Modification of the technique of osteotomy for surgical maxillary expansion

Authors

  • João Luis Carlini Federal University of Paraná - Curitiba, Paraná, Brazil
  • Cristina Rieth Federal University of Paraná - Curitiba, Paraná, Brazil
  • Danielle Del Santo Severo Federal University of Paraná - Curitiba, Paraná, Brazil
  • Kesia Keiko Asami University of Pittsburgh

DOI:

https://doi.org/10.5195/d3000.2015.37

Keywords:

Osteotomy, atresia, maxillary, expansion

Abstract

Surgically assisted maxillary expansion is a technique used to correct transverse maxillary deficiency, which is a dentofacial anomaly related to the decrease of the upper arch over the lower arch. It is applied to patients in their late teens and adults due to skeletal maturity, causing obliteration of the intermaxillary suture, which requires orthodontic procedure, associated with surgery. The purpose of this study is to report the clinical case of a patient admitted for surgical maxillary expansion through the modified technique and point out the possible advantages, such as aesthetics maintenence, long-term stability, faster return to orthodontic treatment, and improved bone healing. However, there are some contraindications when the patient presents severe crowding, roots of the canine and lateral incisor are converging and in patients who will undergo to protraction with facial mask.

References

Avaliação clínica dos pro-cedimentos de expansão cirurgi-camente assistida da maxila (ECAM). Clinical evaluation of sur-gically assisted maxillary expansion (SAME). Paulo Domingos Ribeiro Jr.I; Eduardo Sanches GonçalesII; Paulo César Ulson de SouzaIII; Hugo Nary FilhoIV; João Gualberto Cerqueira LuzV . Rev. Dent. Press Ortodon. Ortop. Facial vol.11 no.1 Maringá Jan./Feb. 2006. Paulo Do-mingos Ribeiro Jr.I; Eduardo Sanches GonçalesII

Nasal cavity size, airway resistance, and subjective sensation after surgically assisted rapid maxil-lary expansion: a prospective longi-tudinal study. Magnusson A, Bjerk-lin K, Nilsson P, Jönsson F, Mar-cusson A. Am J Orthod Dentofacial Orthop. 2011 Nov;140(5):641-51. doi: 10.1016/j.ajodo.2010.11.024. PMID: 22051484

Periodontal effects of surgi-cally assisted rapid palatal expan-sion evaluated clinically and with cone-beam computerized tomogra-phy: 6-month preliminary results. Gauthier C, Voyer R, Paquette M, Rompré P, Papadakis A. Am J Or-thod Dentofacial Orthop. 2011 Apr;139(4 Suppl):S117-28. doi: 10.1016/j.ajodo.2010.06.022. PMID: 21435529

Evaluation of surgically as-sisted rapid maxillary expansion with or without pterygomaxillary disjunction based upon preopera-tive and post-expansion 3D com-puted tomography data. Laude-mann K, Petruchin O, Mack MG, Kopp S, Sader R, Landes CA. Oral Maxillofac Surg. 2009 Sep;13(3):159-69. doi: 10.1007/s10006-009-0167-3. PMID: 19714376

Long-term 3D cast model study: bone-borne vs. tooth-borne surgically assisted rapid maxillary expansion due to secondary varia-bles. Laudemann K, Petruchin O, Nafzger M, Ballon A, Kopp S, Sader RA, Landes CA. Oral Maxillofac Surg. 2010 Jun;14(2):105-14. doi: 10.1007/s10006-009-0194-0. PMID: 20108107

Assessment of surgically assisted rapid maxillary expansion regarding pterygomaxillary disjunc-tion using thin volume-rendering technique: in variance analysis and in reliability, accuracy, and validity. Laudemann K, Santo G, Revilla C, Harth M, Kopp S, Sader RA, Landes CA. J Oral Maxillofac Surg. 2011 Oct;69(10):2631-43. doi: 10.1016/j.joms.2010.12.007. Epub 2011 Apr 7. PMID: 21474227

Comparison of bipartite versus tripartite osteotomy for maxillary transversal expansion using 3-dimensional preoperative and postexpansion computed to-mography data. Landes CA, Laude-mann K, Petruchin O, Mack MG, Kopp S, Ludwig B, Sader RA, Seitz O. J Oral Maxillofac Surg. 2009 Oct;67(10):2287-301. doi: 10.1016/j.joms.2009.04.069. PMID: 19761925

Advantages and limits of 3-segment (paramedian) versus 2-segment (median) surgically assist-ed rapid maxillary expansion (SARME). Landes CA, Laudemann K, Petruchin O, Revilla C, Seitz O, Kopp S, Ludwig B, Sader RA. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Jan;113(1):29-40. doi: 10.1016/j.tripleo.2011.01.013. Epub 2011 Mar 31. PMID: 22677689

Long-term posttreatment evaluation of rapid palatal expan-sion. Haas AJ. Angle Orthod. 1980 Jul;50(3):189-217. No abstract available. PMID: 6996533

Stability in dental changes in RME and SARME: a 2-year follow-up. Sokucu O, Kosger HH, Bicakci AA, Babacan H. Angle Orthod. 2009 Mar;79(2):207-13. doi: 10.2319/031808-155.1. PMID: 19216605

Surgically assisted rapid maxillary expansion: a comparison of technique, response, and stabil-ity. Northway WM, Meade JB Jr. An-gle Orthod. 1997;67(4):309-20. PMID: 9267580

Minimally invasive surgical-ly assisted rapid palatal expansion with limited approach under seda-tion: a report of 283 consecutive cases. Hernandez-Alfaro F, Mareque Bueno J, Diaz A, Pagés CM. J Oral Maxillofac Surg. 2010 Sep;68(9):2154-8. doi: 10.1016/j.joms.2009.09.080. Epub 2010 Jul 2. PMID: 20584567

Surgically assisted rapid palatal expansion (SARPE). God-dard R, Witherow H. Br J Oral Maxil-lofac Surg. 2011 Jan;49(1):65-6. doi: 10.1016/j.bjoms.2009.11.013. Epub 2010 Feb 18. No abstract available. PMID: 20170994

Transverse maxillary dis-traction in patients with periodon-tal pathology or insufficient tooth anchorage using custom-made de-vices. Fernández-Sanromán J, Do-nascimento MG, López AC, Ferro MF, Berrondo IA. J Oral Maxillofac Surg. 2010 Jul;68(7):1530-6. doi: 10.1016/j.joms.2009.09.074. Epub 2010 Apr 22. PMID: 20417007

Long term effects of surgi-cally assisted rapid maxillary ex-pansion without performing osteot-omy of the pterygoid plates. Seeberger R, Kater W, Davids R, Thiele OC. J Craniomaxillofac Surg. 2010 Apr;38(3):175-8. doi: 10.1016/j.jcms.2009.07.003. Epub 2009 Aug 5. PMID: 19660962

Changes in nasopharyngeal airway following orthopedic and surgically assisted rapid maxillary expansion. Kurt G, Altuğ-Ataç AT, Atac MS, Karasu HA. J Craniofac Surg. 2010 Mar;21(2):312-7. doi: 10.1097/SCS.0b013e3181cf5f73. PMID: 20186094

Feasibility and long-term stability of surgically assisted rapid maxillary expansion with lateral osteotomy. Anttila A, Finne K, Keski-Nisula K, Somppi M, Panula K, Pel-tomäki T. Eur J Orthod. 2004 Aug;26(4):391-5. PMID: 15366383

Changes in nasal volume after surgically assisted bone-borne rapid maxillary expansion. Deeb W, Hansen L, Hotan T, Hietschold V, Harzer W, Tausche E. Am J Orthod Dentofacial Orthop. 2010 Jun;137(6):782-9. doi: 10.1016/j.ajodo.2009.03.042. PMID: 20685533

Correção das deficiências transversas e ântero-posteriores da maxila em pacientes adultos / Max-illary anteroposterior and trans-verse problems correction in adult patients. Carlini, João Luiz; Biron, Cássia; Gomes, Kelston Ulbricht; Gebert, Andréa; Strujak, Guilherme. Rev. dent. press ortodon. ortopedi. facial; 12(5): 92-99, set.-out. 2007. ilus, tab. Artigo em Português | LI-LACS | ID: lil-465909.

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Published

2015-10-23

Issue

Section

Development of Craniofacial Structures