Evaluation of symmetry behavior of surgically assisted rapid maxillary expansion with simulation-driven targeted bone weakening.

3D superimposition Asymmetry CBCT Surgically assisted rapid maxillary expansion Transpalatal distractor

Journal

Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115

Informations de publication

Date de publication:
Dec 2021
Historique:
received: 15 12 2020
accepted: 19 04 2021
pubmed: 6 5 2021
medline: 23 11 2021
entrez: 5 5 2021
Statut: ppublish

Résumé

Surgically assisted rapid maxillary expansion (SARME) is a treatment modality to overcome maxillary constrictions. During the procedure of transverse expansion, unwanted asymmetries can occur. This retrospective study investigates the transverse expansion behavior of the maxilla utilizing a simulation-driven SARME with targeted bone weakening. Cone beam computer tomographies of 21 patients before (T1) and 4 months after treatment (T2) with simulation-driven SARME combined with a transpalatal distractor (TPD) and targeted bone weakening were superimposed. The movements of the left, right, and frontal segments were evaluated at the modified WALA ridge, mid root level, and at the root tip of all upper teeth. Linear and angular measurements were performed to detect dentoalveolar changes. Dentoalveolar changes were unavoidable, and buccal tipping of the premolars (6.1° ± 5.0°) was significant (p < 0.05). Transverse expansion in premolar region was higher (6.13 ± 4.63mm) than that in the molar region (4.20 ± 4.64mm). Expansion of left and right segments did not differ significantly (p > 0.05). Simulation-driven SARME with targeted bone weakening is effective to achieve symmetrical expansion in the transverse plane. Simulation-driven targeted bone weakening is a novel method for SARME to achieve symmetric expansion. Dental side effects cannot be prohibited.

Identifiants

pubmed: 33948683
doi: 10.1007/s00784-021-03958-w
pii: 10.1007/s00784-021-03958-w
pmc: PMC8602202
doi:

Types de publication

Journal Article

Langues

eng

Pagination

6717-6728

Informations de copyright

© 2021. The Author(s).

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Auteurs

S Chhatwani (S)

Department of Orthodontics, Faculty of Health, University of Witten/Herdecke, Alfred-Herrhausen-Str. 45, 58455, Witten, Germany. sachin.chhatwani@uni-wh.de.

K Schudlich (K)

Department of Orthodontics, Faculty of Health, University of Witten/Herdecke, Alfred-Herrhausen-Str. 45, 58455, Witten, Germany.

S C Möhlhenrich (SC)

Department of Orthodontics, Faculty of Health, University of Witten/Herdecke, Alfred-Herrhausen-Str. 45, 58455, Witten, Germany.

A Pugachev (A)

CADFEM Medical GmbH, Marktplatz 2, 85567, Grafing, Germany.

A Bicsak (A)

Department of Cranial and Maxillofacial Surgery, Faculty of Health, University of Witten/Herdecke, Klinikum Nord, Münsterstr. 240, 44145, Dortmund, Germany.

B Ludwig (B)

Private orthodontic clinic, Am Bahnhof 54, 56841, Traben-Trarbach, Germany.

S Hassfeld (S)

Department of Cranial and Maxillofacial Surgery, Faculty of Health, University of Witten/Herdecke, Klinikum Nord, Münsterstr. 240, 44145, Dortmund, Germany.

G Danesh (G)

Department of Orthodontics, Faculty of Health, University of Witten/Herdecke, Alfred-Herrhausen-Str. 45, 58455, Witten, Germany.

L Bonitz (L)

Department of Cranial and Maxillofacial Surgery, Faculty of Health, University of Witten/Herdecke, Klinikum Nord, Münsterstr. 240, 44145, Dortmund, Germany.

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