PubMed · 1997 · 210 citations · 0 references
DentistryMaxillofacial SurgeryOrthodonticsAdult OrthodonticsDentoalveolar SurgerySurgical OrthodonticsAdult Orthodontic TreatmentArch ExpansionMaxillary ExpansionOrthognathic SurgeryOverbite CorrectionPalatal ExpandersMaxillary Width ExpansionOrthopedic Maxillary ExpansionSegmental Maxillary ExpansionSurgical-assisted Maxillary ExpansionSurgically Assisted ExpansionSurgically Assisted Maxillary ExpansionSurgically Assisted Rapid Maxillary ExpansionSurgically Assisted Rapid Palatal Expansion
The study aimed to compare treatment effects between adult patients undergoing surgically assisted rapid maxillary expansion with buccal corticotomies versus those with midpalatal splits. The authors compared responses and sequelae of 37 expanded adults and 5 controls, using dental casts taken before treatment, at debanding, and at follow‑up, against adults expanded orthopedically and orthodontically without expansion. Surgically assisted expansion was predictable and stable, correcting crossbites, reducing palatal depth, increasing width—especially with the combined procedure—while maintaining controlled tipping, and produced a more acceptable long‑term buccogingival condition than orthopedically expanded adults.
The purpose of this study was to evaluate the differences in treatment effects between adult patients who underwent surgically assisted rapid maxillary expansion employing buccal corticotomies and those who had midpalatal splits as well. Responses and sequelae of these treated patients were compared with adults who were expanded orthopedically and adults who were treated orthodontically without expansion. The sample comprised 37 patients who were expanded and 5 controls. Dental study casts were taken prior to treatment, at debanding, and at the posttreatment follow-up. The results indicated that maxillary expansion in adults was predictable and stable, corrected crossbites remained corrected, palatal depth was reduced in SARME, palatal width increased (more dramatically in patients treated with a combined procedure), and tipping was controlled and stable. The long-term buccogingival condition was more acceptable in adults expanded with surgical augmentation than in those expanded orthopedically.