Servicios Personalizados
Revista
Articulo
Indicadores
Links relacionados
Compartir
Revista odontológica mexicana
versión impresa ISSN 1870-199X
Rev. Odont. Mex vol.12 no.4 Ciudad de México dic. 2008
https://doi.org/10.22201/fo.1870199xp.2008.12.4.15629
Casos clínicos
Expansión rápida palatina asistida quirúrgicamente
Expansion of the palatine maxilar suture surgically assisted
*Alumna. Especialidad de Ortodoncia en la División de Estudios de Postgrado e Investigación de la Facultad de Odontología, UNAM.
§Profesor. Especialidad de Ortodoncia en la División de Estudios de Postgrado e Investigación de la Facultad de Odontología, UNAM.
Una técnica ortodóntica-quirúrgica facilita la expansión en la sutura media palatina del maxilar en pacientes adultos. En este procedimiento se realiza una corticotomía en el maxilar y se utiliza un tornillo Hyrax‡ para conseguir la expansión. La separación de la sutura se confirma con una radiografía oclusal y por la presencia de un diastema entre los incisivos centrales del maxilar.
Palabras clave: Expansión rápida palatina; tornillo Hyrax‡
A combination of an orthodontic appliance and a surgical technique makes easy the expansion of the palatine maxilar suture in adults. In this procedure a maxilar corticotomy is done; and a Hyrax‡ screw is used to obtain the expansion. The separation of the suture is confirmed by taking an oclussal X-ray, and it is also confirmed observing the separation of the maxillary central upper incisors.
Key words: Fast palatine expansion; Hyrax‡ screw
REFERENCIAS
1. Angell EC Treatment of irregularities of the permanent or adult teeth. Dent Cosmos 1860; 1: 540-544. [ Links ]
2. Krebs A. Expansion of the midpalatal suture by fixed appliance. An implant study over a 7 year period. Transactions of European Orthod Soc 1958: 141 -142. [ Links ]
3. Krebs A. Rapid expansion of midpalatal suture by studied means of metallic implants. Europ Orthod Soc Report 1964; 34: 163-71. [ Links ]
4. Wertz RA. Skeletal and dental changes accompanying rapid midpalatal suture opening. Am J Orthod 1970; 58 (1): 41-66. [ Links ]
5. Bell WH, Epker BN. Surgical-orthodontic expansion of the maxilla. Am J Orthod 1976; 70: 517-528. [ Links ]
6. Kennedy JW et al. Osteotomy as an adjunct to rapid maxillary expansion. Am J Orthod 1976; 70: 123-137. [ Links ]
7. Lines PA. Adult rapid maxillary expansion with corticotomy. Am J Orthod 1975; 67: 44-56. [ Links ]
8. Timms D, Vero D. The relationship of rapid maxillary expansion to surgery with special reference to mid palatal synostosis. Br J Oral Surg 1981; 19: 180-196. [ Links ]
9. Messer EJ, Bollinger TE, Keller JJ: Surgical-mechanical maxillary expansion. Quintessence International 1979; 8: 13. [ Links ]
10. Jacobs JD et al. Control of the transverse dimension with surgery and orthodontics. Am J Orthod 1976; 77: 123-137. [ Links ]
11. Obwegeser HL. Surgical correction of small or retrodisplaced maxillae. Plast Reconstr Surg 1969; 43(4): 351-65. [ Links ]
12. Steinhauser EW. Midline splitting of the maxillary osteotomy: Anew technique. J Oral Surg 1972; 30(6): 413-22. [ Links ]
13. Kole H. Surgical operations on the alveolar ridge to correct occlusal abnormalities. Oral Surg 1959; 12: 515-528. [ Links ]
14. Glassman AS. Conservative surgical orthodontic adult rapid palatal expansion: sixteen cases. Am J Orthod 1984. [ Links ]
15. Schender A, Epker BN. Result after mandibular advancement surgery an analysis of 87 cases. J Oral Surg 1980; 38: 265. [ Links ]
16. Ellis III E. Carlson DS. Stability two years alter mandibular advancement with and without suprahyoid myotomy: an experimental study. J Oral Maxillofac Surg 1996; 41: 426. [ Links ]
17. Longaker MT, Siebert JW. Microsurgical correction of facial contour in congenital craniofacial malformations; the marriage of hard and soft tissue. Plat Reconstr Surg 1996; 98: 942. [ Links ]
18. Vargervik K, Ousterhout DK, Farias M. Factors affecting long-term results in hemifacial microsomia. Cleft Palate Craniofac J 1986; 23: 53. [ Links ]
19. Samchukov ML. Craniofacial distraction osteogenesis. Mosby 2001, USA. [ Links ]
20. Samchukov ML, Cherkashin AM, Cope JB. Distraction osteogenesis: history and biologic basis of new bone formation. In: Lynch SE. Genco RJ, Marx RE, editors: Tissue engineering: applications in maxillofacial surgery and periodontics. Carol Stream, III, 1998, Quintessence. [ Links ]
21. Aldegheri R, Trivella G, Lavini FM. Epiphyseal distraction: chondrodiatasis. Clin Orthop 1989; 241: 117. [ Links ]
22. Brighton CT. Principles of fracture healing. In instructional course lectures, Rosemont, 1984, American Academy of Orthopaedic Surgeons. [ Links ]
23. Frost HM. The biology of fracture healing: an overview for clinicians, Part 1. Clin Orthop 1989; 248: 283. [ Links ]
24. lrianov YM. Spatial organization of a microcirculatory bed in distraction bone regenerates. Genij Ortopedii 1996; 1:14. [ Links ]
25. Stevens A, Lowe J. Histology. London, 1992, Gower Medical. [ Links ]
26. Wheater P, Burkitt G, Daniels VG. Functional histology. London 1987, Churchill Livingstone. [ Links ]
27. Wall EJ, Massie JB, Kwan MK et al. Experimental stretch neuropathy: changes in nerve conduction under tension. J Bone Joint Surg 1992; 74B: 126. [ Links ]
28. Young NL, Davis RJ, Bell DF, Redmond DM. Electromiographic and nerve conduction changes after the tibial lengthening by the llizarov method. J Pediatri Orthop 1993; 13: 473. [ Links ]
29. Battison B, Buffoli P, Vigasio A et al. the effects of lengthening on nerves. Ital J Orthop Traumatol 1992; 18: 79. [ Links ]
30. Rydevik B, Nordborg C. Changes in nerve function and nerve fibre structure induced by acute, graded experimental nerve compression. J Neurol Neurosurg Psychiatric 1980; 43: 1070. [ Links ]
31. Karp NS, Thorne CH, McCarthy JG, Sisson GA Sr. Bone lengthening in the craniofacial skeleton. Ann Plast Surg 1990; 24: 231. [ Links ]
32. llizarov GA. Transosseous osteosyntesis: Theorical and clinical aspects of the regeneration and growth of tissues. New York, 1992, Springer-Verlag. [ Links ]
33. Barkate HE, Ferrari CS, Plies SM. Orthognatic surgery by distraction osteogenesis: a literature review. Dentistry 1997; 17: 14. [ Links ]
34. Cope JB, Samchukov ML, Cherkasin AM. Mandibular distraction osteogenesis: a historical perspective and future directions. Am J Orthod Dentofacial Orthop 1999; 115: 448. [ Links ]
35. llizarov GA. The tension-stress effect on the genesis and growth of tissues, part II. The influence of the rate and frequency of distraction. Clin Orthop 1989; 139: 263. [ Links ]
36. llizarov GA. The tension-stress effect on the genesis and growth of tissues, part I. The influence of stability of fixation and soft-tissue preservation. Clin Orthop 1989; 238: 249. [ Links ]
37. Habal MB. New bone formation by biological rhythmic distraction. J Craniofac Surg 1994; 5: 344. [ Links ]
38. Ten Cate AR. Repair and regeneration of dental tissue. In Oral histology: Development, structure, and function, Ed 55, St. Louis, 1998, Mosby. [ Links ]
39. Smith S, Sachdeva R, Cope JB. Evaluation of the consolidation period during osteodistraction using computed tomography. Am J Orthod Dentofac Orthop 1999; 116: 254. [ Links ]
40. Cope JB, Samchukov ML. Regenerate bone formation end remodelling during mandibular osteodistraction. Angle Orthod 2000; 70: 99. [ Links ]
41. El-Bialy T, Evans CA, Kusnotot B et al. Three- dimensional analysis of changes following mandibular osteodistraction. In: McNamara JA Jr. Editor: Growth modification: what works, what doesn't, and why. Ann Arbor, Mich, 1999, Center for Human Growth and Development. The University of Michigan. [ Links ]
42. Epker BN, Wolford LM. Surgical orthodontic expansion of maxilla. In: Dentofacial deformities: Surgical-Orthodontic Correction. Surg Orthodont Correct 1980: 305-31. [ Links ]
43. Wolford LM, Epker BN. The combined anterior and posterior maxillary osteotomy: a new technique. J Oral Surg 1975; 33: 842. [ Links ]
44. Timms DJ. Rapid maxillary expansion. Chicago, Quintessence Publishing Co. 1981. [ Links ]
45. Ekström C, Henrikson CO, Jensen R. Mineralization in the midpalatal suture after orthodontic expansion. Amer J Orthodont 1977; 71(4): 449-55. [ Links ]
46. Ten Cate AR, Freeman E, Dickinson JB. Sutural development: structure and its response to rapid expansion. Amer J Orthodont 1977; 71(6): 622-36. [ Links ]
47. Cavassan AO, Capelozza FL, Silva FOG, Queiroz GV. Espansao rapida da maxila: avaliação em modelos de gesso. Orthodontia 1993; 26(3): 53-63. [ Links ]
48. Isaacson R, Ingram AH. Forces produced by rapid maxillary expansion: H. Forces presented during treatment. Angle Orthodont 1964; 34(4): 261-268. [ Links ]
49. Langford SR. Root resorption extremes resulting from clinical rapid maxillary expansion. Amer J Orthodont 1982; 81(5): 371-77. [ Links ]
50. Kraut RA. Surgically assisted rapid maxillary expansion by opening the midpalatal suture. J Oral Maxillofac Surg 1984; 42: 651-655. [ Links ]
51. Byrum JR, AG. Evaluation of anterior-posterior and vertical skeletal Changes vs Dental change in rapid palatal expansion cases as studied by lateral cephalograms. Amer J Orthodont 1971; 60(4): 419. [ Links ]
52. Timms DJ. A study of basal movement with rapid maxillary expansion. Amer J Orthodont 1980; 77(5); 500-7. [ Links ]
53. Warren DW, Hershey HG, Turvey TA, Hinton VA, Marfield WM. The nasal airway following maxillary expansion. Amer Orthodont Dentofac Orthop 1987; 91(2): 111-6. [ Links ]
54. Wertz RA. Changes in nasal airflow incident to rapid maxillary expansion. Angle Orthodont 1968; 38(1): 1-11. [ Links ]
55. Gardner GE, Kronman JH. Cranioskeletal displacements caused by rapid palatal expansion in the Rheus Monkey. Amer J Orthodont 1971; 59(2): 146-55. [ Links ]