals-10021-1232mentioning

confidence: 99%

Modified-casted Appliance for Surgically-assisted Rapid Palatal Expansion: A Clinical Report

Batra

Prasad

Kumar

et al. 2014

JIOS

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Transverse maxilla-mandibular discrepancies are a major component of several malocclusions. Surgically assisted rapid palatal expansion (SARPE) is a common treatment modality for older patients in the correction of a maxillary transverse deficiency. In such cases, retention of the appliance plays an important role and this becomes a problem in patients having enamel hypoplasia. Therefore, the design was modified of a tooth-borne rapid maxillary expansion appliance with provision for miniscrew skeletal anchorage in a Class II malocclusion case having anterior open bite with bilateral posterior crossbite and enamel hypoplasia.

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Stability of orthopedic and surgically assisted rapid palatal expansion over time

Cited by 110 publications

References 13 publications

Treatment of skeletal Class II adult patient with vertical and transverse problems caused by nasal airway obstruction using microimplant anchorage

Treatment of skeletal Class II adult patient with vertical and transverse problems caused by nasal airway obstruction using microimplant anchorage

Relevant Aspects in Surgical Expansion Osteotomies Used in the Management of Maxillary Atresia for Efficiency and Stability

Modified-casted Appliance for Surgically-assisted Rapid Palatal Expansion: A Clinical Report

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