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[Surgically assisted maxillary expansion].

A Booy¹, J Dorenbos, D B Tuinzing

¹Afdeling Mondziekten en Kaakchirurgie/Orale Pathologie van het Academisch Ziekenhuis Vrije Universiteit in Amsterdam.

Nederlands Tijdschrift Voor Tandheelkunde

|June 2, 2001

Summary

Orthodontic maxillary expansion involves specific bone cuts for easier surgical procedures. Long-term stability relies on balancing tongue and cheek forces, necessitating lifelong retention for optimal results.

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Area of Science:

Orthodontics
Oral and Maxillofacial Surgery

Background:

Maxillary expansion is a common orthodontic procedure to correct transverse discrepancies.
Surgical assistance can enhance the efficacy of maxillary expansion in adults.

Observation:

Bone cuts through the zygomatic-alveolar process and lateral palate facilitate orthodontic expansion.
The functional envelope, comprising tongue and cheek forces, influences treatment stability.

Findings:

Surgical-orthodontic maxillary expansion can be achieved through precise osteotomies.
Achieving stable outcomes requires careful consideration of the functional forces acting on the maxilla.

Implications:

This surgical approach may improve outcomes for patients requiring significant maxillary expansion.

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Long-term retention is crucial to counteract relapse due to functional pressures, potentially for a lifetime.