Overview of Surgical Treatment for Maxillary Constriction

Dr. Faizan Ahmed Khan; Dr. Faizan Ahmed Khan

Authors

Dr. Faizan Ahmed Khan
Dr. Faizan Ahmed Khan

Keywords:

Abstract

Introduction-The general indications for surgically assisted rapid maxillary expansion (SARME) are skeletal maturity, (extreme) transverse maxillary hypoplasia, either uni-or bilateral, anterior crowding and buccal corridors, the so called black corridors, when smiling. Furthermore the indications for SARME include any case where orthodontic maxillary expansion has failed and resistance of the sutures must be overcome. Transverse maxillary hypoplasia, in adolescents and adults, is frequently seen in non-syndromal and syndromal patients including cleft patients. In skeletally matured patients the uni-or bilateral transverse hypoplasia can be corrected by means of SARME. The treatment is a combination of orthodontics and surgical procedures and provides dental arch space for alignment of teeth. The procedure also causes a substantial enlargement of the maxillary apical base and of the palatal vault, providing space for the tongue for correct swallowing and thus preventing relapse. In addition, a distinct subjective improvement in nasal breathing associated with enlargement of the nasal valve towards normal values is seen with an increase of nasal volume in all compartments.

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Overview of Surgical Treatment for Maxillary Constriction. (2017). Global Journal of Medical Research, 17(J2), 7-12. https://medicalresearchjournal.org/index.php/GJMR/article/view/1391

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References

Alessandro Codivilla (1905) The Classic: On the Means of Lengthening, in the Lower Limbs, the Muscles and Tissues Which are Shortened Through Deformity. 466(12), 2903-2909.

G Ilizarov (1990) Clinical applications of the tensionstress effect for limb lengthening. 250, 8-26.

M Mommaerts (1999) Transpalatal distraction as a method of maxillary expansion. 37, 268-272.

W Krogman (1930) Studies in growth changes in the skull and face of anthropoids. II. Ectocranial and endocranial suture closure in anthropoids and Old World Apes. 46(2), 315-353.

H Sicher (1965) Oral anatomy. 4, 71-75.

Zahl Chr, K Gerlach (2002) Palatinaldistraktor Ein innovativer ansatz für die gaumennahterweiterung. 6, 446-449.

M Persson (1973) Structure and growth of facial sutures. 24(6).

R Latham, W Burston (1966) The postnatal pattern of growth at sutures of the human skull. 17, 61-67.

J Scott (1967) Dentofacial development and growth. 89-93.

B Melsen (1975) Palatal growth studied on human autopsy material. 68, 42-54.

M Öztürk, C Doruk, I Özeç, S Polat, H Babacan, A Biçakci (2003) Pulpal bloodflow: effects of corticotomy and midline osteotomy in surgically assisted rapid palatal expansion. 31, 97-100.

M Pogrel, L Kaban, K Vargervik, S Baumrind (1992) Surgically assisted rapid maxillary expansion in adults. 7, 37-41.

P Lefoulon Orthopédie dentaire. 1839, 111-119.

P Lefoulon Nouveau traité Théorique et pratique de l'art dentaire du dentiste. 1841, 198.

A Talma Mémoires sur quelques points fondamentaux de la medicine dentaire.

E Angell Treatment of irregularity of the permanent or adult teeth. 1860(1), 599-600.

Schröder-Benseler (1913) Die kiefererweiterung. 629.

A Haas (1961) Rapid Palatal expansion of the maxillary dental arch and nasal cavity by opening the midpalatal suture. 31, 73-90.

A Haas (1970) Palatal expansion: Just the beginning of dentofacial expansion. 57, 219-255.

E Reichenbach, H Brückl Zahnärztliche fortbildung heft 7; Kieferorthopädische klinik und therapie. 101.

K Silverstein, P Quinn (1997) Surgically-assisted rapid palatal expansion for management of transverse maxillary deficiency. 55, 725-727.

Pascal Pinto, Maurice Mommaerts, Glyn Wreakes, Walter Jacobs (2001) Immediate postexpansion changes following the use of the transpalatal distractor. 59(9), 994-1000.

D Timms, D Vero (1981) The relationship of rapid maxillary expansion to surgery with special reference to midpalatal synostosis. 19, 180-196.

William Bell, Bruce Epker (1976) Surgical-orthodontic expansion of the maxilla. 70(5), 517-528.

R Bell (1982) A review of maxillary expansion in relation to rate of expansion and patients age. 81, 32-37.

H Starnbach, D Bayne, J Cleall, J Subtelny (1966) Facioskeletal and dental changes resulting from rapid maxillary expansion. 36, 152-164.

Gwen Swennen, Henning Schliephake, Rupert Dempf, Hannes Schierle, Chantal Malevez (2001) Craniofacial distraction osteogenesis: a review of the literature. Part 1: clinical studies. 30(2), 89-103.

Gvi Brown (1938) The surgery of oral and facial diseases and malformation. 507.

R Isaacson, A Ingram (1964) Forces produced by rapid maxillary expansion I: Forces present during treatment. 34, 256-260.

R Isaacson, J Wood, A Ingram (1964) Forces produced by rapid maxillary expansion II. 34, 261.

Robert Wertz (1970) Skeletal and dental changes accompanying rapid midpalatal suture opening. 58(1), 41-66.

P Lines (1975) Adult rapid maxillary expansion with corticotomy. 67, 44-56.

William Bell, Joe Jacobs (1979) Combined orthodontic-surgical correction of moderate mandibular deficiency. 75(5), 481-506.

James Kennedy, William Bell, O Kimbrough, W James (1976) Osteotomy as an adjunct to rapid maxillary expansion. 70(2), 123-137.

R Kraut (1984) Surgically assisted rapid maxillary expansion by opening the midpalatal suture. 42, 651-655.

E Steinhauser (1972) Midline splitting of the maxilla for correction of malocclusion. 30, 413-422.

J Lehman, A Haas (1989) Surgical-orthodontic correction of transverse maxillary deficiency. 16, 749-755.

A Glassman, S Nahigian, J Medway, H Aronowitz (1984) Conservative surgical orthodontic adult rapid palatal expansion: sixteen cases. 86, 207-213.

Michael Alpern, John Yurosko (1987) Surgically assisted rapid palatal expansion. 133(6), 786.

C Mossaz, F Byloff, M Richter (1992) Unilateral and bilateral corticotomies for correction of maxillary transverse discrepancies. 14(2), 110-116.

R Bays, J Greco (1992) Surgically assisted rapid palatal expansion: an outpatient technique with long-term stability. 50, 110-113.

Klaus Gerlach, Christian Zahl (2003) Transversal Palatal Expansion Using a Palatal Distractor. 64(6), 443-449.

C Chung, A Woo, J Zagarinsky, R Vanarsdall, R Fonseca (2001) Maxillary sagittal and vertical displacement induced by surgically assisted rapid palatal expansion. 120, 144-148.

J Neubert, S Somsiri, H Howaldt, K Bitter (1989) Die operative gaumennahterweiterung durch eine modifizierte Le-Fort-I-osteotomie. 13, 57-64.

C Strömberg, J Holm (1995) Surgically assisted, rapid maxillary expansion in adults. A retrospective longterm follow-up study. 23, 222-227.

Pushkar Mehra, David Cottrell, Alfonso Caiazzo, Robert Lincoln (1999) Life-threatening, delayed epistaxis after surgically assisted rapid palatal expansion: A case report. 57(2), 201-204.