Surgically assisted rapid maxillary expansion (SARME): a review of the literature

Measurement of the midpalatal suture width

“…6,21 However, it may cause severe complications. 4,22 There is controversy with regard to which age is required for SARME, since many authors [23][24][25] have shown successful nonsurgical RME in adults as well. Therefore, finding a congruent diagnostic procedure to indicate SARME is essential but not yet possible.…”

Distraction Osteogenesis of the Maxillofacial Skeleton: Clinical and Radiological Evaluation

“…Longterm stability remains problematic as well (Haas 1980). Relapse is the main problem after a LFI-E maxillary osteotomy combined with a midpalatal osteotomy (Koudstaal et al 2005), probably due to the lack of a palatal retention appliance, fibrous scar retraction, and palatal fibromucosal traction (Matteini & Mommaerts, 2001). An increment in the transverse diameter obtained entirely via bone formation, with no dental compensation, the absence of dental or osseous relapse, and no dental or periodontal damage, represents the ideal goal in treating the narrow maxilla.…”

Comparative dimensional tomographic study of the mandibular condyle of individuals with transverse maxillary deficiency

“…The treatment of TMD in individuals with skeletal maturity is surgically assisted palatal expansion (SAPE) and this treatment has shown good results4, even with the description of different surgical techniques 2 . The effects of SAPE are observed not only in the dental arch 5 , but also in the adjacent structures [6][7][8][9][10] and mandibular dental arch 11 . The procedure is not free of complications, such as the occurrence of pain in the temporomandibular joint (TMJ) in 3% of the cases, mobility (3%) and loss (3%) of the upper central incisors, sinusitis (6%), paresthesia (3%), bleeding (3%), external resorption of teeth (3%) and displacement and tilt of the teeth (3%) 12 .…”