2009, Number 3
<< Back Next >>
Rev Odont Mex 2009; 13 (3)
Transverse maxillary osteogenic distraction with a tooth-supported intraoral Hyrax appliance: case report
Orozco HA, Picco DMI, González MJM
Language: Spanish
References: 16
Page: 152-157
PDF size: 386.75 Kb.
ABSTRACT
Treatment of dentofacial deformities could be done by conventional orthodontics, orthognatic surgery and recently by osteogenetic distraction. The treatment of transversal maxillary or mandibular deficiency is the most controversial among the dentofacial deformities because of the decision to extract or not healthy teeth. The studies carried out by Proffit and Little in 1991 had shown an increased rate of failure in orthodontic compensatory treatments due to occlusal instability. A case of a 19-year-old patient with transverse maxillary deficiency and Class II profile is presented. The treatment was carried out by means of osteogenic distraction with an intraoral tooth-supported Hyrax appliance, with the purpose of increasing the maxillary width, avoiding teeth extraction and improving occlusal stability for orthognatic surgery.
REFERENCES
Epker BN. Dentofacial deformities: Integrated orthodontic and surgical correction. 1995.
Mommaerts MY. Transpalatal distraction as a method of maxillary expansion. Brit J Oral Max Surg 1999; 37: 268-272.
Ilizarov 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 Rel Res 1989: 238, 249-281.
Ilizarov 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 Rel Res 1989: 239, 263-285.
Snyder CC, Levine GA, Swanson HM, Browne EZ Jr. Mandibular lengthening by gradual distraction. Plast Reconstr Surg 1973; 51: 506.
Michieli S, Miotti B. Lengthening of mandibular body by gradual surgical-orthodontic distraction. J Oral Surg 1977; 35: 187.
McCarthy JG. The role of distraction osteogenesis in the reconstruction of the mandible in unilateral craniofacial microsomia. Clin Plast Surg 1994; 21: 625.
Guerrero CA. Expansión mandibular quirúrgica. Rev Venez Ortod 1990; 48: 1.
Block MS, Cervini D, Chang A, Gottsegen GB. Anterior maxillary advancement using tooth-supported distraction osteogenesis. J Oral Maxillofac Surg 1995; 53: 561.
Guerrero CA, Bell WH, Contasti GI, Rodríguez AM. Mandibular widening by intraoral distraction osteogenesis. Brit J Oral Max Surg 1997; 35: 383-392.
Bell WH, Epker BN. Surgical orthodontic expansion of the maxilla. Am J Ortod 1976; 70: 517-528.
González M, Bell WH, Guerero CA, Buschang PH, Samchukov ML. Lengthening of the mandible by intraoral distraction osteogenesis: Histological and cephalometric evaluation. J Oral Maxillofac Surg 1997; 55(8 Supl 3): 96.
Pinto PX, Mommaerts MY, Wreakes G, Jacobs W. Immediate postexpansion changes following the use of the transpalatal distractor. Am Assoc Oral Maxillofac Surg 2001; 59: 994-1001.
Bell WH et al. The influence of delay on maxillary distraction osteogenesis. J Oral Maxillofac Surg 1995: 53, 95.
Guerrero CA, Bell WH, Flores A, Modugno VL, Constasti GI, Rodríguez AM, Meza L. Distracción osteogénica maxilar intraoral. Odontl Dia 1995: 203-218.
Eunkoo K. Extraction vs non extraction: Arch Widths and smile esthetics. Angle Orthod 2003; 73(4): 354-358.