Surgically Assisted Rapid Maxillary Expansion (SARME) Treatment in a Severe Maxillary Constriction Patient: Case Report

The purpose of this article was to apply surgically assisted rapid maxillary expansion in an adult patient who had severe maxillary constriction followed by two maxillary canine impactions for gaining Class I canine-molar relationship and determine the changes before and after treatment. 18,5 years...

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Main Authors: Eren İşman, Sertaç Aksakallı, Sıddık Malkoç
Format: Article
Language:English
Published: Galenos Yayinevi 2011-12-01
Series:Turkish Journal of Orthodontics
Subjects:
Online Access: http://www.turkjorthod.org/archives/archive-detail/article-preview/surgically-assisted-rapid-maxillary-expansion-sarm/53636
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author Eren İşman
Sertaç Aksakallı
Sıddık Malkoç
author_facet Eren İşman
Sertaç Aksakallı
Sıddık Malkoç
author_sort Eren İşman
collection DOAJ
description The purpose of this article was to apply surgically assisted rapid maxillary expansion in an adult patient who had severe maxillary constriction followed by two maxillary canine impactions for gaining Class I canine-molar relationship and determine the changes before and after treatment. 18,5 years of age Caucasian female was referred to our clinic with the primary complaint of unaesthetic smile and anterior crowding. In model cast analysis, it has been determined that there was 5.1 mm space requirement in mandible and 12.3 mm in maxilla. Overjet was 6.8 mm, overbite was 2.2 mm. The treatment plan consisted of leveling and alignment of maxillary and mandibular teeth after the SARME. An acrylic cap expansion appliance was preferred. Class I canine-molar relationship at the end of the treatment was aimed. After the treatment the maxillary constriction has been eliminated and class I molar relationship was established on both sides. The radiographic evaluation revealed 3.9 mm nasal and 5.2 mm maxillary width widening. The smile esthetic was improved and the malpositions of the teeth were relieved. As a conclusion; SARME is a successful treatment modality for adult patients requiring palatal expansion.
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spelling doaj.art-0c72fc93c7e84bf4a0ced9f96d0de3642023-08-01T12:07:58ZengGalenos YayineviTurkish Journal of Orthodontics2528-96592148-95052011-12-0124320221410.13076/1300-3550-24-3-20213049054Surgically Assisted Rapid Maxillary Expansion (SARME) Treatment in a Severe Maxillary Constriction Patient: Case ReportEren İşman0Sertaç Aksakallı1Sıddık Malkoç2 Gaziantep University, Faculty of Dentistry, Department of Orthodontics, Gaziantep, Turkey Selçuk Univ. Faculty of Dentistry, Dept. of Orthodontics Konya, Turkey İnönü University, Faculty of Dentistry, Department of Orthodontics, Malatya, Turkey The purpose of this article was to apply surgically assisted rapid maxillary expansion in an adult patient who had severe maxillary constriction followed by two maxillary canine impactions for gaining Class I canine-molar relationship and determine the changes before and after treatment. 18,5 years of age Caucasian female was referred to our clinic with the primary complaint of unaesthetic smile and anterior crowding. In model cast analysis, it has been determined that there was 5.1 mm space requirement in mandible and 12.3 mm in maxilla. Overjet was 6.8 mm, overbite was 2.2 mm. The treatment plan consisted of leveling and alignment of maxillary and mandibular teeth after the SARME. An acrylic cap expansion appliance was preferred. Class I canine-molar relationship at the end of the treatment was aimed. After the treatment the maxillary constriction has been eliminated and class I molar relationship was established on both sides. The radiographic evaluation revealed 3.9 mm nasal and 5.2 mm maxillary width widening. The smile esthetic was improved and the malpositions of the teeth were relieved. As a conclusion; SARME is a successful treatment modality for adult patients requiring palatal expansion. http://www.turkjorthod.org/archives/archive-detail/article-preview/surgically-assisted-rapid-maxillary-expansion-sarm/53636 surgically assisted rapid maxillary expansionsarmepalatal expansionadult patient
spellingShingle Eren İşman
Sertaç Aksakallı
Sıddık Malkoç
Surgically Assisted Rapid Maxillary Expansion (SARME) Treatment in a Severe Maxillary Constriction Patient: Case Report
Turkish Journal of Orthodontics
surgically assisted rapid maxillary expansion
sarme
palatal expansion
adult patient
title Surgically Assisted Rapid Maxillary Expansion (SARME) Treatment in a Severe Maxillary Constriction Patient: Case Report
title_full Surgically Assisted Rapid Maxillary Expansion (SARME) Treatment in a Severe Maxillary Constriction Patient: Case Report
title_fullStr Surgically Assisted Rapid Maxillary Expansion (SARME) Treatment in a Severe Maxillary Constriction Patient: Case Report
title_full_unstemmed Surgically Assisted Rapid Maxillary Expansion (SARME) Treatment in a Severe Maxillary Constriction Patient: Case Report
title_short Surgically Assisted Rapid Maxillary Expansion (SARME) Treatment in a Severe Maxillary Constriction Patient: Case Report
title_sort surgically assisted rapid maxillary expansion sarme treatment in a severe maxillary constriction patient case report
topic surgically assisted rapid maxillary expansion
sarme
palatal expansion
adult patient
url http://www.turkjorthod.org/archives/archive-detail/article-preview/surgically-assisted-rapid-maxillary-expansion-sarm/53636
work_keys_str_mv AT erenisman surgicallyassistedrapidmaxillaryexpansionsarmetreatmentinaseveremaxillaryconstrictionpatientcasereport
AT sertacaksakallı surgicallyassistedrapidmaxillaryexpansionsarmetreatmentinaseveremaxillaryconstrictionpatientcasereport
AT sıddıkmalkoc surgicallyassistedrapidmaxillaryexpansionsarmetreatmentinaseveremaxillaryconstrictionpatientcasereport