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Transverse maxillary distraction in patients with periodontal pathology or insufficient tooth anchorage using custom-made devices.

Identifieur interne : 001907 ( PubMed/Curation ); précédent : 001906; suivant : 001908

Transverse maxillary distraction in patients with periodontal pathology or insufficient tooth anchorage using custom-made devices.

Auteurs : Jacinto Fernández-Sanromán [Espagne] ; Montserrat González Donascimento ; Alberto Costas L Pez ; Martín Fernández Ferro ; Ibon Almandoz Berrondo

Source :

RBID : pubmed:20417007

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English descriptors

Abstract

We present our experience using modified Hyrax devices for treating transverse deficiencies of the maxilla in adult patients with periodontal pathology or insufficient tooth anchorage. The surgical technique, clinical indications, and results are discussed.

DOI: 10.1016/j.joms.2009.09.074
PubMed: 20417007

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pubmed:20417007

Le document en format XML

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<title xml:lang="en">Transverse maxillary distraction in patients with periodontal pathology or insufficient tooth anchorage using custom-made devices.</title>
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<name sortKey="Fernandez Sanroman, Jacinto" sort="Fernandez Sanroman, Jacinto" uniqKey="Fernandez Sanroman J" first="Jacinto" last="Fernández-Sanromán">Jacinto Fernández-Sanromán</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Povisa Hospital, Vigo, Spain. jfsan@mundo-r.com</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, Povisa Hospital, Vigo</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="Donascimento, Montserrat Gonzalez" sort="Donascimento, Montserrat Gonzalez" uniqKey="Donascimento M" first="Montserrat González" last="Donascimento">Montserrat González Donascimento</name>
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<name sortKey="L Pez, Alberto Costas" sort="L Pez, Alberto Costas" uniqKey="L Pez A" first="Alberto Costas" last="L Pez">Alberto Costas L Pez</name>
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<name sortKey="Ferro, Martin Fernandez" sort="Ferro, Martin Fernandez" uniqKey="Ferro M" first="Martín Fernández" last="Ferro">Martín Fernández Ferro</name>
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<name sortKey="Berrondo, Ibon Almandoz" sort="Berrondo, Ibon Almandoz" uniqKey="Berrondo I" first="Ibon Almandoz" last="Berrondo">Ibon Almandoz Berrondo</name>
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<name sortKey="Donascimento, Montserrat Gonzalez" sort="Donascimento, Montserrat Gonzalez" uniqKey="Donascimento M" first="Montserrat González" last="Donascimento">Montserrat González Donascimento</name>
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<term>Adolescent</term>
<term>Adult</term>
<term>Cranial Sutures (surgery)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Malocclusion (complications)</term>
<term>Malocclusion (therapy)</term>
<term>Maxilla (abnormalities)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Orthodontic Anchorage Procedures (instrumentation)</term>
<term>Orthodontic Anchorage Procedures (methods)</term>
<term>Orthodontic Appliance Design</term>
<term>Orthodontic Appliances</term>
<term>Osteogenesis, Distraction (instrumentation)</term>
<term>Osteogenesis, Distraction (methods)</term>
<term>Palatal Expansion Technique (instrumentation)</term>
<term>Periodontal Diseases (complications)</term>
<term>Prospective Studies</term>
<term>Treatment Outcome</term>
</keywords>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Appareils orthodontiques</term>
<term>Conception d'appareil orthodontique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies parodontales ()</term>
<term>Malocclusion dentaire ()</term>
<term>Maxillaire ()</term>
<term>Maxillaire (malformations)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâle</term>
<term>Ostéogenèse par distraction ()</term>
<term>Ostéogenèse par distraction (instrumentation)</term>
<term>Procédures d'ancrage orthodontique ()</term>
<term>Procédures d'ancrage orthodontique (instrumentation)</term>
<term>Résultat thérapeutique</term>
<term>Sutures crâniennes ()</term>
<term>Technique d'expansion palatine (instrumentation)</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
</keywords>
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<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Malocclusion</term>
<term>Periodontal Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Orthodontic Anchorage Procedures</term>
<term>Osteogenesis, Distraction</term>
<term>Palatal Expansion Technique</term>
</keywords>
<keywords scheme="MESH" qualifier="malformations" xml:lang="fr">
<term>Maxillaire</term>
<term>Ostéogenèse par distraction</term>
<term>Procédures d'ancrage orthodontique</term>
<term>Technique d'expansion palatine</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Orthodontic Anchorage Procedures</term>
<term>Osteogenesis, Distraction</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Cranial Sutures</term>
<term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Malocclusion</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Orthodontic Appliance Design</term>
<term>Orthodontic Appliances</term>
<term>Prospective Studies</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Appareils orthodontiques</term>
<term>Conception d'appareil orthodontique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies parodontales</term>
<term>Malocclusion dentaire</term>
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<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Ostéogenèse par distraction</term>
<term>Procédures d'ancrage orthodontique</term>
<term>Résultat thérapeutique</term>
<term>Sutures crâniennes</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">We present our experience using modified Hyrax devices for treating transverse deficiencies of the maxilla in adult patients with periodontal pathology or insufficient tooth anchorage. The surgical technique, clinical indications, and results are discussed.</div>
</front>
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<DateCompleted>
<Year>2010</Year>
<Month>07</Month>
<Day>15</Day>
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<DateRevised>
<Year>2010</Year>
<Month>06</Month>
<Day>21</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1531-5053</ISSN>
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<Volume>68</Volume>
<Issue>7</Issue>
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<Year>2010</Year>
<Month>Jul</Month>
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</JournalIssue>
<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
<ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation>
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<ArticleTitle>Transverse maxillary distraction in patients with periodontal pathology or insufficient tooth anchorage using custom-made devices.</ArticleTitle>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">We present our experience using modified Hyrax devices for treating transverse deficiencies of the maxilla in adult patients with periodontal pathology or insufficient tooth anchorage. The surgical technique, clinical indications, and results are discussed.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Eight adult patients (6 females, 2 males) requiring maxillary expansion were studied prospectively between July 2002 and July 2007. All the patients had periodontal pathology or insufficient tooth anchorage preventing the use of conventional Hyrax devices. Patients underwent surgically assisted rapid maxillary expansion with the use of custom-made modified Hyrax devices (bone-borne or tooth-bone-borne devices). Patients received preoperatively (T1), at the end of distraction (T2), at removal of the expansion device (T3), and 12 months after surgery (T4) lateral and posterior anterior cephalograms and study models to measure the width of the anterior and posterior dental arches with a digital sliding calliper.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean age was 28.5 years (range, 18-45 years). A significant widening of the anterior (6.3 +/- 1.6 mm) and posterior (7.1 +/- 1.2 mm) dental arches was demonstrated. No significant differences were found when comparing T3 with T4 measures. No significant complications were found.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The results indicated that maxillary expansion with custom-made devices in adults was an easy, affordable, predictable and stable technique without significant complications in patients who suffer periodontal pathology or patients without enough dental support.</AbstractText>
<CopyrightInformation>Copyright 2010 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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<LastName>Fernández-Sanromán</LastName>
<ForeName>Jacinto</ForeName>
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<Affiliation>Department of Oral and Maxillofacial Surgery, Povisa Hospital, Vigo, Spain. jfsan@mundo-r.com</Affiliation>
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<LastName>Donascimento</LastName>
<ForeName>Montserrat González</ForeName>
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<ForeName>Alberto Costas</ForeName>
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<Language>eng</Language>
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<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
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<DescriptorName UI="D010155" MajorTopicYN="N">Palatal Expansion Technique</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName>
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