Surgical treatment of maxillary transverse deficiency

Among the occlusal discrepancies, maxillary transverse deficiency is quite common in several reasons. The reasons are comprised of maxillary hypoplasia, thumb sucking habits, non-syndromic palatal synostosis and syndromal patients including cleft patients. Orthodontic treatment is used routinely to correct a deficiency in young patients while it has limitations for a skeletally mature patient. Surgical treatments help provide effective maxillary expansion to correct a deficiency in adults. Surgical methods can be categorized to segmental Le Fort I osteotomy and surgically assisted rapid maxillary expansion(SARME). Both methods seem successful but each method would have its own indication. We give a review on transverse maxillary deficiency and two surgical methods.

keywords: Maxillary transverse deficiency, Surgically assisted rapid maxillary expansion, Segmental Le Fort I ostoetomy

Reference

1. Suri, L. and P. Taneja, Surgically assisted rapid palatal expansion: a literature review. Am J Orthod Dentofacial Orthop, 2008. 133(2): p. 290-302.

2. Jacobs, J.D., et al., Control of the transverse dimension with surgery and orthodontics. Am J Orthod, 1980. 77(3): p. 284-306.

3. Betts, N.J., et al., Diagnosis and treatment of transverse maxillary deficiency. Int J Adult Orthodon Orthognath Surg, 1995. 10(2): p. 75-96.

4. Vandersea, B.A., A.T. Ruvo, and D.E. Frost, Maxillary transverse deficiency - surgical alternatives to management. Oral Maxillofac Surg Clin North Am, 2007. 19(3): p. 351-68,vi.

5. Ho, M.W., et al., Surgical complications of segmental Le Fort I osteotomy. Br J Oral Maxillofac Surg, 2011. 49(7): p. 562-6.

6. Bays, R.A. and G.F. Bouloux, Complications of orthognathic surgery. Oral Maxillofac Surg Clin North Am, 2003. 15(2): p. 229-42.

7. Phillips, C., et al., Stability of surgical maxillary expansion. Int J Adult Orthodon Orthognath Surg, 1992. 7(3): p. 139-46.

8. Proffit, W.R., T.A. Turvey, and C. Phillips, Orthognathic surgery: a hierarchy of stability. Int J Adult Orthodon Orthognath Surg, 1996. 11(3): p. 191-204.

9. Pogrel, M.A., et al., Surgically assisted rapid maxillary expansion in adults. Int J Adult Orthodon Orthognath Surg, 1992. 7(1): p. 37-41.

10.

10. Bays, R.A. and J.M. Greco, Surgically assisted rapid palatal expansion: an outpatient technique with long-term stability. J Oral Maxillofac Surg, 1992. 50(2): p. 110-3; discussion 114-5.

11.

11. Northway, W.M. and J.B. Meade, Jr., Surgically assisted rapid maxillary expansion: a comparison of technique, response, and stability. Angle Orthod, 1997. 67(4): p. 309-20.

12.

12. Anttila, A., et al., Feasibility and long-term stability of surgically assisted rapid maxillary expansion with lateral osteotomy. Eur J Orthod, 2004. 26(4): p. 391-5.

13.

13. Byloff, F.K. and C.F. Mossaz, Skeletal and dental changes following surgically assisted rapid palatal expansion. Eur J Orthod, 2004. 26(4): p. 403-9.

14.

14. Marchetti, C., et al., Surgically assisted rapid palatal expansion vs. segmental Le Fort I osteotomy: transverse stability over a 2-year period. J Craniomaxillofac Surg, 2009. 37(2): p. 74-8.

15.

15. 김상철, 민승기,오승환, 태기출,강경화 저. 외과적술식을 동반한 빠른 치아교정. 명문 출판사2004.: 101-108

바로가기메뉴

Article Detail

Article Contents

Vol.51 No.6

Surgical treatment of maxillary transverse deficiency

Abstract

Reference