Complex orthodontic treatment of patients with constricted upper jaw using piezo corticotomy

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

BACKGROUND: The question of choosing upper jaw expansion methods is relevant because of the high prevalence of upper jaw narrowing, which occurs in 7.9% and 9.9% of patients aged 12–18 and 18–50 years, respectively.

AIM: This study aimed to increase the efficiency of orthodontic treatments of patients with constricted upper jaw who refused volumetric surgical interventions.

MATERIAL AND METHODS: The results of the combined treatment of patients with narrow maxilla during the period of permanent bite are presented. The combined treatment consisted of orthodontic treatment using palatal expanders in combination with piezo corticotomy. Twenty patients with narrowing and deformity of the upper jaw were treated using this protocol, which was selected according to the results of cone-beam computed tomography in accordance with the stage “C” of the formation of the median palatal suture (mean age, 18.5 years). Orthodontic treatment was performed using tooth-borne and bone-borne palatal expanders.

RESULTS: The successful upper jaw expansion at the skeletal level was achieved in all the treated cases. The choice of the proposed method of treatment of adult patients with maxillary constriction was based on the analysis of the formation of the medial palatal suture and individual assessment of bone density.

CONCLUSION: The proposed method of upper jaw expansion allows the expansion of the upper jaw not at the dental but at the skeletal level.

Full Text

Restricted Access

About the authors

Fedor F. Losev

National Medical Research Center Central Research Institute of Dentistry and Maxillofacial Surgery

Email: info@zniis.ru
ORCID iD: 0000-0002-9448-9614

MD, Dr.Sci. (Med.), professor

Russian Federation, 16, Timura Frunze str., Moscow, 119021

Olga I. Arsenina

National Medical Research Center Central Research Institute of Dentistry and Maxillofacial Surgery; Russian Medical Academy of Continuous Professional Education

Author for correspondence.
Email: arsenina@mail.ru
ORCID iD: 0000-0002-0738-1227

MD, Dr. Sci. (Med.), professor

Russian Federation, 16, Timura Frunze str., Moscow, 119021; Moscow

Tatiana V. Braylovskaya

National Medical Research Center Central Research Institute of Dentistry and Maxillofacial Surgery

Email: info@zniis.ru

MD, Dr. Sci. (Med.)

Russian Federation, 16, Timura Frunze str., Moscow, 119021

Natalia V. Popova

National Medical Research Center Central Research Institute of Dentistry and Maxillofacial Surgery; State Research Center — Burnasyan Federal Medical Biophysical Center

Email: popova@doctor.com
ORCID iD: 0000-0002-3686-5263

MD, Cand. Sci. (Med.)

Russian Federation, 16, Timura Frunze str., Moscow, 119021; Moscow

Viktor A. Sherstobitov

National Medical Research Center Central Research Institute of Dentistry and Maxillofacial Surgery

Email: info@zniis.ru

postgraduate student

Russian Federation, 16, Timura Frunze str., Moscow, 119021

Polina I. Makhortova

National Medical Research Center Central Research Institute of Dentistry and Maxillofacial Surgery; State Research Center — Burnasyan Federal Medical Biophysical Center

Email: polly.max@mail.ru
ORCID iD: 0000-0002-1321-568X

MD, Cand. Sci. (Med.)

Russian Federation, 16, Timura Frunze str., Moscow, 119021; Moscow

References

  1. Alikhani M, Raptis M, Zoldan B, et al. Effect of micro-osteoperforations on the rate of tooth movement. Am J Orthod Dentofacial Orthop. 2013;144(5):639–648. doi: 10.1016/j.ajodo.2013.06.017
  2. Bazargani F, Feldmann I, Bondemark L. Three-dimensional analysis of effects of rapid maxillary expansion on facial sutures and bones. Angle Orthod. 2013;83(6):1074–1082. doi: 10.2319/020413-103.1
  3. Frost H. The Regional Accelerated Phenomenon. Orthop Clin N Am. 1981;(12):725–726.
  4. Wilcko MT, Wilcko WM, Pulver JJ, et al. Accelerated osteogenic orthodontics technique: a 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation. J Oral Maxillofac Surg. 2009;67(10):2149–2159. doi: 10.1016/j.joms.2009.04.095
  5. Arsenina OI, Shugaylov IA, Nadtochiy AG, et al. Improving the effectiveness of treatment of the adult patients with dentoalveolar anomalies and deformities using Er,Cr:YSGG laser: a clinical study. Stomatologiia (Mosk). 2021;100(1):34–43. (In Russ). doi: 10.17116/stomat202110001134
  6. Popova NV, Arsenina OI, Makhortova PI, et al. Complex orthodontic-surgical rehabilitation of adults with malocclusions and deformations in dentition. Stomatologiia (Mosk). 2020;99(2):66–78. (In Russ). doi: 10.17116/stomat20209902166
  7. Popova NV, Arsenina OI, Makhortova PI. Efficiency of orthodontic treatment in combination with surgically assisted rapid palatal expansion. Stomatologiia (Mosk). 2019;98(4):71–79. (In Russ). doi: 10.17116/stomat20199804171
  8. Fadeev RA, Prozorova NV, Fadeeva MR, et al. An alternative approach to the treatment of the patients with skeletal forms of mesial occlusion with complete facial growth. The Dental Institute. 2018;(4):44–47. (In Russ).
  9. Hsu JT, Chang HW, Huang HL, et al. Bone density changes around teeth during orthodontic treatment. Clin Oral Investig. 2011;15(4):511–519. doi: 10.1007/s00784-010-0410-1

Supplementary files

Supplementary Files
Action
1. Fig. 1. Piezocorticotomy procedure.

Download (136KB)
2. Fig. 2. Patient Activation/Deactivation Protocol Diary.

Download (117KB)
3. Fig. 1. Table 1

Download (20KB)
4. Fig. 2. Table 1

Download (23KB)
5. Fig. 3. Table 1

Download (19KB)
6. Fig. 4. Table 1

Download (23KB)
7. Fig. 5. Table 1

Download (19KB)
8. Fig. 6. Table 1

Download (21KB)
9. Fig. 7. Table 1

Download (18KB)
10. Fig. 8. Table 1

Download (21KB)
11. Fig. 9. Table 1

Download (21KB)
12. Fig. 10. Table 1

Download (21KB)
13. Fig. 11. Table 1

Download (21KB)
14. Fig. 12. Table 1

Download (19KB)
15. Fig. 13. Table 1

Download (17KB)
16. Fig. 14. Table 1

Download (20KB)
17. Fig. 15. Table 1

Download (20KB)
18. Fig. 16. Table 1

Download (21KB)
19. Fig. 17. Table 1

Download (21KB)
20. Fig. 18. Table 1

Download (22KB)
21. Fig. 3. Patient occlusion before treatment.

Download (139KB)
22. Fig. 4. Occlusal view of the maxilla before treatment.

Download (112KB)
23. Fig. 5. Patient occlusion after complex treatment.

Download (127KB)
24. Fig. 6. Occlusal view of the maxilla after treatment.

Download (99KB)
25. Fig. 7. CBCT overlay before and after expansion. Here and in fig. 8: white — before treatment, blue — after treatment.

Download (306KB)
26. Fig. 8. Superimposition of axial sections of cone-beam computed tomography of the upper jaw before and after expansion.

Download (178KB)

Copyright (c) 2022 Eco-Vector



Свидетельство о регистрации СМИ № 015648 от 14.05.1999 г. выдано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор). 
Свидетельство о регистрации СМИЭЛ № ФС 77 - 80635 от 15.03.2021 г. выдано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies