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Rapid maxillary expansion assisted by mini-implants anchorage: A case report.

Janeth Prado1, Helen Pardo1, Manuel Bravo1

  • 1University of Cuenca, Faculty of Dentistry, Cuenca, Ecuador.

International Orthodontics
|February 13, 2019
PubMed
Summary

Mini-implant assisted rapid maxillary expansion effectively increased maxillary width and dental dimensions in a young male patient. This method offers a good alternative for correcting transversal discrepancies with minimal adverse effects.

Keywords:
Disjonction maxillaireExpansion maxillaireExpansion maxillaire rapideMaxillary disjunctionMaxillary expansionRapid maxillary expansionTemporary anchorage devices

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Area of Science:

  • Orthodontics
  • Craniofacial Surgery

Background:

  • Transversal discrepancies in the maxilla, such as maxillary atresia and posterior crossbite, are common in pediatric patients.
  • Rapid maxillary expansion (RME) is a standard orthopedic treatment for these issues.
  • Traditional RME can sometimes lead to undesirable dental side effects.

Observation:

  • This case report details the treatment of a 12-year-old male with maxillary atresia and bilateral posterior crossbite.
  • The patient underwent rapid maxillary expansion (RME) utilizing mini-implant anchorage.
  • Skeletal and dental changes were meticulously evaluated post-treatment.

Findings:

  • Mini-implant assisted RME resulted in a significant increase in maxillary width (6.2mm).
  • Substantial increases in inter-premolar (6mm) and inter-molar (8-9mm) fossa-fossa distances were observed.
  • A minor undesirable effect of molar vestibuloversion was noted.

Implications:

  • Mini-implants provide effective skeletal anchorage for RME, enhancing orthopedic outcomes.
  • This technique offers a viable alternative for increasing transverse skeletal and dental dimensions.
  • Careful monitoring is advised to minimize potential side effects like molar tipping.