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Surgically assisted maxillary expansion; about a clinical case.

Amal El Aouame, Sara El Kaki, Sanaa Alami

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    |May 13, 2020
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    Summary

    Surgically Assisted Rapid Maxillary Expansion (SARME) effectively treats maxillary transverse deficiency in Class III malocclusion. This approach, combined with orthognathic surgery, ensures stable and aesthetic outcomes for complex orthodontic cases.

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    Area of Science:

    • Orthodontics and Maxillofacial Surgery
    • Dental and Craniofacial Research

    Background:

    • Maxillary transverse deficiency is a critical factor in orthodontic treatment planning and stability.
    • Effective management is essential for successful orthodontic outcomes, particularly in Class III skeletal anomalies.

    Observation:

    • A 15-year-old patient presented with severe Class III malocclusion and significant maxillary transverse deficiency.
    • Treatment involved surgically assisted rapid maxillary expansion (SARME) to correct transverse discrepancies.
    • Subsequent bimaxillary orthognathic surgery addressed residual sagittal and vertical disharmonies after correcting dentoalveolar compensations.

    Findings:

    • SARME offers significant functional and aesthetic advantages for correcting maxillary transverse deficiency.
    • This surgical-orthodontic approach successfully managed a complex case of Class III malocclusion with transverse deficiency.

    Implications:

    • Multidisciplinary collaboration between orthodontists and surgeons is crucial for optimal ortho-surgical treatment planning and execution.
    • SARME is a valuable technique for improving outcomes in patients with transverse maxillary deficiency and Class III malocclusion.