Cephalometric evaluation of patients treated by maxillary anterior segmental distraction: A preliminary report

Bengi, Osman; Karaçay, Şeniz; Akın, Erol; Okçu, Kemal Murat; Ölmez, Hüseyin; Mermut, Sila

doi:10.1016/j.jcms.2006.12.005

Cited by 32 publications

(24 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The use of AMSD is recommended as an alternative method to conventional Le Fort I osteotomy and rigid external distraction systems for CLP patients with severe velopharyngeal incompetence as it does not affect the velopharyngeal sphincter. 7 Patients who have a class I molar relationship, negative or zero overjet, or impacted or malaligned anterior teeth are ideal candidates. 5,17,18 In these patients, the treatment objective should be to create space for the eruption of impacted anterior teeth or for their alignment by increasing the arch length while maintaining the class I molar relationship.…”

Section: Discussionmentioning

confidence: 99%

Anterior segmental distraction osteogenesis in the hypoplastic cleft maxilla: report of five cases

Rao

2015

International Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

Orthognathic surgery and distraction osteogenesis play a prime role in the correction of maxillary hypoplasia in patients with cleft lip and palate (CLP). Advancement of the anterior maxilla alone without interfering with the velopharyngeal sphincter may be advantageous in cleft patients, who more commonly have speech deficits and dental crowding. We present a case series of anterior maxillary segmental distraction for maxillary hypoplasia in 5 CLP patients with a one-year follow-up. A custom-made tooth-borne distraction device with a hyrax screw positioned anteroposteriorly was used. The evaluation comprised of hard and soft tissue analysis and speech assessment. A stable occlusion with positive overjet and correction of dental-crowding without extraction was achieved at one year post-distraction. Facial profile and lip support improved. There was no deterioration in speech.

show abstract

Section: Discussionmentioning

confidence: 99%

Anterior segmental distraction osteogenesis in the hypoplastic cleft maxilla: report of five cases

Rao

2015

International Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

show abstract

“…Advancement using DO is an effective alternative treatment [4][5][6][7]12 , because it is accompanied by soft tissue genesis 8 . DO has advanced craniofacial surgery and has become an established method for the management of craniofacial deformities.…”

Section: Discussionmentioning

confidence: 99%

Anterior segmental distraction of the hypoplastic maxilla by a tooth borne device: a study on the movement of the segment

Okçu

Şençimen

Karaçay

et al. 2009

International Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

“…The first applications in the craniofacial region were performed in the mandible following the report of Snyder (2) who lengthened the lower jaw of a dog. Later on, this approach has been used in the treatment of patients with maxillary hypoplasia (3)(4)(5)(6). In the last decade, distraction osteogenesis of the craniofacial skeleton has become increasingly popular as an alternative to many conventional orthognathic surgical procedures and to date, the mandible, maxilla, entire midface and orbits, as well as cranial bones have been successfully distracted.…”

Section: Introductionmentioning

confidence: 99%

“…In the last decade, distraction osteogenesis of the craniofacial skeleton has become increasingly popular as an alternative to many conventional orthognathic surgical procedures and to date, the mandible, maxilla, entire midface and orbits, as well as cranial bones have been successfully distracted. Premaxillary distraction osteogenesis is a new method used to correct mild midface deficiency while gaining space by increasing the arch parameter (5)(6)(7). Asymmetric application of the premaxillary distraction osteogenesis may be an effective method to correct midline shift and anterior cross bite.…”

Section: Introductionmentioning

confidence: 99%

Treatment of midline shift by asymmetric premaxillary distraction: a case report

Karaçay¹,

Yıldırım²,

Bengi³

et al. 2014

Gulhane Med J

Self Cite

View full text Add to dashboard Cite

Premaxillary distraction osteogenesis is a new method used to correct mild mid-face deficiency. In the presented case asymmetric application of this technique was used. A patient with upper midline shifting 3mm to the left side, Class I molar relationship, and slight anterior cross bite was referred to our clinic for orthodontic treatment. Retrusion of the upper incisors and midline shifting created a space deficiency at the left side of the maxillary arch and the left canine was positioned at vestibule, over the lateral incisor and first premolar teeth. Premaxillary segment was distracted asymmetrically by a tooth-born metal casting distractor designed in our clinic. At the end of treatment midline shift, anterior cross bite, and concave profile were corrected. Additionally, the required space for the alignment of the left canine was gained by the increase of the maxillary arch perimeter. ÖZET Orta hat sapmasının asimetrik premaksiller distraksiyon ile tedavisi: olgu sunumuPremaksiller distraksiyon, hafif dereceli orta yüz yetmezliğini düzeltmek için kullanılan yeni bir yöntemdir. Sunulan olguda, bu tekniğin asimetrik uygulaması kullanılmıştır. Üst orta hattı 3mm sola doğru kaymış, Sınıf I molar ilişkisi ve hafif ön çapraz kapanışı olan bir hasta ortodontik tedavi için kliniğimize başvurmuştur. Üst kesicilerin retrüzyonu ve orta hat sapması maksiller arkın sol tarafında yer yetmezliği yaratmış ve sol kanin diş vestibulde; yan kesici ve birinci küçük azı dişlerinin üzerinde konumlanmıştır. Kliniğimizde tasarlanan diş destekli metal döküm bir distraktör ile premaksiller segment asimetrik olarak distrakte edilmiştir. Tedavinin sonunda orta hat sapması, ön çapraz kapanış ve konkav profil düzeltilmiştir. Ayrıca, maksiller ark perimetresinin artması ile sol kanin dişin seviyelenmesi için gerekli olan yer kazanılmıştır.

show abstract

Cephalometric evaluation of patients treated by maxillary anterior segmental distraction: A preliminary report

Cited by 32 publications

References 18 publications

Anterior segmental distraction osteogenesis in the hypoplastic cleft maxilla: report of five cases

Anterior segmental distraction osteogenesis in the hypoplastic cleft maxilla: report of five cases

Anterior segmental distraction of the hypoplastic maxilla by a tooth borne device: a study on the movement of the segment

Treatment of midline shift by asymmetric premaxillary distraction: a case report

Contact Info

Product

Resources

About