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Surgically assisted rapid palatal expansion using customized bone-borne devices.
Arturo Bilbao1, Juan-Carlos Pérez-Varela1, Daniel Pérez-López1
1Department of Surgery and Medical-Surgical Specialities. School of Medicine and Dentistry. University of Santiago de Compostela. Entrerríos s/n. 15782 Santiago de Compostela (A Coruña). Spain.
Journal of Clinical and Experimental Dentistry
|July 31, 2018
Summary
Surgically assisted rapid palatal expansion (SARPE) using a customized, bone-borne device offers predictable and stable results for correcting maxillary compression in adults. This approach ensures stability through multiple screw fixation points, improving outcomes after osteotomy.
Area of Science:
- Dentistry
- Orthodontics
- Oral and Maxillofacial Surgery
Background:
- Maxillary compression correction is challenging after adolescent growth cessation.
- Traditional palatal expansion methods become less effective in adults.
- Surgically assisted rapid palatal expansion (SARPE) is an option for adult cases.
Observation:
- A clinical case of maxillary compression in an adult is presented.
- A customized, bone-borne expansion device with 8 screw fixation points was utilized.
- The device was employed after osteotomy to ensure stability and predictability.
Findings:
- The customized device demonstrated improved predictability in the clinical application.
- The bone-borne design and multiple support points (8 screws) ensured device stability.
- This approach facilitated progressive expansion, allowing for larger corrections.
Implications:
- Customized, bone-borne devices enhance the predictability and stability of SARPE.
- This method offers a viable solution for correcting maxillary hypoplasia in adults.
- Further research into advanced customized devices for orthognathic surgery is warranted.
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