Complications related to surgically assisted rapid palatal expansion

Dergin, Gühan; Aktop, Sertaç; Varol, Altan; Uğurlu, Faysal; Garip, Hasan

doi:10.1016/j.oooo.2015.01.008

Cited by 39 publications

(62 citation statements)

References 43 publications

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“…[24][25][26]. Conventional OME before closure of the mid-palatal suture has been reported to be highly successful in young patients, but this technique is not indicated in skeletally mature individuals because suture closure and the completion of transverse growth limit the range of maxillary expansion [27]. OME can produce unwanted effects when used in a skeletally mature patient, including lateral tipping of the posterior teeth [28][29][30][31][32], periodontal membrane compression, buccal root resorption [26,[33][34][35][36], alveolar bone bending [29], fenestration of the buccal cortex [37][38][39], palatal tissue necrosis [40], inability to open the midpalatal suture, pain, and instability of the expansion.…”

Section: The Recommended Approach In Such Situations Is Surgically Asmentioning

confidence: 99%

“…OME can produce unwanted effects when used in a skeletally mature patient, including lateral tipping of the posterior teeth [28][29][30][31][32], periodontal membrane compression, buccal root resorption [26,[33][34][35][36], alveolar bone bending [29], fenestration of the buccal cortex [37][38][39], palatal tissue necrosis [40], inability to open the midpalatal suture, pain, and instability of the expansion. [26,27,29,33]. Bell and Epker showed that attempting OME with a palatal appliance in a skeletally mature patient may lead to pain and necrosis of the palatal mucosa.…”

Section: The Recommended Approach In Such Situations Is Surgically Asmentioning

confidence: 99%

“…Bell and Epker showed that attempting OME with a palatal appliance in a skeletally mature patient may lead to pain and necrosis of the palatal mucosa. [27,41]. Timms and Moss [36] showed histologic evidence of external root resorption and pulpal changes, including the laying down of secondary dentin and pulp stones when performing OME [27,33].…”

Section: The Recommended Approach In Such Situations Is Surgically Asmentioning

confidence: 99%

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Complications in surgically assisted rapid maxillary expansion: a systematic review of the medical literature

Olszewski¹,

Wiśniewski

2019

Nemesis

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Our aim was to perform a systematic open-access review of various complications reported for surgically assisted rapid maxillary expansion (SARME) procedures. There were 37 articles found in Pubmed using the search equation. Twelve articles were initially excluded according to the exclusion criteria. The 25 remaining articles were read in full for their descriptions of complications related to the SARME procedure in mature patients. The main reversible complications of SARME were infection, postoperative pain, and bleeding. There were also complications related to distractors, to secondary surgeries, and pterygomaxillary junction. The main non-reversible complications of SARME were associated with teeth, periodontal bone loss, and skull base fractures. Large field-of-view cone beam computed tomography (maxilla and skull base) should be implemented as initial planning tool to prevent many potential complications. The current trend for “minimally invasive” surgery in SARME might be, from an ethical point of view, transformed onto “minimally complicated” surgery as complication is still more harmful for any given patient than any potential perioperative surgical invasiveness.

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Section: The Recommended Approach In Such Situations Is Surgically Asmentioning

confidence: 99%

Section: The Recommended Approach In Such Situations Is Surgically Asmentioning

confidence: 99%

Section: The Recommended Approach In Such Situations Is Surgically Asmentioning

confidence: 99%

See 1 more Smart Citation

Complications in surgically assisted rapid maxillary expansion: a systematic review of the medical literature

Olszewski¹,

Wiśniewski

2019

Nemesis

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“…As disadvantages of this type of appliance, the authors may cite the high cost, risk of lesions to dental roots during placement of the screw, risk of loss of the screw and the need to remove the appliance under local anesthetic after the period of bone consolidation. [2][3][4] In the current literature, there are innumerable studies describing the use of surgically assisted maxillary expansion to treat bilateral transverse discrepancies. However, little or nothing has been described about the treatment of unilateral maxillary discrepancy without association of cleft palates.…”

Section: Descriptors | Palatal Expansionmentioning

confidence: 99%

Unilateral surgical maxillary expansion with palatal distractor allowing traction of impacted canine

Dávila

Espínola

Silva³

et al. 2018

Clin Lab Res Dent

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Objectives: Bone-to-bone or palatal distractor has as the main advantage the fact that mechanical forces act directly on the bone in the desired area, thereby avoiding dental inclinations or undesirable movements of the maxillary segments, as well as causing no damage to the periodontium. The aim of this study is to present a case report of treatment for unilateral maxillary discrepancy associated with the presence of an impacted maxillary left canine with this type of device. Methods: A 23-year-old man was diagnosed with unilateral maxillary discrepancy associated with an impacted maxillary left canine. He was treated using unilateral subtotal LeFort I osteotomy with a palatal distractor tool associated with traction of the impacted maxillary left canine. Results: The results obtained were satisfactory and the desired amount of unilateral transverse skeletal correction was achieved without any complications. Conclusion: The authors could conclude that unilateral surgically assisted maxillary expansion with the aid of palatal distractor was efficient and promoted good occlusion with reduced morbidity.

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“…Three patients informed excessive lacrimation postoperatively. Pain and numbness were also reported, but they were temporary findings [20].…”

Section: Literature Reviewmentioning

confidence: 99%

Relevant Aspects in Surgical Expansion Osteotomies Used in the Management of Maxillary Atresia for Efficiency and Stability

Oliveira¹,

Mendonça²,

Oliveira³

et al. 2017

Int Arch Oral Maxillofac Surg

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by uni or bilateral posterior cross-biting, parafunctional buccal habits, alterations in swallowing, respiratory dysfunctions or hereditary or congenital problems then we can detect alterations in those relations. It has been estimated that maxillary transverse deficiency affects 15% of adolescents and as much as 30% of the adult population [2].Clinical and radiographic examinations and the study of models help in the diagnosis of maxillary transverse deficiency [3]. Clinical indicators for the presence of transverse deficiency are: paranasal sinus hypoplasia, shortening of the nasal base, deepening of the nasogenial groove and zygomatic hypoplasia. Cross-biting, dental crowding, mal-positioning of the teeth in the palatine region, narrowing of the superior arch and high narrow palatine can also be part of this condition leading to negative space in the buccal passage and alterations in the soft tissues. In radiographic terms, superimposing frontal cephalometric radiographs taken over a period of time allows for comparisons of linear measurements [4,5].Transverse maxillary Atresia is associated to functional and aesthetic harm involving unilateral or bilateral cross-biting, vestibular or palatine inclination of the posterior teeth, ogival palate, narrow maxillary arch, evidence of negative space in the buccal corridor and alterations to the soft tissues among which we can mention narrow alar base, and flattening of the paranasal region [4,5]. The causes of those discrepancies include, hereditary causes, traumatic damage, whether iatro- AbstractTo obtain a functional and stable occlusion, it is important to have an adequate transverse maxillary dimension. It is estimated that 8 to 18% of patients seeking an orthodontic assessment present alterations to that dimension associated to multiple etiological factors. Orthopaedic palatal expansion is a successful treatment before palatal suture closure, which occurs around 14 to 15 years of age in males and 15 to 16 in females. However, once bone maturity has occurred, such procedures have poor results. The preferable indication is surgically assisted rapid maxillary expansion which is also recommended in cases of severe maxillary atresia accompanied by tilting, or when there is real unilateral, maxillary deficiency or horizontal bone loss, etc. We discuss this technique, when it is indicated, its efficacy, stability, possible complications according to the indication, and factors that contribute to its success.

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Complications related to surgically assisted rapid palatal expansion

Cited by 39 publications

References 43 publications

Complications in surgically assisted rapid maxillary expansion: a systematic review of the medical literature

Complications in surgically assisted rapid maxillary expansion: a systematic review of the medical literature

Unilateral surgical maxillary expansion with palatal distractor allowing traction of impacted canine

Relevant Aspects in Surgical Expansion Osteotomies Used in the Management of Maxillary Atresia for Efficiency and Stability

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