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Why segment the maxilla between laterals and canines?

Lucas Senhorinho Esteves1, Jean Nunes Dos Santos2, Steven M Sullivan3

  • 1Center for Dentofacial Deformity, Hospital Santa Casa de Misericórdia, Salvador, Bahia, Brazil.

Dental Press Journal of Orthodontics
|March 24, 2016
PubMed
Summary
This summary is machine-generated.

Maxillary segmentation between laterals and canines is a versatile surgical technique for correcting dentoskeletal deformities. This procedure offers advantages over other osteotomies, enhancing treatment outcomes.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthodontics
  • Craniofacial Surgery

Background:

  • Maxillary surgery allows sagittal, vertical, and transverse plane movements through segmentation.
  • Interdental osteotomies are common between incisors, canines, and premolars.
  • Segmentation between laterals and canines offers control over intercanine width and incisor angulation.

Purpose of the Study:

  • To detail the clinical decision-making for maxillary segmentation between laterals and canines.
  • To review the history, indications, technique, and outcomes of this surgical approach.
  • To inform clinicians on the advantages, disadvantages, complications, and stability of the procedure.

Main Methods:

  • Literature review on segmental maxillary osteotomy.
  • Analysis of clinical decision-making factors.
  • Discussion of surgical technique and patient outcomes.

Main Results:

  • Segmental maxillary osteotomy between laterals and canines is a versatile technique.
  • It provides specific advantages for managing dentoskeletal deformities.
  • The procedure allows for precise control over dental arch form and tooth position.

Conclusions:

  • Segmental maxillary osteotomy between laterals and canines is a valuable technique with multiple indications.
  • It presents benefits over single-piece osteotomies or segmentation between canines and premolars.
  • This approach enhances treatment possibilities in complex craniofacial cases.