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

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

Palavras-chave:

Técnica De Expansão Palatina; Perda De Inserção Periodontal; Tomografia Computadorizada de Feixe Cônico.

Resumo

Objetivo: Avaliar os efeitos periodontais nos dentes superiores de pacientes que se submeteram pela expansão rápida de maxilla assistida cirurgicamente (SARME) e comparar os resultados da quantidade de expansão alcançada em cada pacientes, e a técnica cirurgica realizada. Material e Métodos: tomografias computadorizadas de feixe cônico (CBCT) de dezenove pacientes que passaram pela SARME foram selecionadas, pré-operatórias (até um mês antes da cirurgica) e pós-operatórias (de seis a oito meses após a cirurgia) para analizar a espessura óssea, altura óssea alveolar, angulação dental e angulação do alvéolo. Uma análise do prontuário de todos os pacientes também foi realizada, para analisar a quantidade de expansão realizada em cada paciente, e dividi-los em dois grupos com e sem a realização da disjunção pterigomaxilar. Resultados: Os dentes primeiro pré-molar e primeiro molar esquerdo, segundo pré-molar e primeiro molar direito superiores apresentaram perda de espessura óssea após a cirurgia. Todos os dentes, com excessão dos primeiros molares de ambos os lados da maxilla apresentaram angulação dental. Além disso, também foi encontrado que quanto mais expansão realizada no paciente maior a perda de altura e espessura óssea alveolar (BL, ABT5), e quanto mais angulado o dente maior a perda de altura óssea. Conclusão: após a cirurgia e o uso do aparelho Hyrax, houve perdas estatisticamente significantes da espessura óssea, e alguns dentes sofreram angulação dental e alveolar. O presente estudo também encontrou maior perda óssea em pacientes que sofreram uma expansão maior.

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Avaliação tridimensional dos efeitos periodontais após expansão rápida da maxilla assistida cirurgicamente

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