Orthodontic treatment of a cleft palate patient with surgically assisted rapid maxillary expansion

被引:0
|
作者
Susami, T
Kuroda, T
Amagasa, T
机构
[1] UNIV TOKYO, FAC MED, DEPT ORAL SURG, BUNKYO KU, 7-3-1 HONGO, TOKYO 113, JAPAN
[2] TOKYO MED & DENT UNIV, DEPT ORTHODONT 2, TOKYO 113, JAPAN
[3] TOKYO MED & DENT UNIV, DEPT ORAL SURG 1, TOKYO 113, JAPAN
来源
CLEFT PALATE-CRANIOFACIAL JOURNAL | 1996年 / 33卷 / 05期
关键词
adult; cleft palate; orthodontic treatment; posterior crossbite; surgically assisted rapid maxillary expansion;
D O I
10.1597/1545-1569(1996)033<0445:OTOACP>2.3.CO;2
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Some adult cleft palate patients show severe maxillary transverse contraction and posterior crossbite, This case report demonstrates successful surgical-orthodontic treatment of such a patient. Surgically assisted rapid maxillary expansion (SA-RME) was completed prior to comprehensive orthodontic treatment, The osteotomy was performed on both the buccal and lingual aspects of the posterior maxillary alveolus, A Hyrax-type maxillary-expansion appliance was used, and the screw (0.2 mm, one quarter turn) was turned two or three times per day, Comprehensive orthodontic treatment was initiated after extraction of the mandibular first premolars and four third molars,The maxillary lateral incisors were also extracted after active orthodontic treatment. The amount of expansion achieved using SA-RME was greater at the posterior than at the anterior maxilla. Midpalatal suture opening occurred, After orthodontic treatment, occlusal stability was satisfactory, This case demonstrates the effectiveness of SA-RME in adult cleft palate patients with severe posterior crossbite.
引用
收藏
页码:445 / 449
页数:5
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