AI Article Synopsis
- The study looked at a special dental surgery called surgically assisted rapid maxillary expansion (SARME) to see how well it works, especially for younger and older patients.
- It was found that younger patients (under 20) did better with a specific technique called pterygomaxillary disjunction, while older patients (over 20) had better results without it.
- The results showed that different methods and patient ages affect how much the upper jaw can be widened and how the teeth and bones move during the process.
Article Abstract
Purpose: To assess surgically assisted rapid maxillary expansion (SARME) with or without pterygomaxillary disjunction using a thin volume-rendering technique in variance analysis and in reliability, accuracy, and validity.
Materials And Methods: Thin volume-rendered images of 68 patients were evaluated preoperatively and 2.87 ± 1.59 months after expansion with respect to dentoskeletal effects.
Results: Variance analysis of SARME with pterygomaxillary disjunction showed an important decrease in transverse widening and segmental outward inclination and an increase in vestibular bone plate thickness (premolars) in patients younger than 20 years with bone-borne devices; the greatest increase in transverse widening was in patients with 3-segment osteotomy and tooth-borne devices. Analysis of SARME without pterygomaxillary disjunction showed an important decrease in transverse widening and segmental inward inclination in patients older than 20 years with bone-borne devices; the greatest pterygoid lateral bending was in patients with 2-segment osteotomy and bone-borne devices.
Conclusion: The performance of pterygomaxillary disjunction should depend on patient age (ie, treatment with pterygomaxillary disjunction in those >20 years old; treatment without pterygomaxillary disjunction in those <20 years old). Patients with pterygomaxillary disjunction, 3-segment osteotomy, and tooth-borne devices tended to show an increase in transverse widening but at the price of greater attachment loss. Patients younger than 20 years with pterygomaxillary disjunction and bone-borne devices tended to show an increase in vestibular bone plate (premolars) but at the price of decrease in transverse widening.
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| http://dx.doi.org/10.1016/j.joms.2010.12.007 | DOI Listing |
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