2000
DOI: 10.1054/bjom.1999.0274
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Surgical and orthodontic rapid palatal expansion in adults using Glassman’s technique: retrospective study

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Cited by 56 publications
(50 citation statements)
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“…Therefore, finding a congruent diagnostic procedure to indicate SARME is essential but not yet possible. 26 However, most studies 6,[10][11][12] show that age-correlated morphological changes of the midface go along with an increased resistance against conservative RME, which necessitates SARME. Unfortunately, until today it has not been possible, especially in the borderline age group of 19-20 years, 21,26 to identify patients who will need SARME before expansion, since anatomical changes of the midpalatal suture are subject to a considerably high interindividual variability and are not only correlated with the chronological age.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Therefore, finding a congruent diagnostic procedure to indicate SARME is essential but not yet possible. 26 However, most studies 6,[10][11][12] show that age-correlated morphological changes of the midface go along with an increased resistance against conservative RME, which necessitates SARME. Unfortunately, until today it has not been possible, especially in the borderline age group of 19-20 years, 21,26 to identify patients who will need SARME before expansion, since anatomical changes of the midpalatal suture are subject to a considerably high interindividual variability and are not only correlated with the chronological age.…”
Section: Resultsmentioning
confidence: 99%
“…6 A decrease in the midpalatal suture width, which can be age and functional related, [7][8][9] is a potential prognostic factor for an increase of the resistance against conventional RME. [10][11][12] For this reason, searching for a radiological device that solidly visualizes the midpalatal suture complex and enables one to measure the suture width is essential to the therapeutic approach.…”
Section: Introductionmentioning
confidence: 99%
“…Apesar disso, ocorreram 30% de complicações, inclusive deslocamento dentário. De forma semelhante, Schimming et al (2000) realizaram estudo retrospectivo com 21 sujeitos submetidos a EMCA pela técnica conservadora preconizada por Glassman et al (1984) Recomendaram osteotomias extensas em pacientes mais velhos e sugeriram que um dos pré-requisitos para o suscesso da EMCA é ausência de comprometimento do osso que suporta os dentes. As razões para isso são óbvias, pois em indivíduos de idade mais avançada, espera-se maior grau de consolidação das suturas e consequentemente maior resistência à expansão.…”
Section: Palatino (Figura 8)unclassified
“…Associando isso à algum grau de compromentimento periodontal, à osteotomias minimamente invasivas e aos resultados deste estudo (que mostrou que ocorre dissipação de tensões nos dentes passíveis de deslocamento dentário, mesmo com o uso de osteotomias invasivas para a EMCA), acredita-se numa maior possibilidade de deslocamento dentário nos indivíduos mais velhos, portadores de problemas periodontais e submetidos a EMCA com a utilização de técnicas mais conservadoras. Retomando os estudos de Starnbach et al (1966), Glassman et al (1984), Shetty et al (1994), Schimming et al (2000), Lanigan & Mintz (2002, Sant'ana (2006), parece-nos lícito acreditar que, com as técnicas mais conservadoras, a dissipação dental e óssea de forças geradas no aparelho expansor é tamanha, que pode gerar, além de deslocamento dental e dificuldade de expansão, dor e desconforto por vezes superiores aos observados em técnicas cirúrgicas mais invasivas. Os resultados do presente estudo corroboram essa crença, uma vez que, nos modelos onde a simulação da cirurgia não envolvia a disjunção do processo pterigóide, observou-se maior dissipação de tensões através dos dentes, inclusive com tração removendo e deslocando o dente para vestibular.…”
Section: Palatino (Figura 8)unclassified
“…[6][7][8][10][11][12][13][14][15]17,28,46] Complications associated with SARME reported in the literature also include significant hemorrhage, gingival recession, injury to the branches of the maxillary nerve, infection, pain, devitalization of teeth and altered pulpal blood flow, periodontal breakdown, sinus infection, alar base flaring, extrusion of teeth attached to the appliance, relapse, and unilateral expansion. [60,61,[65][66][67][68][69][70][71][72][73] Postoperative bleeding starting on the third week due to the rupture of greater palatine artery, rupture of inferior nasal mucosa or any damage of venous plexus during the expansion procedure may even be observed. Segments or sharp prominences of bone in the intrapalatinal region could be considered to abrade or lacerate these tissues while the expansion procedure is processed.…”
mentioning
confidence: 99%