Why segment the maxilla between laterals and canines?

Introduction: Maxillary surgery on a bone segment enables movement in the sagittal and vertical planes. When performed on multiple segments, it further provides movement in the transverse plane. Typical sites for interdental osteotomies are between laterals and canines, premolars and canines, or bet...

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Main Authors: Lucas Senhorinho Esteves, Jean Nunes dos Santos, Steven M. Sullivan, Luana Maria Rosário Martins, Carolina Ávila
Format: Article
Language:English
Published: Dental Press Editora 2016-02-01
Series:Dental Press Journal of Orthodontics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512016000100110&lng=en&tlng=en
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author Lucas Senhorinho Esteves
Jean Nunes dos Santos
Steven M. Sullivan
Luana Maria Rosário Martins
Carolina Ávila
author_facet Lucas Senhorinho Esteves
Jean Nunes dos Santos
Steven M. Sullivan
Luana Maria Rosário Martins
Carolina Ávila
author_sort Lucas Senhorinho Esteves
collection DOAJ
description Introduction: Maxillary surgery on a bone segment enables movement in the sagittal and vertical planes. When performed on multiple segments, it further provides movement in the transverse plane. Typical sites for interdental osteotomies are between laterals and canines, premolars and canines, or between incisors. Additionally, osteotomies can be bilateral, unilateral or asymmetric. The ability to control intercanine width, buccolingual angulation of incisors, and correct Bolton discrepancy are some of the advantages of maxillary segmentation between laterals and canines. Objective: This article describes important features to be considered in making a clinical decision to segment the maxilla between laterals and canines when treating a dentoskeletal deformity. It further discusses the history of this surgical approach, the indications for its clinical use, the technique used to implement it, as well as its advantages, disadvantages, complications and stability. It is therefore hoped that this paper will contribute to disseminate information on this topic, which will inform the decision-making process of those professionals who wish to make use of this procedure in their clinical practice. Conclusions: Segmental maxillary osteotomy between laterals and canines is a versatile technique with several indications. Furthermore, it offers a host of advantages compared with single-piece osteotomy, or between canines and premolars.
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spelling doaj.art-8535cf39fd8245c9aa8a8d7f618e09df2022-12-21T21:03:31ZengDental Press EditoraDental Press Journal of Orthodontics2177-67092016-02-0121111012510.1590/2177-6709.21.1.110-125.sarS2176-94512016000100110Why segment the maxilla between laterals and canines?Lucas Senhorinho EstevesJean Nunes dos SantosSteven M. SullivanLuana Maria Rosário MartinsCarolina ÁvilaIntroduction: Maxillary surgery on a bone segment enables movement in the sagittal and vertical planes. When performed on multiple segments, it further provides movement in the transverse plane. Typical sites for interdental osteotomies are between laterals and canines, premolars and canines, or between incisors. Additionally, osteotomies can be bilateral, unilateral or asymmetric. The ability to control intercanine width, buccolingual angulation of incisors, and correct Bolton discrepancy are some of the advantages of maxillary segmentation between laterals and canines. Objective: This article describes important features to be considered in making a clinical decision to segment the maxilla between laterals and canines when treating a dentoskeletal deformity. It further discusses the history of this surgical approach, the indications for its clinical use, the technique used to implement it, as well as its advantages, disadvantages, complications and stability. It is therefore hoped that this paper will contribute to disseminate information on this topic, which will inform the decision-making process of those professionals who wish to make use of this procedure in their clinical practice. Conclusions: Segmental maxillary osteotomy between laterals and canines is a versatile technique with several indications. Furthermore, it offers a host of advantages compared with single-piece osteotomy, or between canines and premolars.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512016000100110&lng=en&tlng=enOsteotomia segmentar de maxilaCirurgia ortognáticaDeformidades dentoesqueletais
spellingShingle Lucas Senhorinho Esteves
Jean Nunes dos Santos
Steven M. Sullivan
Luana Maria Rosário Martins
Carolina Ávila
Why segment the maxilla between laterals and canines?
Dental Press Journal of Orthodontics
Osteotomia segmentar de maxila
Cirurgia ortognática
Deformidades dentoesqueletais
title Why segment the maxilla between laterals and canines?
title_full Why segment the maxilla between laterals and canines?
title_fullStr Why segment the maxilla between laterals and canines?
title_full_unstemmed Why segment the maxilla between laterals and canines?
title_short Why segment the maxilla between laterals and canines?
title_sort why segment the maxilla between laterals and canines
topic Osteotomia segmentar de maxila
Cirurgia ortognática
Deformidades dentoesqueletais
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512016000100110&lng=en&tlng=en
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