Combining Circumvestibular Corticotomy with Maxillary Protraction as a Conservative Approach to Treatment in an Adolescent with Maxillary Deficiency: A Case Report with Long Term Follow-up

Maxillary protraction with a face mask is an effective treatment for class III children with maxillary hypoplasia. However, in late adolescence, orthopedic approaches are not very effective for treatment of maxillary deficiency. The aim of this study was to report a minimally invasive technique to...

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Main Authors: Farzad Piroozmand, Behzad Salari, Mohsen Shirazi, Hooman Zarnegar
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2022-08-01
Series:Frontiers in Dentistry
Subjects:
Online Access:https://fid.tums.ac.ir/index.php/fid/article/view/4142
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author Farzad Piroozmand
Behzad Salari
Mohsen Shirazi
Hooman Zarnegar
author_facet Farzad Piroozmand
Behzad Salari
Mohsen Shirazi
Hooman Zarnegar
author_sort Farzad Piroozmand
collection DOAJ
description Maxillary protraction with a face mask is an effective treatment for class III children with maxillary hypoplasia. However, in late adolescence, orthopedic approaches are not very effective for treatment of maxillary deficiency. The aim of this study was to report a minimally invasive technique to orthopedically treat a 16-year-old female adolescent with mild to moderate maxillary deficiency, before the cessation of growth. A circumvestibular corticotomy technique was performed followed by a regimen of rapid maxillary expansion and application of heavy extra-oral forces. After termination of the orthopedic and orthodontic phases, the patient was monitored for ten years. The dental and skeletal results immediately after treatment were compared with the results ten years after termination of treatment. A noticeable anterior displacement of “A” point was observed after the orthopedic phase and this remained unchanged for ten years.  
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spelling doaj.art-2cdcb097dd4343d2994738e60025112a2022-12-22T01:37:32ZengTehran University of Medical SciencesFrontiers in Dentistry2676-296X2022-08-0119Combining Circumvestibular Corticotomy with Maxillary Protraction as a Conservative Approach to Treatment in an Adolescent with Maxillary Deficiency: A Case Report with Long Term Follow-upFarzad Piroozmand0Behzad Salari1Mohsen Shirazi2Hooman Zarnegar3Department of Orthodontics, School of Dentistry, International Campus of Tehran University of Medical SciencesDepartment of Orthodontics, Faculty of Dentistry, Aja University of Medical Sciences, Tehran, Iran.Department of Orthodontics, School of Dentistry, Tehran University of Medical SciencesOrthodontist, Private Practice Maxillary protraction with a face mask is an effective treatment for class III children with maxillary hypoplasia. However, in late adolescence, orthopedic approaches are not very effective for treatment of maxillary deficiency. The aim of this study was to report a minimally invasive technique to orthopedically treat a 16-year-old female adolescent with mild to moderate maxillary deficiency, before the cessation of growth. A circumvestibular corticotomy technique was performed followed by a regimen of rapid maxillary expansion and application of heavy extra-oral forces. After termination of the orthopedic and orthodontic phases, the patient was monitored for ten years. The dental and skeletal results immediately after treatment were compared with the results ten years after termination of treatment. A noticeable anterior displacement of “A” point was observed after the orthopedic phase and this remained unchanged for ten years.   https://fid.tums.ac.ir/index.php/fid/article/view/4142MalocclusionAngle Class III; Maxilla; Retrognathia; Orthopedic; Adolescent; Activator Appliances
spellingShingle Farzad Piroozmand
Behzad Salari
Mohsen Shirazi
Hooman Zarnegar
Combining Circumvestibular Corticotomy with Maxillary Protraction as a Conservative Approach to Treatment in an Adolescent with Maxillary Deficiency: A Case Report with Long Term Follow-up
Frontiers in Dentistry
Malocclusion
Angle Class III; Maxilla; Retrognathia; Orthopedic; Adolescent; Activator Appliances
title Combining Circumvestibular Corticotomy with Maxillary Protraction as a Conservative Approach to Treatment in an Adolescent with Maxillary Deficiency: A Case Report with Long Term Follow-up
title_full Combining Circumvestibular Corticotomy with Maxillary Protraction as a Conservative Approach to Treatment in an Adolescent with Maxillary Deficiency: A Case Report with Long Term Follow-up
title_fullStr Combining Circumvestibular Corticotomy with Maxillary Protraction as a Conservative Approach to Treatment in an Adolescent with Maxillary Deficiency: A Case Report with Long Term Follow-up
title_full_unstemmed Combining Circumvestibular Corticotomy with Maxillary Protraction as a Conservative Approach to Treatment in an Adolescent with Maxillary Deficiency: A Case Report with Long Term Follow-up
title_short Combining Circumvestibular Corticotomy with Maxillary Protraction as a Conservative Approach to Treatment in an Adolescent with Maxillary Deficiency: A Case Report with Long Term Follow-up
title_sort combining circumvestibular corticotomy with maxillary protraction as a conservative approach to treatment in an adolescent with maxillary deficiency a case report with long term follow up
topic Malocclusion
Angle Class III; Maxilla; Retrognathia; Orthopedic; Adolescent; Activator Appliances
url https://fid.tums.ac.ir/index.php/fid/article/view/4142
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