Adult Nonsurgical Maxillary and Concurrent Mandibular Expansion; Treatment of Maxillary Transverse Deficiency and Bidental Arch Constriction

Handelman, Chester S.

doi:10.1053/j.sodo.2011.10.012

Cited by 19 publications

(25 citation statements)

References 22 publications

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“…The mandibular transarch widths were <33 mm at the first molar and <25 mm at the first premolar. These measures were less than in subjects with normal transarch widths . Most subjects were Caucasian females but included two Asian and two African Americans.…”

Section: Methodsmentioning

confidence: 80%

“…The E‐group received a modified Haas expander (Figure A) and a fixed mandibular expansion appliance* (see endnote) (Figure B) . It must be emphasized that the maxillary expander must be properly fabricated.…”

Section: Methodsmentioning

confidence: 99%

“…It must be emphasized that the maxillary expander must be properly fabricated. All the outer edges of the acrylic pads must be beveled (Figure A), not extend into the 2nd molar region, and be 2‐3 mm away from the wires on the lingual of the posterior teeth . Failure to follow these fabrication procedures will result in tissue hypertrophy and pain and require removal of the appliance.…”

Section: Methodsmentioning

confidence: 99%

“…(A) Modified Haas expander: reproduced with permission . (B) Mandibular fixed lateral expander: reproduced with permission…”

Section: Methodsmentioning

confidence: 99%

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Bimaxillary transverse constriction in adults: Short‐term follow‐up of non‐surgical arch expansion

Handelman

Balakrishnan²,

BeGole

et al. 2019

Orthod Craniofacial Res

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Objective Concurrent maxillary and mandibular expansion is a treatment option for patients with maxillary and mandibular transverse constriction. These patients do not present with crossbite but require expansion due to narrow arches and associated crowding, dark buccal corridors and decreased anterior arch contour. The objective of the study is to first establish Bimaxillary Transverse Constriction as an under‐recognized malocclusion and second to evaluate whether in adults the maxillary and mandibular arches can be successfully and safely expanded. Setting and Sample Population Pre‐ and post‐treatment study models and lateral cephalograms of 31 adults with Bimaxillary Transverse Constriction expanded non‐surgically were analysed. Thirty adult orthodontic patients who did not require expansion served as a control. Expanders were turned no more frequently than every other day in the maxilla and every third day in the mandible. Materials and Methods Measurements in both arches made on OrthoCAD models were transarch widths, molar and premolar axial angulation, clinical crown height of posterior teeth and cuspids, and mandibular divergence. Retrospective comparison of the 2 groups used independent Student's t tests for mean differences between groups. Results At pre‐treatment, the expansion group demonstrated significant transverse constriction compared with the control. Increased widths were achieved in the expansion group (4 mm in the maxilla and 2.5 mm in the mandible), while the control group was unchanged. The mandibular plane was unchanged. There was no buccal attachment loss. Conclusion Non‐surgical expansion in the maxilla and mandible is a viable treatment option for adult patients with Bimaxillary Transverse Constriction.

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Section: Methodsmentioning

confidence: 80%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…(A) Modified Haas expander: reproduced with permission . (B) Mandibular fixed lateral expander: reproduced with permission…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Bimaxillary transverse constriction in adults: Short‐term follow‐up of non‐surgical arch expansion

Handelman

Balakrishnan²,

BeGole

et al. 2019

Orthod Craniofacial Res

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show abstract

“…Also in the treatment of transverse maxillary deficiency, efforts are being made to reduce the extent 21,22 or the number of surgical procedures for a specific patient, 23 or even not to use surgical assistance. 24,25 In this context, disjunction of the pterygoid plates must be justified. Disjunction of the pterygoid plates increases the duration of the operation, general anesthesia is usually required, and trauma of the palatine artery or the cranial nerve are known complications.…”

Section: Resultsmentioning

confidence: 99%

Surgically assisted rapid maxillary expansion: Cone-beam computed tomography evaluation of different surgical techniques and their effects on the maxillary dentoskeletal complex

Sygouros¹,

Motro

Uğurlu

et al. 2014

American Journal of Orthodontics and Dentofacial Orthopedics

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Analysis of dentoalveolar structures with novel corticotomy-facilitated mandibular expansion: A 3-dimensional finite element study

Ajmera

Singh

Wang

et al. 2017

American Journal of Orthodontics and Dentofacial Orthopedics

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Adult Nonsurgical Maxillary and Concurrent Mandibular Expansion; Treatment of Maxillary Transverse Deficiency and Bidental Arch Constriction

Cited by 19 publications

References 22 publications

Bimaxillary transverse constriction in adults: Short‐term follow‐up of non‐surgical arch expansion

Bimaxillary transverse constriction in adults: Short‐term follow‐up of non‐surgical arch expansion

Surgically assisted rapid maxillary expansion: Cone-beam computed tomography evaluation of different surgical techniques and their effects on the maxillary dentoskeletal complex

Analysis of dentoalveolar structures with novel corticotomy-facilitated mandibular expansion: A 3-dimensional finite element study

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