Overview of Surgical Treatment for Maxillary Constriction

1
Dr. Faizan Ahmed Khan
Dr. Faizan Ahmed Khan
2
Dr Anthony Kevin Fernandes
Dr Anthony Kevin Fernandes
1 Yenepoya Dental College

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Introduction-The general indications for surgically assisted rapid maxillary expansion (SARME) are skeletal maturity, (extreme) transverse maxillary hypoplasia, either uni-or bilateral, anterior crowding and buccal corridors, the so called black corridors, when smiling. Furthermore the indications for SARME include any case where orthodontic maxillary expansion has failed and resistance of the sutures must be overcome. Transverse maxillary hypoplasia, in adolescents and adults, is frequently seen in non-syndromal and syndromal patients including cleft patients. In skeletally matured patients the uni-or bilateral transverse hypoplasia can be corrected by means of SARME. The treatment is a combination of orthodontics and surgical procedures and provides dental arch space for alignment of teeth. The procedure also causes a substantial enlargement of the maxillary apical base and of the palatal vault, providing space for the tongue for correct swallowing and thus preventing relapse. In addition, a distinct subjective improvement in nasal breathing associated with enlargement of the nasal valve towards normal values is seen with an increase of nasal volume in all compartments.

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No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

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No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

Dr. Faizan Ahmed Khan. 2017. \u201cOverview of Surgical Treatment for Maxillary Constriction\u201d. Global Journal of Medical Research - J: Dentistry & Otolaryngology GJMR-J Volume 17 (GJMR Volume 17 Issue J2): .

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Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

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GJMR-J Classification: NLMC Code: WO 500
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v1.2

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November 13, 2017

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English

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Introduction-The general indications for surgically assisted rapid maxillary expansion (SARME) are skeletal maturity, (extreme) transverse maxillary hypoplasia, either uni-or bilateral, anterior crowding and buccal corridors, the so called black corridors, when smiling. Furthermore the indications for SARME include any case where orthodontic maxillary expansion has failed and resistance of the sutures must be overcome. Transverse maxillary hypoplasia, in adolescents and adults, is frequently seen in non-syndromal and syndromal patients including cleft patients. In skeletally matured patients the uni-or bilateral transverse hypoplasia can be corrected by means of SARME. The treatment is a combination of orthodontics and surgical procedures and provides dental arch space for alignment of teeth. The procedure also causes a substantial enlargement of the maxillary apical base and of the palatal vault, providing space for the tongue for correct swallowing and thus preventing relapse. In addition, a distinct subjective improvement in nasal breathing associated with enlargement of the nasal valve towards normal values is seen with an increase of nasal volume in all compartments.

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Overview of Surgical Treatment for Maxillary Constriction

Dr Anthony Kevin Fernandes
Dr Anthony Kevin Fernandes
Dr. Faizan Ahmed Khan
Dr. Faizan Ahmed Khan

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