NDLI: Changes after surgically-assisted maxillary expansion (SARME) to the dentoalveolar, palatal and nasal structures by using tooth-borne distraction devices.

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Changes after surgically-assisted maxillary expansion (SARME) to the dentoalveolar, palatal and nasal structures by using tooth-borne distraction devices.

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Changes after surgically-assisted maxillary expansion (SARME) to the dentoalveolar, palatal and nasal structures by using tooth-borne distraction devices.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Seeberger, Robin Kater, Wolfgang Schulte-Geers, Michael Davids, Rolf Freier, Kolja Thiele, Oliver
Description	Country affiliation: Germany Author Affiliation: Seeberger R ( Department of Oral and Maxillofacial Surgery, University Hospital Heidelberg, INF 400, 69120 Heidelberg, Germany. robin.seeberger@med.uni-heidelberg.de)
Abstract	Different devices are available to aid surgically-assisted maxillary expansion. In this study we have evaluated the changes to the anchoring teeth, the hard palate, and the lower nasal passage made by tooth-borne distraction devices. Thirty-one patients (mean (SD) age 28 (2) years) with deficiencies in the transverse width of the maxilla were examined by computed tomography and cone beam scans before and after operation. The data were analysed with the help of Wilcoxon's signed rank test and Spearman's r correlation. The mean (SD) distraction width was 6.5 (2.3) mm. All anchorage teeth were tilted (p<0.01). The axes changed by a mean (SD) of 4.8 (0.9)° in the first premolar and 3.1 (0.8)° in the first molar. The nasal isthmus increased by a mean (SD) of 2.5 (0.3) mm. The hard palate adjacent to the anchoring teeth increased anteriorly by a mean (SD) of 2.8 (0.4) mm and posteriorly by 2.7 (0.4) mm. The hard palate was lowered by 1.2 (0.8) mm. There was a significant correlation in the distraction width, with changes in the intercoronal and interapical distances of the anchoring premolars (p<0.05) and with the interapical distance of the anchoring molars (p<0.01). There was also a correlation between the distraction width and the overall gain in width of the lower nasal passage (p<0.05). The results suggested that surgically-assisted maxillary expansion with tooth-borne devices has significant effects on the anchoring teeth, the nasal floor, and the hard palate. Both tilting of the teeth and an evenly distributed movement of the segments were seen.
File Format	HTM / HTML
ISSN	02664356
Issue Number	5
Volume Number	49
e-ISSN	15321940
Journal	British Journal of Oral and Maxillofacial Surgery
Language	English
Publisher	Elsevier
Publisher Date	2011-07-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Dentistry Discipline General Surgery Alveolar Process Pathology Maxilla Surgery Nose Osteogenesis, Distraction Instrumentation Palatal Expansion Technique Palate, Hard Tooth Adult Bicuspid Cephalometry Cone-beam Computed Tomography Dental Arch Female Follow-up Studies Humans Male Malocclusion Molar Nasal Cavity Retrospective Studies Tomography, X-ray Computed Tooth Apex Tooth Root Journal Article
Content Type	Text
Resource Type	Article
Subject	Oral Surgery Otorhinolaryngology Surgery

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