Correction of facial asymmetry in an adult with unilateral palatal disjunction assisted by mini screws (MARPE) - New Technique: Case report
DOI:
https://doi.org/10.33448/rsd-v9i10.8414Keywords:
Maxillary expansion; Palatal disjunction; Facial asymmetry.Abstract
One of the first problems to be treated in occlusal disorders is cross-sectional correction, which may involve a top bite, a single or bilateral. These atresias can often contribute to the aesthetic corrections of the smile including asymmetries of the face. Objective: Aiming at correcting facial asymmetries with rapid maxillary expansion supported by mini-screws, this work demonstrates a new technique through weakening and unilateral maxilla expansion that facilitates the return of the displaced mandible to the ipsilateral side of the expansion. Case report: With the use of holes made along the palate raphe , as already suggested in the literature, and also complemented in the region of the infra-zygomatic crest on the opposite side of the facial asymmetry, this favored the mandibular displacement towards the expansion side, thus correcting aesthetics of the face. Final Considerations: This approach to weakening the infra-zygomatic ridge with the intention of greater displacement of a hemi-maxilla to the opposite side to the facial deviation, may facilitate some non-surgical corrections of asymmetric individuals.
References
Andrade, T. (2018). MARPE: uma alternativa não cirúrgica para o manejo ortopédico da maxila: parte 1. Rev Clín Ortod Dental Press. Out-Nov; 17(5), 44-55. 2.
Araújo, T. M. de, Nascimento, M. H. A., Bezerra, F., & Sobral, M. C. (2006). Ancoragem esquelética em Ortodontia com miniimplantes. Revista Dental Press de Ortodontia e Ortopedia Facial, 11(4), 126–156. https://doi.org/10.1590/S1415-54192006000400014.
Arnett, G. W., Bergman, R. T., & Barbara, S. (1915). 27. Facial keys to orthodontic planning. Part I diagnosis and treatment. American Journal of ORTHODONTICS and DENTOFACIAL ORTHOPEDICS Founded In, 103(4), 299–312.
Capelozza Filho, L., & Silva Filho, O. G. da. (1997). Expansão rápida da maxila: considerações gerais e aplicação clínica. Parte I. Revista Dental Press de Ortodontia e Ortopedia Maxilar, 2, 88-102.
Franchi, L., Baccetti, T., Lione, R., Fanucci, E., & Cozza, P. (2010). Modifications of midpalatal sutural density induced by rapid maxillary expansion: A low-dose computed-tomography evaluation. American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics, 137(4), 486–488; discussion 12A-13A. https://doi.org/10.1016/j.ajodo.2009.10.028.
Figueiredo, C., Pacheco, V., & Moura, W. Ortodontia Autoligável e Contemporânea. (6a ed.), São Paulo: V8; 2016.
Fonseca, R. J., Walker, V., Dexter, B. H., Powers, M. P., Frost, D.E. Oral and Maxillofacial Trauma. (4a ed.), Editora Elsevier, 2015. 10.
Garib, D. G., Navarro, R. de L., Francischone, C. E., & Oltramari, P. V. P. (2007). Expansão rápida da maxila ancorada em implantes: uma nova proposta para expansão ortopédica na dentadura permanente. Revista Dental Press de Ortodontia e Ortopedia Facial, 12(3), 75–81. https://doi.org/10.1590/S1415-54192007000300008.
Garib, D. G., Henriques, J. F., Janson, G., de Freitas, M. R., & Fernandes, A. Y. (2006). Periodontal effects of rapid maxillary expansion with tooth-tissue-borne and tooth-borne expanders: a computed tomography evaluation. American journal of orthodontics and dentofacial orthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 129(6), 749–758. https://doi.org/10.1016/j.ajodo.2006.02.021
Gurgel, J. A., Tiago, C. M., & Normando, D. (2014). Transverse changes after surgically assisted rapid palatal expansion. International journal of oral and maxillofacial surgery, 43(3), 316–322. https://doi.org/10.1016/j.ijom.2013.10.001
Haas A. J. (1970). Palatal expansion: just the beginning of dentofacial orthopedics. American journal of orthodontics, 57(3), 219–255. https://doi.org/10.1016/0002-9416(70)90241-1.
Lee, K. J., Park, Y. C., Park, J. Y., & Hwang, W. S. (2010). Miniscrew-assisted nonsurgical palatal expansion before orthognathic surgery for a patient with severe mandibular prognathism. American journal of orthodontics and dentofacial orthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 137(6), 830–839. https://doi.org/10.1016/j.ajodo.2007.10.065
Maltagliati, L. A., Myiahira, Y. I., Fattori, L., Filho, L. C., & Cardoso, M. (2013). Transversal changes in dental arches from non-extraction treatment with self ligating brackets. Dental press journal of orthodontics, 18(3), 39–45. https://doi.org/10.1590/s2176-94512013000300008.
Murata, W. H., Oliveira, C. B., Suzuki, S. S., Suzuki, H. Expansão Rápida da Maxila Assistida por Mini Implantes Ortodônticos. In: Ortodontia – Estado Atual da Arte: Diagnóstico, Planejamento e Tratamento, Ed. Napoleão, 2017, 311-333.
Pereira, A. S., Shitsuka, Dorlivete Moreira Parreira, F. J., & Shitsuka, R. (2018). Metodologia da Pesquisa Científica - Licenciatura em Computação. Retrieved from https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.
Perin, M. A. A. (2016). Expansão Rápida Da Maxila Assistida Por Mini-Implantes (Marpe) Em Pacientes Adultos, 28. https://acervodigital.ufpr.br/bitstream/handle/1884/53914/R%20-%20E%20%20MARIA%20AUGUSTA%20ANDRIGO%20PERIN.pdf?sequence=1&isAllowed=yMonografias 2016.
Remmelink H. J. (1988). Orientation of maxillary sutural surfaces. European journal of orthodontics, 10(3), 223–226. https://doi.org/10.1093/ejo/10.3.223
Santos, A. M., et al. Expansão rápida da maxila assistida com mini-implantes (MARPE) em adulto. In: Dental Press Publishing / Rev Clin Ortod Dental Press / Out-Nov, 18(5),110-7
Santos, A. M., et al. Protocolo de expansão rápida da maxila assistida por mini-implantes (Marpe) associado à corticotomia. In:Ortodontia SPO / trabalho original. 2019; 51(1), 42-8.
Seong, E.-H., Choi, S.-H., Kim, H.-J., Yu, H.-S., Park, Y.-C., & Lee, K.-J. (2018). Evaluation of the effects of miniscrew incorporation in palatal expanders for young adults using finite element analysis. The Korean Journal of Orthodontics, 48(2), 81. https://doi.org/10.4041/kjod.2018.48.2.81
Simões, W. Visão do crescimento mandibular e maxilar. J. Bras. Ortodon. Ortop. Facial; 3(15):9-18, 1998.
Suzuki, H., Moon, W., Previdente, L. H., Suzuki, S. S., Garcez, A. S., & Consolaro, A. (2016). Expansão rápida da maxila assistida com mini-implantes MARPE: em busca de um movimento ortopédico puro. Revista Clínica de Ortodontia Dental Press, 15( 2), 100-108.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Edson Homem Neto
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.