Three-dimensional evaluation of periodontal effects after surgically assisted rapid maxillary expansion

Beatriz Caio  Felipe; Gustavo Nascimento de Souza  Pinto; Amanda Lury  Yamashita; Fernanda Chiguti  Yamashita; Eder Alberto Sigua-Rodriguez; Breno Gabriel da  Silva; Adilson Luiz Ramos; Liogi Iwaki Filho; Lilian Cristina Vessoni  Iwaki

doi:10.33448/rsd-v11i6.28783

Autores/as

Beatriz Caio Felipe Universidade Estadual de Maringá https://orcid.org/0000-0001-7286-8712
Gustavo Nascimento de Souza Pinto State University of Maringa https://orcid.org/0000-0002-6509-4998
Amanda Lury Yamashita State University of Maringa https://orcid.org/0000-0001-8322-2060
Fernanda Chiguti Yamashita State University of Maringa https://orcid.org/0000-0002-1053-2559
Eder Alberto Sigua-Rodriguez Institución Universitaria Colegios de Colombia https://orcid.org/0000-0002-7971-9856
Breno Gabriel da Silva Universidade de São Paulo https://orcid.org/0000-0002-8322-9235
Adilson Luiz Ramos Universidade Estadual de Maringá https://orcid.org/0000-0003-2505-4251
Liogi Iwaki Filho Universidade Estadual de Maringá https://orcid.org/0000-0001-9117-6826
Lilian Cristina Vessoni Iwaki State University of Maringa https://orcid.org/0000-0002-1822-3056

DOI:

https://doi.org/10.33448/rsd-v11i6.28783

Palabras clave:

Técnica de Expansión Palatina; Pérdida de Inserción Periodontal; Tomografía Computarizada Cone Beam.

Resumen

Objetivo: Evaluar los efectos periodontales en los dientes maxilares de pacientes que se sometieron a expansión maxilar rápida asistida quirúrgicamente (SARME) y comparar los resultados de la cantidad de expansión lograda en cada paciente y la técnica quirúrgica realizada. Material y Métodos: Se seleccionaron tomografías computarizadas de haz cónico (CBCT) de diecinueve pacientes que se sometieron a SARME, preoperatoriamente (hasta un mes antes de la cirugía) y postoperatoriamente (de seis a ocho meses después de la cirugía) para analizar el grosor óseo, la altura del hueso alveolar, angulación de dientes y angulación de alvéolos. También se realizó un análisis de las historias clínicas de todos los pacientes, para analizar la cantidad de expansión realizada en cada paciente, y dividirlos en dos grupos con y sin disyunción pterigomaxilar. Resultados: Los dientes maxilares primer premolar y primer molar a la izquierda, y maxilar segundo premolar y primer molar derechos presentaron pérdida ósea después de la cirugía. Todos los dientes, a excepción de los primeros molares de ambos lados del maxilar, presentaban angulación dentaria. Además, también se encontró que a mayor expansión realizada en el paciente, mayor pérdida de altura y espesor óseo alveolar (BL, ABT5), y cuanto más angulado el diente, mayor pérdida de altura ósea. Conclusión: después de la cirugía y el uso del aparato Hyrax, hubo pérdidas estadísticamente significativas de espesor óseo, y algunos dientes sufrieron angulación dentaria y alveolar. El presente estudio también encontró una mayor pérdida ósea en los pacientes que se sometieron a una mayor expansión.

Citas

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Evaluación tridimensional de los efectos periodontales después de la expansión maxilar rápida asistida quirúrgicamente

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