Digital workflow for mini-implant-assisted rapid palatal expander fabrication-a case report.
Digital workflow
MARPE
MSE
Maxillary expansion
Journal
BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684
Informations de publication
Date de publication:
20 11 2023
20 11 2023
Historique:
received:
12
03
2023
accepted:
27
10
2023
medline:
22
11
2023
pubmed:
21
11
2023
entrez:
21
11
2023
Statut:
epublish
Résumé
Non-surgical mini-implant assisted rapid palatal expansion, or midfacial skeletal expansion, is a paradigm-shifting concept that in recent years has expanded the envelope of orthopedic movement in the transverse direction for adult patients. Although adding mini-screws to a rapid palatal expander is not complicated, accurate and successful expansion strongly depends on the device's position and its relation to the resisting structures of the maxillofacial complex. This article presents a digital workflow to locate the optimal position of the Midfacial Skeletal Expander (MSE) device in a CBCT-combined intraoral scan file and describes how to transfer the MSE position intra-orally with properly sized bands during the device fabrication. The complete digital workflow of MSE fabrication and its application for a Class III orthognathic surgical case is presented in detail. This report describes a completely digital process that can accurately position the MSE device according to the orientation and morphology of maxillary basal bone, which is crucial in adult cases demand maxillary expansion.
Sections du résumé
BACKGROUND
Non-surgical mini-implant assisted rapid palatal expansion, or midfacial skeletal expansion, is a paradigm-shifting concept that in recent years has expanded the envelope of orthopedic movement in the transverse direction for adult patients. Although adding mini-screws to a rapid palatal expander is not complicated, accurate and successful expansion strongly depends on the device's position and its relation to the resisting structures of the maxillofacial complex.
CASE PRESENTATION
This article presents a digital workflow to locate the optimal position of the Midfacial Skeletal Expander (MSE) device in a CBCT-combined intraoral scan file and describes how to transfer the MSE position intra-orally with properly sized bands during the device fabrication. The complete digital workflow of MSE fabrication and its application for a Class III orthognathic surgical case is presented in detail.
CONCLUSIONS
This report describes a completely digital process that can accurately position the MSE device according to the orientation and morphology of maxillary basal bone, which is crucial in adult cases demand maxillary expansion.
Identifiants
pubmed: 37985987
doi: 10.1186/s12903-023-03589-5
pii: 10.1186/s12903-023-03589-5
pmc: PMC10659097
doi:
Substances chimiques
Dental Implants
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
887Informations de copyright
© 2023. The Author(s).
Références
Am J Orthod Dentofacial Orthop. 2021 Mar;159(3):321-332
pubmed: 33487499
Am J Orthod Dentofacial Orthop. 2010 Mar;137(3):304.e1-12; discussion 304-5
pubmed: 20197161
J Contemp Dent Pract. 2019 Sep 1;20(9):1102-1107
pubmed: 31797837
Am J Orthod. 1982 Oct;82(4):329-42
pubmed: 6961805
Int Orthod. 2022 Mar;20(1):100603
pubmed: 34972642
Am J Orthod Dentofacial Orthop. 1999 Jul;116(1):31-40
pubmed: 10393578
Angle Orthod. 2021 Mar 1;91(2):187-194
pubmed: 33351888
Angle Orthod. 2005 Nov;75(6):1046-52
pubmed: 16448254
Am J Orthod Dentofacial Orthop. 2008 Jul;134(1):8-9
pubmed: 18617096
Am J Orthod Dentofacial Orthop. 2020 May;157(5):651-661
pubmed: 32354438
Angle Orthod. 1965 Jul;35:200-17
pubmed: 14331020
Eur J Orthod. 2015 Dec;37(6):651-5
pubmed: 25700989
Clin Oral Investig. 2022 Mar;26(3):2993-3003
pubmed: 34821980
J Clin Orthod. 2014 Nov;48(11):697-702
pubmed: 25707949
Am J Orthod Dentofacial Orthop. 2016 May;149(5):716-28
pubmed: 27131254
Am J Orthod Dentofacial Orthop. 1997 Oct;112(4):20A-21A
pubmed: 9345145
Am J Orthod Dentofacial Orthop. 2016 Jun;149(6):856-62
pubmed: 27241996
Turk J Orthod. 2019 Jun;32(2):115-118
pubmed: 31294415
Am J Orthod Dentofacial Orthop. 2004 Nov;126(5):569-75
pubmed: 15520689
Prog Orthod. 2020 Nov 23;21(1):42
pubmed: 33225406
Am J Orthod. 1982 Dec;82(6):464-8
pubmed: 6760723
Angle Orthod. 2013 Sep;83(5):851-7
pubmed: 23488528
Angle Orthod. 2016 Sep;86(5):713-20
pubmed: 26938955
Orthod Craniofac Res. 2022 May;25(2):234-242
pubmed: 34403188
Med Devices (Auckl). 2021 Oct 07;14:299-311
pubmed: 34675696
Clin Orthod Res. 2001 May;4(2):86-96
pubmed: 11553090
J Clin Orthod. 2012 Oct;46(10):608-12; quiz 631
pubmed: 23154231
Materials (Basel). 2020 Apr 12;13(8):
pubmed: 32290597
Angle Orthod. 2005 Jul;75(4):548-57
pubmed: 16097223
Am J Orthod Dentofacial Orthop. 2010 Jun;137(6):830-9
pubmed: 20685540
Med Devices (Auckl). 2020 Mar 18;13:93-106
pubmed: 32256130
Am J Orthod Dentofacial Orthop. 2013 Mar;143(3):426-35
pubmed: 23452978
J Am Dent Assoc. 1987 Aug;115(2):257-61
pubmed: 3305654
Am J Orthod Dentofacial Orthop. 2008 Jun;133(6):780-1
pubmed: 18538225
Am J Orthod Dentofacial Orthop. 2021 Sep;160(3):363-373
pubmed: 34175160
Korean J Orthod. 2017 Sep;47(5):313-322
pubmed: 28861393
Prog Orthod. 2018 Nov 19;19(1):46
pubmed: 30450504
Eur J Orthod. 2008 Oct;30(5):437-48
pubmed: 18927087
Prog Orthod. 2020 Jul 13;21(1):18
pubmed: 32656601
Am J Orthod Dentofacial Orthop. 1996 Jun;109(6):639-44
pubmed: 8659474
Angle Orthod. 1999 Jun;69(3):247-50
pubmed: 10371430