Current issue
Journal content
Articles in press
Archive
About the Journal
About the Polish Annals of Medicine
Editorial Board
Abstracting & indexing
Open Access policy
Charges
Affiliated institutions
Contact
Instructions
Peer review process
Guide for authors
Publication ethics
Ethics and Patient Consent
User License
Usage of third party materials
Disclaimer
Statement on Artificial Intelligence
Reviewers
Guide for reviewers
Review Form
RESEARCH PAPER
Changes in transverse tooth and bone dimensions during transversal maxillary hypoplasia treatment
by maxillary distraction osteogenesis using a device installed on a bone
1
Center for Craniofacial Anomalies and Oral Maxillofacial Surgery with Maxillofacial Reconstructive and Esthetic Surgery Department, Regional Children's Specialized Hospital, Poland
2
Pomeranian Medical University of Szczecin, Poland
3
Department of Maxillofacial Surgery, Medical University of Lodz, Poland
Submission date: 2014-04-08
Acceptance date: 2015-04-29
Online publication date: 2015-07-28
Publication date: 2020-03-26
Corresponding author
Krzysztof Dowgierd
Center for Craniofacial Anomalies and Oral Maxillofacial Surgery with Maxillofacial Reconstructive and Esthetic Surgery Department, Regional Children's Specialized Hospital, Żołnierska 18A, 10-561 Olsztyn, Poland. Tel.: +48 604 436 411.
Center for Craniofacial Anomalies and Oral Maxillofacial Surgery with Maxillofacial Reconstructive and Esthetic Surgery Department, Regional Children's Specialized Hospital, Żołnierska 18A, 10-561 Olsztyn, Poland. Tel.: +48 604 436 411.
Pol. Ann. Med. 2015;22(2):110-118
KEYWORDS
maxillary hypoplasiaSARMEtransversal hypoplasiadistraction osteogensistranspalatal distraction (TPD)
ABSTRACT
Introduction:
A transverse maxillary hypoplasia is a deformation often observed in orthodontic patients. Various techniques are used to treat this problem.
Aim:
The aim is to present results of transversal maxillary hypoplasia treatment with a bone-borne device.
Material and methods:
A retrospective analysis included 27 patients, age 17–26 years (17 ± 2.6). Dental casts and X-ray were made before operation period (T1), and post distraction (T2). On the casts were determined points: on cusps of maxillary canines (3-3), first maxillary premolars (4-4) andA retrospective analysis included 27 patients, age 17–26 years (17 ± 2.6). Dental casts and X-ray were made before operation period (T1), and post distraction (T2). On the casts were determined points: on cusps of maxillary canines (3-3), first maxillary premolars (4-4) and first maxillary molars (6-6). Angles and distances were measured on standard posterior-anterior (PA) images.
Results and discussion:
At the 3-3 level, the average expansion was 5.8 mm, at the 4-4 level the average expansion was 7.3 mm, at the level of 6-6 palatial cusps the average expansion was 6.11 mm. Measurements in the PA X-ray were performed at the nasal cavity, with the average dimensions being 29.03 mm before treatment, and 31.95 mm post-treatment. The angle was measured between first molars (6-6_ang) and the anterior nasal spine before and after treatment, with a significant change in that angle from 98.93° on average to 102.89° after distraction.
Conclusions:
Use of maxillary distraction osteogenesis with bone-borne device in maxillary expansion is an effective treatment method. Maxillary expansion results in increase of the nasal cavity. Used distractor is easy to operate for the patient.
A transverse maxillary hypoplasia is a deformation often observed in orthodontic patients. Various techniques are used to treat this problem.
Aim:
The aim is to present results of transversal maxillary hypoplasia treatment with a bone-borne device.
Material and methods:
A retrospective analysis included 27 patients, age 17–26 years (17 ± 2.6). Dental casts and X-ray were made before operation period (T1), and post distraction (T2). On the casts were determined points: on cusps of maxillary canines (3-3), first maxillary premolars (4-4) andA retrospective analysis included 27 patients, age 17–26 years (17 ± 2.6). Dental casts and X-ray were made before operation period (T1), and post distraction (T2). On the casts were determined points: on cusps of maxillary canines (3-3), first maxillary premolars (4-4) and first maxillary molars (6-6). Angles and distances were measured on standard posterior-anterior (PA) images.
Results and discussion:
At the 3-3 level, the average expansion was 5.8 mm, at the 4-4 level the average expansion was 7.3 mm, at the level of 6-6 palatial cusps the average expansion was 6.11 mm. Measurements in the PA X-ray were performed at the nasal cavity, with the average dimensions being 29.03 mm before treatment, and 31.95 mm post-treatment. The angle was measured between first molars (6-6_ang) and the anterior nasal spine before and after treatment, with a significant change in that angle from 98.93° on average to 102.89° after distraction.
Conclusions:
Use of maxillary distraction osteogenesis with bone-borne device in maxillary expansion is an effective treatment method. Maxillary expansion results in increase of the nasal cavity. Used distractor is easy to operate for the patient.
FUNDING
Study was founded by Medical University Grad No 503/5-061-02/503-51-001.
REFERENCES (47)
1.
Rice DPC, Rice R, Thesleff I. Molecular mechanisms in calvarial bone and suture development, and their relation to craniosynostosis. Eur J Orthod. 2003;25:139–148.
2.
Koudstaal MJ, van der Wal KGH, Wolvius EB, Schulten AJM. The Rotterdam Palatal Distractor: introduction of the new bone-borne device and report of the pilot study. Int J Oral Maxillofac Surg. 2006;35:31–35.
3.
Haas AJ. Palatal expansion: just the beginning of dentofacial orthopedics. Am J Orthod. 1970;57:219–255.
4.
Huynh T, Kennedy DB, Joondeph DR, Bollen A-M. Treatment response and stability of slow maxillary expansion using Haas, hyrax, and quad-helix appliances: a retrospective study. Am J Orthod Dentofacial Orthop. Sep 2009;136(3):331–339.
5.
Pinto PX, Mommaerts MY, Wreakes G, Jacobs WV. Immediate postexpansion changes following the use of the transpalatal distractor. J Oral Maxillofac Surg. 2001;59(9):994–1000.
6.
Northway WM, Meade JB. Surgically assisted rapid maxillary expansion: a comparison of technique, response, and stability. Angle Orthod. 1997;67:309–320.
7.
Byloff FK, Mossaz CF. Skeletal and dental changes following surgically assisted rapid palatal expansion. Eur J Orthod. 2004;26:403–409.
8.
Chrcanovic BR, Custódio N. Orthodontic or surgically assisted rapid maxillary expansion. Oral Maxillofac Surg. 2009;13(3):123–137.
9.
Persson M, Thilander B. Palatal suture closure in man from 15 to 35 years of age. Am J Orthod. 1977;72:42–52.
10.
Korn EL, Baumrind S. Transverse development of the human jaws between the ages of 8.5 and 15.5 years, studied longitudinally with use of implants. J Dent Res. 1990;69:1298–1306.
11.
Seeberger R, Kater W, Davids R, Thiele OC. Long term effects of surgically assisted rapid maxillary expansion without performing osteotomy of the pterygoid plates. J Craniomaxillofac Surg. 2010;38:175–178.
12.
Reinbacher KE, Wallner J, Pau M, et al. Surgically assisted rapid maxillary expansion: feasibility of not releasing the nasal septum. Int J Oral Maxillofac Surg. 2013;42(3):321–325.
13.
Bailey LJ, White RP, Proffit WR, Turvey TA. Segmental LeFort I osteotomy for management of transverse maxillary deficiency. J Oral Maxillofac Surg. 1997;55(7):728–731.
14.
Greenbaum KR, Zachrisson BU. The effect of palatal expansion therapy on the periodontal supporting tissues. Am J Orthod. 1982;81:12–21.
15.
Neyt NMF, Mommaerts MY, Abeloos JVS, De Clercq CaS, Neyt LF. Problems, obstacles and complications with transpalatal distraction in non-congenital deformities. J Craniomaxillofac Surg. 2002;30:139–143.
16.
Günbay T, Akay MC, Günbay S, Aras A, Koyuncu BO, Sezer B. Transpalatal distraction using bone-borne distractor: clinical observations and dental and skeletal changes. J Oral Maxillofac Surg. 2008;66(12):2503–2514.
17.
Wertz RA. Skeletal and dental changes accompanying rapid midpalatal suture opening. Am J Orthod. 1970;58:41–66.
18.
Zimring JF, Isaacson RJ. Forces produced by rapid maxillary expansion: Part I. Angle Orthod. 1964;34:256–260.
19.
RJI. Ingram AH. Forces produced by rapid maxillary expansion. II. Angle Orthod. 1964;34:261–270.
20.
Mommaerts MY. Transpalatal distraction as a method of maxillary expansion. Br J Oral Maxillofac Surg. 1999;37:268–272.
21.
Koudstaal MJ, Poort LJ, van der Wal KGH, Wolvius EB, Prahl-Andersen B, Schulten AJM. Surgically assisted rapid maxillary expansion (SARME): a review of the literature. Int J Oral Maxillofac Surg. 2005;34(7):709–714.
22.
Nada RM, Fudalej PS, Maal TJJ, Bergé SJ, Mostafa Ya, Kuijpers-Jagtman AM. Three-dimensional prospective evaluation of tooth-borne and bone-borne surgically assisted rapid maxillary expansion. J Craniomaxillofac Surg. Dec 2012;40(8):757–762.
23.
Langford SR, Sims MR. Root surface resorption, repair, and periodontal attachment following rapid maxillary expansion in man. Am J Orthod. 1982;81:108–115.
24.
Langford SR. Root resorption extremes resulting from clinical RME. Am J Orthod. 1982;81:371–377.
25.
Barber AF, Sims MR. Rapid maxillary expansion and external root resorption in man: a scanning electron microscope study. Am J Orthod. 1981;79:630–652.
26.
Carmen M, Marcella P, Giuseppe C, Roberto A. Periodontal evaluation in patients undergoing maxillary expansion. J Craniofac Surg. 2000;11:491–494.
27.
Garib DG, Henriques JFC, Janson G, Freitas MR, Coelho RA. Rapid maxillary expansion – tooth tissue-borne versus tooth-borne expanders: a computed tomography evaluation of dentoskeletal effects. Angle Orthod. 2005;75:548–557.
28.
Mis K. Selected palatal suture expansion techniques in the treatment of transverse maxillary narrowings – literature review. 2013;20:160–163.
29.
Ballanti F, Lione R, Fanucci E, Franchi L, Baccetti T, Cozza P. Immediate and post-retention effects of rapid maxillary expansion investigated by computed tomography in growing patients. Angle Orthod. 2009;79(1):24–29.
30.
Verstraaten J, Kuijpers-Jagtman AM, Mommaerts MY, Bergé SJ, Nada RM, Schols JGJ. A systematic review of the effects of bone-borne surgical assisted rapid maxillary expansion. J Craniomaxillofac Surg. 2010;38:166–174.
31.
Han UA, Kim Y, Park JU. Three-dimensional finite element analysis of stress distribution and displacement of the maxilla following surgically assisted rapid maxillary expansion. J Craniomaxillofac Surg. 2009;37(3):145–154.
32.
Lagravère MO, Carey J, Heo G, Toogood RW, Major PW. Transverse, vertical, and anteroposterior changes from bone-anchored maxillary expansion vs traditional rapid maxillary expansion: a randomized clinical trial. Am J Orthod Dentofacial Orthop. 2010;137(3). 304.e1–12; discussion 304–5.
33.
Boryor A, Hohmann A, Wunderlich A, et al. In-vitro results of rapid maxillary expansion on adults compared with finite element simulations. J Biomech. 2010;43(7):1237–1242.
34.
Holberg C, Steinhäuser S, Rudzki I. Surgically assisted rapid maxillary expansion: midfacial and cranial stress distribution. Am J Orthod Dentofacial Orthop. 2007;132(6):776–782.
35.
Aras A, Akay MC, Is E. Dimensional changes of the nasal cavity after transpalatal distraction using bone-borne distractor: an acoustic rhinometry and computed tomography evaluation. 2010;1487–1497.
36.
Pinto PX, Mommaerts MY, Wreakes G, Jacobs W. Posterior transpalatal distraction osteogenesis. J Oral Maxillofac Surg. 2002;60(5):p606.
37.
Schwarz GM, Thrash WJ, Byrd DL, Jacobs JD. Tomographic assessment of nasal septal changes following surgical-orthodontic rapid maxillary expansion. Am J Orthod. 1985;87:39–45.
38.
Lima SM, de Moraes M, Asprino L. Photoelastic analysis of stress distribution of surgically assisted rapid maxillary expansion with and without separation of the pterygomaxillary suture. J Oral Maxillofac Surg. 2011;69 (6):1771–1775.
39.
Lehman JA, Haas AJ, Haas DG. Surgical orthodontic correction of transverse maxillary deficiency: a simplified approach. Plast Reconstr Surg. 1984;73:62–68.
40.
Kilic E, Kilic B, Kurt G, Sakin C, Alkan A. Effects of surgically assisted rapid palatal expansion with and without pterygomaxillary disjunction on dental and skeletal structures: a retrospective review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;115(2):167–174.
41.
Cao Y, Zhou Y, Song Y, Vanarsdall RL. Cephalometric study of slow maxillary expansion in adults. Am J Orthod Dentofacial Orthop. 2009;136(3):348–354.
42.
Handelman CS, Wang L, BeGole EA, Haas AJ. Nonsurgical rapid maxillary expansion in adults: report on 47 cases using the Haas expander. Angle Orthod. 2000;70(2):129–144.
43.
Kanekawa M, Shimizu N. Age-related changes on bone regeneration in midpalatal suture during maxillary expansion in the rat. Am J Orthod Dentofacial Orthop. 1998;114(6):646–653.
44.
Lanigan DT, Mintz SM. Complications of surgically assisted rapid palatal expansion: review of the literature and report of a case. J Oral Maxillofac Surg. 2002;60(1):104–110.
45.
Kretschmer WB, Baciut G, Baciut M, Zoder W, Wangerin K. Stability of Le Fort I osteotomy in bimaxillary osteotomies: single-piece versus 3-piece maxilla. J Oral Maxillofac Surg. 2010;68:372–380.
46.
Proffit WR, Turvey TA, Phillips C. Orthognathic surgery: a hierarchy of stability. Int J Adult Orthodon Orthognath Surg. 1996;11:191–204.
47.
Charezinski M, Balon-Perin A, Deroux E, De Maertelaer V, Glineur R. Transverse maxillary stability assisted by a transpalatal device: a retrospective pilot study of 9 cases. Int J Oral Maxillofac Surg. 2009;38:937–941.
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
