Dental and Medical Problems

Dent Med Probl
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Dental and Medical Problems

2015, vol. 52, nr 4, October-December, p. 499–504

doi: 10.17219/dmp/58729

Publication type: clinical case

Language: English

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

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Surgically Assisted Rapid Palatal Expansion Using Piezosurgery – Case Report

Chirurgicznie wspomagane rozszerzenie szczęki z użyciem piezosurgery – opis przypadku

Rafał Koszowski1,A,C,D,E,F, Janusz Myrda2,A,C,E, Aleksandra Myrda2,B,D, Monika Gardiasz3,B,D, Sylwia Wójcik1,B,D

1 Chair of Dental Surgery, Department of Cranio-Maxillofacial Surgery and Oral Surgery, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Zabrze, Poland

2 Private practice, Częstochowa, Poland

3 Chair and Department of Paedodontics, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Zabrze, Poland

Abstract

When planning orthodontic treatment in young adult patients with substantial maxillary stenosis, there are indications for combined surgical and orthodontic treatment. These are difficult patients for whom only orthodontic maxillary expansion would involve a risk of vestibular protrusion or extrusion of the posterior teeth, fenestration in bone lamella, inability to open palatal suture or a tendency to recurrences upon completion of the treatment. The aim of surgically assisted rapid palatal expansion (SARPE) procedure is to overcome the bone resistance to the maxillary expansion device. Ultrasonic bone cutting techniques (piezosurgery), used so far with great success as they enable selective tissue cutting, appear to be particularly useful for those surgical procedures which involve a risk of damaging important anatomic structures. Maxillary cortical osteotomy using a piezosurgical device was performed in a patient with substantial stenosis of upper dental arch within the bone base accompanied by bilateral cross bite. After nine months a significant maxillary expansion and no cross bite were observed. Piezosurgery used for osteotomy in the maxillary lateral segment enabled microinvasive operation with minimal risk of damage to the maxillary sinusal mucosa.

Key words

piezosurgery, combined surgical and orthodontic treatment, cortical osteotomy, maxillary stenosis

Słowa kluczowe

piezosurgery, leczenie zespołowe chirurgiczno-ortodontyczne, osteotomia kortykalna, zwężenie szczękowe

References (17)

  1. Suri L., Taneja P.: Surgically assisted rapid palatal expansion: A literature review. Am. J. Orthod. Dentofacial. Orthop. 2008, 133, 290–302.
  2. Kennedy J.W., Bell W.H., Kimbrough O.L., Barry James W.: Osteotomy as an adjunct to rapid maxillary expansion. Am. J. Orthod. 1976, 70, 123–137.
  3. Koudstall M.J., Poort L.J., van der Wal K.G., Wolvius E.B., Prahl-Andersen B., Schulten A.J.M.: Surgically assisted rapid maxillary expansion (SARME): A review of the literature. Int. J. Oral Maxillofac. Surg. 2005, 34, 709–714.
  4. Timms D.J., Vero D.: The relationship of rapid maxillary expansion to surgery with special reference to midpalatal synostosis. Br. J. Oral Surg. 1981, 19, 180–196.
  5. Melsen B.: Palatal growth studied on human autopsy material. A histologic microradiographic study. Am. J. Orthod. 1975, 68, 42–54.
  6. Persson M., Thilander B.: Palatal suture closure in man from 15 to 35 years of age. Am. J. Orthod. 1977, 72, 42–52.
  7. Lines P.A.: Adult rapid maxillary expansion with corticotomy. Am. J. Orthod. 1975, 67, 44–56.
  8. Bell W.H., Jacobs J.D.: Surgical-orthodontic correction of horizontal maxillary deficiency. J. Oral Surg. 1979, 37, 897–902.
  9. Kennedy J.W., Bell W.H., Kimbrough O.L., James W.B.: Osteotomy as an adjunct to rapid maxillary expansion. Am. J. Orthod. 1976, 70, 123–137.
  10. Kole H.: Surgical operations on the alveolar ridge to correct occlusal abnormalities. Oral Surg. Oral Med. Oral Pathol. 1959, 12, 515–529.
  11. Kurzawski M., Biedziak B.: Construction and function of nickel titanium palatal expander (NPE−2®). Dent. Med. Probl. 2004, 41, 549–552 [in Polish].
  12. Tausche E., Deeb W., Hansen L., Hietschold V., Harzer W., Schneider M.: CT analysis of nasal volume changes after surgically assisted rapid maxillary expansion. J. Orofac. Orthop. 2009, 70, 306–317.
  13. Taspinar F., Ucuncu H., Bishara S.E.: Rapid maxillary expansion and conductive hearing loss. Angle Orthod. 2003, 73, 669–673.
  14. Labanca M., Flavio A.: Piezoelectric surgery: twenty years of use. Br. J. Oral Maxillofac. Surg. 2008, 46, 265–269.
  15. Sohn D.S., Ahn M.R., Lee W.H., Yeo D.S., Lim S.Y.: Piezoelectric osteotomy for intraoral harvesting of bone blocs. Int. J. Periodontics Restorative Dent. 2007, 27, 127–131.
  16. Stubinger S., Kuttenberger J., Filippi A., Sader R., Zeilhofer H.F.: Intraoral piezosurgery: preliminary results of a new technique. J. Oral Maxillofac. Surg. 2005, 63, 1283–1287.
  17. Vercellotti T., De Paoli S., Nevins M.: The piezoelectric bony window osteotomy and sinus membrane elevation: introduction of a new technique for simplification of the sinus augmentation procedure. Int. J. Periodontics Restorative Dent. 2001, 21, 561–567.
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