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Surgically-assisted maxillary expansion

M Woods1, D Wiesenfeld, T Probert

  • 1Oral and Maxillofacial Surgery Unit, Royal Melbourne Hospital.

Australian Dental Journal
|February 1, 1997
PubMed
Summary
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This study presents a surgical and orthodontic technique for treating transverse maxillary deficiencies in adults. The method involves surgically releasing maxillary articulations and performing an osteotomy to allow for fixed device expansion, improving outcomes.

Area of Science:

  • Dentistry
  • Oral and Maxillofacial Surgery
  • Orthodontics

Background:

  • Transverse maxillary deficiencies often require intervention in mature patients.
  • Traditional methods may have limitations in achieving adequate skeletal expansion.

Purpose of the Study:

  • To describe and discuss a combined surgical and orthodontic technique for managing transverse maxillary deficiencies in mature patients.
  • To detail modifications including circummaxillary articulation release and a specific osteotomy.

Main Methods:

  • Surgical release of circummaxillary articulations to enable fixed device use.
  • Addition of an osteotomy below the nasal spine to maintain septal independence.
  • Application of a fixed expansion device for maxillary expansion.

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Main Results:

  • The described technique facilitates maxillary expansion in mature patients.
  • The specific osteotomy ensures nasal septum separation from expanding segments.
  • Advantages over segmented surgical expansion are discussed.

Conclusions:

  • This surgically-assisted maxillary expansion technique offers a viable solution for mature patients.
  • The described surgical modifications enhance the safety and efficacy of the procedure.