Miniscrew-assisted rapid palatal expansion for managing arch perimeter in an adult patient
ABSTRACT Introduction: Etiology of dental crowding may be related to arch constriction in diverse dimensions, and an appropriate manipulation of arch perimeter by intervening in basal bone discrepancies cases, may be a key for crowding relief, especially when incisors movement is limited due to un...
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| Format: | Article |
| Language: | English |
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Dental Press Editora
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| Series: | Dental Press Journal of Orthodontics |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512017000300097&lng=en&tlng=en |
| _version_ | 1818917766192693248 |
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| author | Amanda Carneiro da Cunha Hisun Lee Lincoln Issamu Nojima Matilde da Cunha Gonçalves Nojima Kee-Joon Lee |
| author_facet | Amanda Carneiro da Cunha Hisun Lee Lincoln Issamu Nojima Matilde da Cunha Gonçalves Nojima Kee-Joon Lee |
| author_sort | Amanda Carneiro da Cunha |
| collection | DOAJ |
| description | ABSTRACT Introduction: Etiology of dental crowding may be related to arch constriction in diverse dimensions, and an appropriate manipulation of arch perimeter by intervening in basal bone discrepancies cases, may be a key for crowding relief, especially when incisors movement is limited due to underlying pathology, periodontal issues or restrictions related to soft tissue profile. Objectives: This case report illustrates a 24-year old woman, with maxillary transverse deficiency, upper and lower arches crowding, Class II, division 1, subdivision right relationship, previous upper incisors traumatic episode and straight profile. A non-surgical and non-extraction treatment approach was feasible due to the miniscrew-assisted rapid palatal expansion technique (MARPE). Methods: The MARPE appliance consisted of a conventional Hyrax expander supported by four orthodontic miniscrews. A slow expansion protocol was adopted, with an overall of 40 days of activation and a 3-month retention period. Intrusive traction miniscrew-anchored mechanics were used for correcting the Class II subdivision relationship, managing lower arch perimeter and midline deviation before including the upper central incisors. Results: Post-treatment records show an intermolar width increase of 5 mm, bilateral Class I molar and canine relationships, upper and lower crowding resolution, coincident dental midlines and proper intercuspation. Conclusions: The MARPE is an effective treatment approach for managing arch-perimeter deficiencies related to maxillary transverse discrepancies in adult patients. |
| first_indexed | 2024-12-20T00:39:17Z |
| format | Article |
| id | doaj.art-e04fc7b684084a969e5b5369966812b1 |
| institution | Directory Open Access Journal |
| issn | 2177-6709 |
| language | English |
| last_indexed | 2024-12-20T00:39:17Z |
| publisher | Dental Press Editora |
| record_format | Article |
| series | Dental Press Journal of Orthodontics |
| spelling | doaj.art-e04fc7b684084a969e5b5369966812b12022-12-21T19:59:40ZengDental Press EditoraDental Press Journal of Orthodontics2177-67092239710810.1590/2177-6709.22.3.097-108.oarS2176-94512017000300097Miniscrew-assisted rapid palatal expansion for managing arch perimeter in an adult patientAmanda Carneiro da CunhaHisun LeeLincoln Issamu NojimaMatilde da Cunha Gonçalves NojimaKee-Joon LeeABSTRACT Introduction: Etiology of dental crowding may be related to arch constriction in diverse dimensions, and an appropriate manipulation of arch perimeter by intervening in basal bone discrepancies cases, may be a key for crowding relief, especially when incisors movement is limited due to underlying pathology, periodontal issues or restrictions related to soft tissue profile. Objectives: This case report illustrates a 24-year old woman, with maxillary transverse deficiency, upper and lower arches crowding, Class II, division 1, subdivision right relationship, previous upper incisors traumatic episode and straight profile. A non-surgical and non-extraction treatment approach was feasible due to the miniscrew-assisted rapid palatal expansion technique (MARPE). Methods: The MARPE appliance consisted of a conventional Hyrax expander supported by four orthodontic miniscrews. A slow expansion protocol was adopted, with an overall of 40 days of activation and a 3-month retention period. Intrusive traction miniscrew-anchored mechanics were used for correcting the Class II subdivision relationship, managing lower arch perimeter and midline deviation before including the upper central incisors. Results: Post-treatment records show an intermolar width increase of 5 mm, bilateral Class I molar and canine relationships, upper and lower crowding resolution, coincident dental midlines and proper intercuspation. Conclusions: The MARPE is an effective treatment approach for managing arch-perimeter deficiencies related to maxillary transverse discrepancies in adult patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512017000300097&lng=en&tlng=enProcedimentos de ancoragem ortodônticaTécnica de expansão palatinaAdultoMá oclusão. |
| spellingShingle | Amanda Carneiro da Cunha Hisun Lee Lincoln Issamu Nojima Matilde da Cunha Gonçalves Nojima Kee-Joon Lee Miniscrew-assisted rapid palatal expansion for managing arch perimeter in an adult patient Dental Press Journal of Orthodontics Procedimentos de ancoragem ortodôntica Técnica de expansão palatina Adulto Má oclusão. |
| title | Miniscrew-assisted rapid palatal expansion for managing arch perimeter in an adult patient |
| title_full | Miniscrew-assisted rapid palatal expansion for managing arch perimeter in an adult patient |
| title_fullStr | Miniscrew-assisted rapid palatal expansion for managing arch perimeter in an adult patient |
| title_full_unstemmed | Miniscrew-assisted rapid palatal expansion for managing arch perimeter in an adult patient |
| title_short | Miniscrew-assisted rapid palatal expansion for managing arch perimeter in an adult patient |
| title_sort | miniscrew assisted rapid palatal expansion for managing arch perimeter in an adult patient |
| topic | Procedimentos de ancoragem ortodôntica Técnica de expansão palatina Adulto Má oclusão. |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512017000300097&lng=en&tlng=en |
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